We hypothesized that psychiatrists with high dual-agency potential (military and health maintenance organization [HMO] psychiatrists) were more likely than non-HMO civilian psychiatrists to engage in dual relationships, report pressures to do so, participate in other general boundary-crossing activities, and report associated counter-therapeutic outcomes (boundary violations).
Ninety military and 191 demographically matched civilian psychiatrists reported the number of boundary-crossing activities (including dual relationships) and associated counter-therapeutic outcomes in the preceding year with adult patients.
Military and HMO psychiatrists reported greater external pressures than non-HMO civilian psychiatrists to engage in dual relationships ; however, all three groups were similar in their reported numbers of dual relationships.
The reported boundary-crossing activities and dual relationships studied here are not necessarily associated with reported boundary violations.
The relative risk of a particular boundary crossing associating with harm to a patient likely depends on the therapeutic context and should be determined on a case-by-case basis.
Mots-clés Pascal : Psychiatrie, Relation médecin psychiatre, Facteur risque, Enquête sur terrain, Militaire, Violation parité, Activité professionnelle, Facteur sociodémographique, Limite, Traitement, Dualité, Homme, Système nerveux pathologie, Organisation santé
Mots-clés Pascal anglais : Psychiatry, Psychiatrist physician relation, Risk factor, Field inquiry, Military, Parity violation, Professional activity, Sociodemographic factor, Limit, Treatment, Duality, Human, Nervous system diseases, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0051069
Code Inist : 002B18H02. Création : 31/05/1999.