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  1. Dual agency, dual relationships, boundary crossings, and associated boundary violations : A survey of military and civilian psychiatrists.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0051069

    Code Inist : 002B18H02. Création : 31/05/1999.