Spark [Robert_Klitzman]_When_Doctors_Become_Patients(Boo | Page 336

Index 325
David, a psychiatrist (comments on)
disclosure, 147
invulnerability beliefs, 34, 53
overidentification risks, 266
patient role acceptance, 38–39
preventive health behavior, 53
retirement decision-making, 232
spirituality, 244
workaholism, 214
David, a psychiatrist, post-interview,
309
Deborah, a psychiatrist
(comments on)
boundary conflicts, 77
communication problems, 108, 277
crying, 219
denial, 204
disclosure conflicts, 148, 154,
163–164, 165, 166, 167, 173
discrimination, 129–130, 136, 139
doctoring style changes, 257, 286
end-of-life care, 290
expectations level, 124–125
identity losses, 103
invulnerability beliefs, 34, 36
medical uncertainty, 183
physician arrogance, 110, 111, 112
preventive health behavior, 52
self-doctoring behaviors,
41–42, 46
spirituality, 247–248
stigma, 127
time conflicts, 120
workaholism, 215–216
Deborah, a psychiatrist,
post-interview, 309
deception. See disclosure conflicts
deference problem, 75–76, 77–78
defiance vs. acceptance attitude, odds
interpretation, 198–203
denial strategies
overview, 25–28
and boundary conflicts, 74–81
invulnerability beliefs, 33–36
in odds interpretation, 203–204
self-diagnosing stage, 28–33
with self-doctoring, 42, 221
with workaholism, 215–216
depression, 3–4, 101, 219–220, 246
Dewey, John, 27
diagnostic testing
post-illness sensitivity, 281
resistance as denial, 31–32
as self-doctoring, 44
as time conflict consequence,
117, 196
diets, as health behavior challenge,
52–53, 99–100
dignity losses, 102–105
disability insurance, 293
disclosure conflicts
overview, 11, 145–146, 177
colleague reactions, 161–165
costs of, 155–161, 293
family members, 176–177
with patients, 165–173
patterns of, 146–155
preventive health behaviors,
55–56
public-at-large, 173–175
with retirement decision-making,
228
silence, 149–154, 157–161
See also discrimination, types of
discrimination, types of
overview, 127–128, 143
compassion failures, 129–130,
131–132
dying label, 136–137
employment losses, 128–129, 134
legislation about, 129, 133
and psychiatric symptoms, 133–135
and self-blame, 140–141
symptom misinterpretation, 131
for trainees, 137–138
work limitations, 130–131,
132–133, 135–136, 138–139,
141–143
See also disclosure conflicts;
stigmatization; peripheralization
dismissal of symptoms
from arrogance, 109–112
emotional distress, 219
mild symptoms/side effects,
93–99, 109–110
psychiatric symptoms, 100–102,
108
distance style, post-illness, 268–269