{"id":356,"date":"2011-10-23T19:02:32","date_gmt":"2011-10-23T16:02:32","guid":{"rendered":"https:\/\/www.kemalarikan.com\/?p=356"},"modified":"2012-12-31T15:04:55","modified_gmt":"2012-12-31T13:04:55","slug":"psychological-code-of-the-medical-profession-in-turkey","status":"publish","type":"post","link":"https:\/\/www.kemalarikan.com\/en\/psychological-code-of-the-medical-profession-in-turkey.html","title":{"rendered":"Psychological Code of the Medical Profession in Turkey"},"content":{"rendered":"

Factors that make the Medical Profession the most stressful Profession<\/strong><\/p>\n

\u2022 Living with death.
\n\u2022 Not being able to strike a balance between career and family life; family conflicts.
\n\u2022 Social, economic and legal sanctions that lessen autonomy.
\n\u2022 Patient’s that associate the doctor with an undesired object.
\n\u2022 Conflicts between colleagues because of the competitive work environment.
\n\u2022 Being overworked.
\n\u2022 Necessity to keep updated on any new information and developments.
\n\u2022 Worrying about the possibility of making mistakes.
\n\u2022 Political, economic and legislative pressure.
\n\u2022 Routine heavy work load.
\n\u2022 Unsuccessful treatment cases.
\n\u2022 A perception of inadequacy due to age.
\n\u2022 Particular problems that female doctors experience.<\/p>\n

Types of Stress Factors<\/strong><\/p>\n

\u2022 Difficulties arising from the patient-doctor relationship.
\n\u2022 Difficulties arising from the relationship between colleagues.
\n\u2022 Difficulties related to preserving performance level.
\n\u2022 Emotional challenges arising from the profession itself.
\n\u2022 Administrative, social, economic, legislative and political challenges.<\/p>\n

Factors that counter-balance the stress factors<\/strong><\/p>\n

\u2022 Freedom in decision making, being able to use one’s creative powers, autonomy.
\n\u2022 Strength obtained from sublimation and altruism.
\n\u2022 Satisfaction gained from prestige and economic advantages.<\/p>\n

In today’s world the number of stress factors has increased whereas the number of factors that create a counter balance has decreased. For instance, administrative pressure has increased whereas balancing factors like prestige, autonomy and economic advantages have decreased.<\/p>\n

A Study carried out at Istanbul University (\u0130\u00dc) Cerrahpa\u015fa Medical Faculty
\n56 women, 94 men, a group 150 doctors in total.
\nAge average 33,87+\/-9,32, min 24, max 66<\/p><\/blockquote>\n

Generally Accepted absolute Success Criteria<\/strong><\/p>\n

\u2022 Empathy.
\n\u2022 Definitely do not attempt to find solutions!
\n\u2022 Do not live through the confusion of alternative diagnoses!
\n\u2022 Do not forget the loss and damage that the patient will suffer!
\n\u2022 I take the socio-economic status of the patient into consideration !
\n\u2022 I find out about the socio-demographic characteristics!
\n\u2022 I want to be understood !
\n\u2022 I do not want to be authoritarian!<\/p>\n

Number of doctors who comply with the absolute success criteria: 2<\/p>\n

Indicators of searching for a solution<\/strong><\/p>\n

Need to ask for psychological advice.
\nConsultation liaison psychiatry is important!
\nNumber of doctors who are in search of a solution: 139<\/p>\n

Reasons why doctors search for psychological solutions for their patients<\/strong><\/p>\n

It has an impact on:
\n\u2022 the patient following recommendations,
\n\u2022 speed of response to treatment,
\n\u2022 the patient’s self-respect.<\/p>\n

Characteristics of people who wish to be educated on human psychology<\/strong><\/p>\n

\u2022 they believe that a friendly relationship with the patient will not jeopardize their authority.
\n\u2022 They place particular importance on CLP (Consultation-Liaison Psychiatry).
\n\u2022 They tend not to try and find definite solutions.
\n\u2022 They request more frequent psychiatric consultations.
\n\u2022 They keep away from problematic patients.
\n\u2022 They are in greater need of psychological support.
\n\u2022 They have stronger omnipotent tendencies.
\n\u2022 The request for solution searching is less in experienced doctors.<\/p>\n

Speculation<\/strong><\/p>\n

Doctors with omnipotent tendencies are unsuccessful in their relationship with patients. This increases their tendencies towards depression. They give up the goal of finding a definite answer. On one hand they are inclined not to provide information to the patient and to keep away from problematic patients, on the other hand they believe that a friendly relationship with the patient does not jeopardize their authority. Therein lies the contradiction. This contradiction is a result of omnipotence. As a precaution against Narcissistic injuries, CLP applications become more frequent. They rationalize by thinking that the problem does not lie with them but with the education system.<\/p><\/blockquote>\n

Conclusion<\/strong><\/p>\n

Behind the requests for an education in patient-doctor relationship may lie the hope to feed an authoritarian-totalitarian-dogmatic professional approach.<\/p>\n

The source of the tendency towards omnipotence<\/p>\n

When choosing their profession, they may have been influenced by the popularity of the profession, the economic advantages it will bring, or by others. The tendency of unfulfilled parents to fulfil their desires through their children is a particularly important point. In short, some doctors are forced to be omnipotent due to certain sociological reasons.<\/p>\n

In our times, the reflection of the approach of the elitist doctor who looks down on his patients from a lower socio-economic level, establishes itself as the loss of the support of this vast mass of people. It is essential that we as doctors have to enter a process of self-criticism, and become aware that with regards to experience and accumulated knowledge we should only be one step ahead of the masses. Surely the correct approach must be to give up the elitist approach hidden within Narcissism, to provide the quality of service that the public deserves, and not to be estranged to their moral values. As a result the public’s support will be gained against this aimless pressure that governing forces seem to put on doctors, and problems will settle at the level which they should be at.<\/p>\n","protected":false},"excerpt":{"rendered":"

Factors that make the Medical Profession the most stressful Profession \u2022 Living with death. \u2022 Not being able to strike a balance between career and family life; family conflicts. \u2022 Social, economic and legal sanctions that lessen autonomy. \u2022 Patient’s that associate the doctor with an undesired object. \u2022 Conflicts between colleagues because of the […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1216],"tags":[],"class_list":["post-356","post","type-post","status-publish","format-standard","hentry","category-aphorisms"],"acf":[],"yoast_head":"\nPsychological Code of the Medical Profession in Turkey<\/title>\n<meta name=\"description\" content=\"Factors that make the Medical Profession the most stressful Profession \u2022 Living with death. \u2022 Not being able to strike a balance between career 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