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[Pathogenetic and salutogenetic aspects of physicians' health]
Julika Zwack1, Uta Bodenstein, Götz Mundle
1Sektion Medizinische Organisationspsychologie, Institut für Medizinische Psychologie, Universitätsklinikum Heidelberg, Bergheimer Straße 20, Heidelberg. Julika.Zwack@med.uniheidelberg.de
Objective:
To analyse pathogenetic and salutogenetic processes of physicians suffering from depression, burnout and drug addiction.
Methods:
Qualitative follow-up interviews with 32 former physician patients from the Oberbergkliniken hospital group.
Results:
Long working hours, bureaucratic restrictions and double burdens of combining family life and professional demands are major pathogenetic strains. They interact with biographic performance scripts. Major salutogenetic factors are the expansion of self care with regard to physical, spiritual and social needs and the reconstruction of resources outside the job.
Conclusions:
Prevention programmes for health care professionals should focus on the reflection of biographic performance scripts, on maintaining multifaceted sources of gratification and the buildup of extra-professional resources.
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