Addressing Impairment in a Colleague

作者：Clemens Norman A^*; Horwitz Marc; Sharp Janet

来源：Journal of Psychiatric Practice, 2011, 17(1): 53-56.

DOI：10.1097/01.pra.0000393845.56217.69

• therapist impairment
• aging
• denial
• licensing boards
• ethics
• assistance programs
• confidentiality
• psychoanalysis
• psychotherapy

It is an anguishing experience for a professional community to deal with a colleague's impairment. This column is the outgrowth of a recent workshop in a multidisciplinary psychoanalytic center focused on the ethical, technical, and humane dimensions of that situation. A hypothetical case history was used to stimulate discussion of issues related to clinical evidence of impairment, protection of patients/clients, the role of aging in observers as well as the observed, denial and wishful thinking that may delay intervention, how to intervene, and duties imposed by the various health professional licensing boards. The discussion also focused on the effects of impairment and intervention on confidential psychotherapeutic relationships and process as well as on personal friendships, monitoring colleagues dealing with impairments, and the resources for response within the professional community such as assistance and ethics committees. (Journal of Psychiatric Practice 2011;17:53-56)

• 出版日期2011-1