1st Edition

Beneath the White Coat
Doctors, Their Minds and Mental Health

Edited By

Clare Gerada





ISBN 9781138499737
Published October 30, 2020 by Routledge
305 Pages 10 Color & 10 B/W Illustrations

USD $29.95

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Book Description

This timely book offers a balanced and thoughtful review of the current mental health emergency and its impact upon and among medical professionals, supported by the best available evidence and illustrated through real-life cases. Recognising the increasing stressors in the role including the impact of the environment in which doctors work, the book examines some of the key emotional drivers for this unhappiness among doctors at work – shame, stigma, suffering and sacrifice – and offers practical steps to emotional and physical recovery.

Despite the obvious challenges and stresses of the role, with the right support in place the vast majority of doctors can thrive in their jobs. In reading this book, policy makers, politicians, educators, hospital managers will be reminded of the ethical duty to ensure that doctors are cared for and have access to the time, people and spaces to remain psychological healthy, while doctors will learn to recognize and seek actively the help that they need, and to support and guide one another.

Table of Contents

Acknowledgements

Contributors

Preface

SECTION I. THE MAKING OF A DOCTOR

1. The making of a doctor: medical self and group of belonging

2. Mental illness in doctors: an historical context

3. What makes medicine such a difficult task master and doctors at higher risk of mental illness?

4. Rising levels of mental illness, fact or fiction?

5. Surviving and thriving in medicine

6. Resilience

7. Shame in medicine

8. Suffering, sacrifice and stigma

SECTION II. DOCTORS AND THEIR ILLNESSES

9. Doctors and mental illness: an overview

10. Doctors and substance misuse disorder

11. Autism in doctors

12. Burnout in doctors

13. Suicide in doctors and its sequelae

14. Bipolar disorder and other psychotic states

15. COVID-19 and mental illness

SECTION III. DOCTORS AS PATIENTS

16. Doctors as patients

17. Doctors treating doctors

18. The doctors’ doctor

19. How to be a good enough patient: from sickness to health

20. Services for mentally ill doctors

21. The migrant doctor

22. Medical students

23. Different specialities and risk of mental illness

24. Talking helps

SECTION IV. WHEN THINGS GO WRONG

25. Sticking to the rules: professional and unprofessional behaviour

26. Making sense of the regulatory process

27. Improving the outcome of a serious investigation

Index

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Editor(s)

Biography

Dr Clare Gerada has been a medical practitioner since 1982. Having first trained in psychiatry she became a GP in 1992, and has worked in the same practice ever since. She has been heading up a groundbreaking service for sick doctors (practitioner-patients) since 2008 which has rapidly become an international leader. Between 2010-2013 she led the Royal College of General Practitioners, the largest of all the of Royal Colleges, and only the second women to hold this Office in its history.

Reviews

"Clare’s passion for medicine is profound and it is a thread that weaves its way through every page. This book will be invaluable to medical students, doctors and is equally relevant to nurses and other health professions. It will also be of interest to the general public. The research and references are truly impressive and will signpost the reader to a myriad of further reading. I anticipate it will be read for decades to come." -Dr Peter Carter, independent healthcare consultant, former chief executive, Royal College of Nursing