Document 0019
 DOCN  M9590019
 TI    [Physicians' attitudes of relations with AIDS, cancer and metabolic
       patients: core conflictual relationship theme and affects]
 DT    9509
 AU    Waldvogel B; Vogt C; Seidl O; Abteilung fur Psychotherapie und
       Psychosomatik, Universitat; Munchen.
 SO    Z Psychosom Med Psychoanal. 1995;41(2):158-69. Unique Identifier :
       AIDSLINE MED/95304887
 AB    With this comes the question: Are there typical relationship patterns
       and affects, that appear in physicians experience of their relationships
       to patients with different illnesses? We asked 33 physicians about
       impressive experiences with one AIDS-, one cancer- and one metabolic
       disorder patient each. The narratives we received were evaluated with
       two contentanalytic methods. The relationship patterns were assessed by
       the Core Conflictual Relationship Theme (CCRT), developed by Luborsky.
       The affects were assessed by the Gottschalk-Gleser Content Analysis
       Scales. We found some significant differences between the relationship
       experience with AIDS- and cancer patients on the one hand, and metabolic
       disorder patients on the other hand. In relationships with critical ill
       AIDS- and cancer patients the physicians verbalize more death anxiety
       and more diffuse or nonspecific anxiety. Furthermore they show more
       covert hostility against the AIDS- and cancer patient, whereas they
       verbalize more overt hostility against the metabolic disorder patients.
       We found also some fine distinction between the relationship experiences
       with AIDS-patients on the one hand and cancer patients on the other
       hand. The physicians get more involved with the relationships to
       AIDS-patients and the closeness-distance-regulation seems to be one
       central issue in this relationships.
 DE    Acquired Immunodeficiency Syndrome/*PSYCHOLOGY  Adult  *Affect
       *Attitude of Health Personnel  English Abstract  Female  Hostility
       Human  Male  Metabolic Diseases/*PSYCHOLOGY  Middle Age
       Neoplasms/*PSYCHOLOGY  Patient Compliance/PSYCHOLOGY  Patient
       Participation/PSYCHOLOGY  Personality Assessment  *Physician-Patient
       Relations  Sick Role  JOURNAL ARTICLE

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