Listening to Trauma, and Caring for the Caregiver: A Psychodynamic Reflection in the Age of Burnout

  • Joseph E. Wise


In this chapter, the author presents contemporary ideas from the medical literature regarding “burnout” in physicians and psychiatrists. He then describes what uniquely puts psychiatrists at risk for “burnout,” such as how psychiatrists must necessarily be affected while empathizing with patients and the ever-important therapeutic alliance. He next describes how the dynamics of healthcare systems and clinics, especially medical leaders, respond to the unique challenges of psychiatric practice, which may serve to support or undermine the doctor–patient relationship and alliance. Finally, he gives recommendations to enhance psychiatrist resilience, promote healthy organizational dynamics, and ultimately take better care of the patient.


Burnout Resilience Trauma Psychodynamic Psychoanalytic 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Joseph E. Wise
    • 1
    • 2
  1. 1.US Army, Walter Reed National Military Medical CenterBrooklynUSA
  2. 2.Private PracticeBrooklynUSA

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