Special Problems

  • Michael F. Myers


In this chapter, I want to discuss some of the special problems that can occur in the lives of doctors and their spouses. The focus here will be on those problems that, for the most part, are external to the marriage yet are so upsetting that they do affect marital functioning and happiness. Further, these are problems that are not predictable; they can happen to anyone. They may beset couples with no intrinsic marital discord or couples who are already on shaky ground before the added stress occurs. Needless to say, the couple’s ability to cope with special problems is predicated upon the resting state of their marriage before the change, their prior experience in dealing with adversity, and the magnitude of the stress.


Human Immunodeficiency Virus Anorexia Nervosa Eating Disorder Male Physician International Medical Graduate 
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  1. 1.
    David B. Herzog, Maura Pepose, Dennis K. Norman, and Nancy A. Rigotti, “Eating Disorders and Social Maladjustment in Female Medical Students,” Journal of Nervous and Mental Disease 173 (December 1985), 734–737.PubMedCrossRefGoogle Scholar
  2. 2.
    “Anorexia Nervosa,” in Modern Synopsis of Comprehensive Textbook of Psychiatry (4th ed.), ed. Harold I. Kaplan and Benjamin J. Sadock (Baltimore/London: Williams and Wilkins, 1985), 502.Google Scholar
  3. 3.
    L.K.G. Hsu, “The Etiology of Anorexia Nervosa,” in Annual Progress in Child Psychiatry and Child Development, ed. S. Chess and A. Thomas (New York: Brunner/Mazel, 1984).Google Scholar
  4. 4.
    Sydney Segal, Margaret Fletcher, and William G. Meekison, “Survey of Bereaved Parents,” Canadian Medical Association Journal 134 (January 1, 1986), 38–42.PubMedGoogle Scholar
  5. 5.
    Stephen B. Shanfield, G. Andrew H. Benjamin, and Barbara J. Swain, “Parents’ Reactions to the Death of an Adult Child from Cancer,” American Journal of Psychiatry 141 (September 1984), 1092–1094.PubMedGoogle Scholar
  6. 6.
    This case history quoted from Michael F. Myers, “Counseling the Parents of Young Homosexual Male Patients,” in Homosexuality and Psychotherapy, ed. John C. Gonsiorek (New York: Haworth Press, 1982), 131-143.Google Scholar
  7. 7.
    Michael F. Myers, “Fighting Stigma: How to Help the Doctor’s Family,” in Stigma and Mental Illness, ed. Paul J. Fink and Allan Tasman (Washington, D.C.: American Psychiatric Press, 1992), 139–150.Google Scholar
  8. 8.
    Sara C. Charles, Charlene E. Pyskoty, and Amy Nelson, “Physicians on Trial—Self-reported Reactions to Malpractice Trials,” Western Journal of Medicine 3 (March 1988), 358–360.Google Scholar
  9. 9.
    Judith S. Samkoff and Gregory K. Gable, “Coping with the Stress of Litigation,” Pennsylvania Medicine 3 (March 1991), 18–20.Google Scholar
  10. 10.
    Patrick K. Birmingham and Richard J. Ward, “A High-Risk Suicide Group: The Anesthesiologist Involved in Litigation,” American Journal of Psychiatry 142 (October 1985), 1225–1226.PubMedGoogle Scholar
  11. 11.
    Nanette Gartrell, Judith Lewis Herman, Silvia Olarte, Michael Feldstein, and Russell Localio, “Psychiatrist-Patient Sexual Contact: Results of a National Survey. I. Prevalance,” American Journal of Psychiatry 143 (September 1986), 1126–1131.PubMedGoogle Scholar
  12. 12.
    Glen O. Gabbard, Sexual Exploitation in Professional Relationships (Washington, D.C.: American Psychiatric Press, 1989).Google Scholar
  13. 13.
    Council on Ethical and Judicial Affairs, American Medical Association, “Sexual Misconduct in the Practice of Medicine,” Journal of the American Medical Association 266 (November 20, 1991), 2741–2745.CrossRefGoogle Scholar
  14. 14.
    Kathleen Mero Mogul, “Ethics Complaints Against Female Psychiatrists,” American Journal of Psychiatry 149 (May 1992), 651–653.PubMedGoogle Scholar
  15. 15.
    Melinda Beck, “Sex and Psychotherapy,” Newsweek (April 13, 1992), 52-57.Google Scholar
  16. 16.
    Megan Rosenfeld, “The Fatal Attraction of Psychiatrist and Patient” Washington Post (April 17, 1992), F1-F2.Google Scholar
  17. 17.
    R. Crawshaw, J. A. Bruce, P. L. Eraker, M. Greenbaum, J. E. Lindemann, and D. E. Schmidt, “An Epidemic of Suicide Among Physicians on Probation,” Journal of the American Medical Association 243 (1980), 1915–1917.PubMedCrossRefGoogle Scholar
  18. 18.
    Michael F. Myers, “Marital Therapy with HIV-Infected Men and Their Wives,” Psychiatric Annals 21 (August 1991), 466–470.Google Scholar
  19. 19.
    Michael F. Myers, “Claire and Tom and AIDS,” Canadian Medical Association Journal 142 (April 1, 1990), 748–749.PubMedGoogle Scholar
  20. 20.
    Susan Sontag, AIDS and Its Metaphors (New York: Farrar, Straus, & Giroux, 1988), 24–25.Google Scholar
  21. 21.
    Hacib Aoun, “From the Eye of the Storm, with the Eyes of a Physician,” Annals of Internal Medicine 116 (February 15, 1992), 335–338.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Michael F. Myers
    • 1
  1. 1.St. Paul’s Hospital and University of British ColumbiaVancouverCanada

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