Out of curiosity, I did a literature search for coping skills, educational initiatives, or other ideas to address some of my questions. A number of articles addressed the prevalence of assault during training and in one's career as a psychiatrist (1-4). I found literature addressing training recommendations for improved prevention of violence and assault (1, 2). I also found out how some psychiatrists felt after being assaulted. Unsurprisingly, common responses were "vulnerable," "inadequate," and "feeling alone" in one study of Italian psychiatrists (5). I found no literature addressing how to cope or the unique issues of transference and emotion as both victim and health care professional. I found this astounding, given that the approximate prevalence of physical assault during psychiatric training is 30% to 40% (2).
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