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Becoming a caregiver: attachment theory and poorly performing doctors

机译：成为照顾者：依恋理论和表现不佳的医生

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CONTEXT In this paper, I review a theoretical paradigm (attachment theory) which facilitates an understanding of how human care-giving and care-eliciting behaviours develop and are maintained over the lifespan. I argue that this paradigm has particular utility in: (i) the training of doctors; (ii) understanding why some doctors and medical students experience high levels of stress, and (iii) developing interventions to help those who struggle to manage high levels of work-related stress.METHODS I carried out a review of key texts and previously published studies of attachment styles in caregivers.RESULTS Large-scale epidemiological studies, using valid and reliable measures, show that insecure attachment styles are found in a proportion of normal populations of both males and females. Insecure attachment is associated with impaired stress management and subtle deficits in care-giving sensitivity. It is reasonable to assume that a proportion of students entering medical training and doctors with performance problems may have insecure attachment styles which influence how they approach their training experience and how they manage occupational stress.
机译：语境在本文中，我回顾了一种理论范式（依恋理论），该范式有助于理解人类在整个生命周期中如何提供护理和引起护理。我认为这种范例在以下方面特别有用：（i）培训医生; （ii）了解为什么有些医生和医学生会承受高水平的压力，并且（iii）制定干预措施，以帮助那些难以应对高水平与工作相关的压力的人。方法I对主要文章和以前发表的研究进行了回顾结果大规模流行病学研究使用有效和可靠的措施表明，在男女的正常人群中发现了不安全的依恋方式。不安全的依恋与压力管理受损和护理敏感性的细微不足有关。可以合理地假设，一部分接受医学培训的学生和表现出问题的医生可能具有不安全的依恋风格，这会影响他们如何获得培训经验以及如何处理职业压力。

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