The Quest for Omnipotence in Professional Training

Sharaf, Myron R.; Levinson, Daniel J.

doi:10.1080/00332747.1964.11023385

Cited by 71 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A number of writers conceptualized the process of psychiatric training as pathological, variously referring to it as 'the quest for omnipotence' [30], 'that most difficult year' [31], 'the beginning psychiatry training syndrome' [32], 'the crisis of psychiatric residency' [33], and 'regression in the service of residency education' [34]. The 'beginning psychiatry training syndrome' was first defined by Gregory Zilboorg in a seminar for psychiatric residents in 1949 (cited in [32]).…”

Section: Models Of Trainingmentioning

confidence: 99%

Clinical Supervision: A Review of Underlying Concepts and Developments

Macdonald

2002

Aust N Z J Psychiatry

View full text Add to dashboard Cite

show abstract

Section: Models Of Trainingmentioning

confidence: 99%

Clinical Supervision: A Review of Underlying Concepts and Developments

Macdonald

2002

Aust N Z J Psychiatry

View full text Add to dashboard Cite

show abstract

“…The beginning psychiatrist, thrown into a sudden identity crisis because of his almost total lack of preparedness to engage in psychiatric work, casts around, sometimes almost blindly, for a suitable role model, identification with whom might relieve his anxiety. In his desire to be like his admired teacher, he may become simply a parrot without independent ideas (Sharaf and Levinson, 1964), and sometimes his identifications are so massive that he finds it difficult, and perhaps impossible, to learn thereafter from anyone who holds divergent views.…”

Section: The Achievement Of Personal Growthmentioning

confidence: 99%

Psychiatric Education and Psychiatric Care: An Interlocking System

Maddison

1972

Aust N Z J Psychiatry

View full text Add to dashboard Cite

“…He is attributed with great omniscience, omnipotence, integ rity, dedication, and esoteric knowledge (179). Society's sanction of this role makes him an even more prestigeful figure (11,48,89,104,105,110,129,183,184,258,259).…”

Section: Mechanism Of Interest In the Patientmentioning

confidence: 99%

“…Acceptance for treatment by a prestigious physician has long been regarded as reassuring to patients. Because of the technical emphasis on suitability for psychoanalysis, acceptance for such treatment is experienced by many patients as evidence of intellectual capacity, insight potentiality, favorable prognosis, and not being seriously ill (181,222,238,259).…”

Section: Psychotherapy and Psychoanalysismentioning

confidence: 99%

Iatroplacebogenics

Shapiro¹

1969

Int Pharmacopsychiatry

View full text Add to dashboard Cite

This paper discussed how the psychosociology of the physician contributes to therapeutic and placebo effects. The mechanisms was referred to as iatroplacebogenics, a term describing the study of placebo effects produced by physicians. Iatroplacebogenesis can be direct or indirect. Direct iatroplacebogenesis includes: 1. Attitude to patients, which refers to the therapist’s interest, warmth, friendliness, liking, sympathy, empathy, neutrality, disinterest, hostility, and rejection. 2. Attitude to treatment, which refers to the therapist’s interest, faith, belief, enthusiasm, conviction, commitment, optimism, positive and negative expectations, skepticism, disbelief, and pessimism. 3. Attitude to results, which refers to data distortion caused by random observer effects and by intentional and unintentional nonrandom observer bias. An extensive review of the literature demonstrates that these attitudes of the physician are associated with therapeutic and placebo effects. The explanation of how these factors influence results is less clear, bift the following are suggested: The primary and direct effect of the healer’s interest in the patient is on reduction of guilt. It is also associated with increased potentials for learning, conditioning, suggestibility, catharsis, and it stimulates other factors which have been correlated with placebo effects. The primary and direct effect of the therapist’s interest in treatment is the mobilization of the patient’s hope and optimism. This factor also has a direct effect on reduction of guilt. The direct effect of interest in results is on nonrandom intentional or nonintentional observer bias. Data are influenced, communicated, distorted, and then used to confirm hypotheses. All of these factors may now interact with the potential specific effects of various therapies. Indirect iatroplacebogenesis is a subtle mechanism that has not been considered in the literature. The physician’s interest may be indirect, subtle, and paradoxical. An interest in a theory and method of treatment, despite disinterest in the patient, may produce placebo effects. This occurs when the patient displaces the interest from the therapy to himself and experiences the physician’s interest in his treatment as a personal one. Thus, placebo effects are produced or augmented when the physician is prestigious, dedicated to his theory and therapy, especially if it is of his own innovation, or if he is a recent convert, and when the therapies are elaborate, detailed, expensive, time-consuming, fashionable, esoteric, and dangerous. Data in support of the concept of direct and indirect iatroplacebogenesis were derived from the history of medicine, psychopharmacology, case histories of patients treated with psychochemotherapy and psychoanalysis, and many clinical and experimental studies and observations about placebo and therapeutic effects. The conclusion was reached that although the placebo effect is a multideterminedphenomenon,iatroplacebogenesismay parsimoniously help explain many observations about therapeut...

show abstract

The Quest for Omnipotence in Professional Training

Cited by 71 publications

References 0 publications

Clinical Supervision: A Review of Underlying Concepts and Developments

Clinical Supervision: A Review of Underlying Concepts and Developments

Psychiatric Education and Psychiatric Care: An Interlocking System

Iatroplacebogenics

Contact Info

Product

Resources

About