Götz Mundle

Pathogenetic and Salutogenetic Aspects of Physicians' Health

OBJECTIVEnTo analyse pathogenetic and salutogenetic processes of physicians suffering from depression, burnout and drug addiction.nnnMETHODSnQualitative follow-up interviews with 32 former physician patients from the Oberbergkliniken hospital group.nnnRESULTSnLong working hours, bureaucratic restrictions and double burdens of combining family life and professional demands are major pathogenetic strains. They interact with biographic performance scripts. Major salutogenetic factors are the expansion of self care with regard to physical, spiritual and social needs and the reconstruction of resources outside the job.nnnCONCLUSIONSnPrevention programmes for health care professionals should focus on the reflection of biographic performance scripts, on maintaining multifaceted sources of gratification and the buildup of extra-professional resources.