First Do No Self Harm: Understanding and Promoting Physician Stress Resilience

Figley, Charles R.


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  • ISBN: 9780195383263
  • Author: Figley, Charles R.
  • Publ Date: 2013-09-04
  • Edition:
  • Binding: HardBack
  • Pages: 396
  • Imprint: OUP #
  • Publisher: Oxford University Press Inc
  • Country of Publication: United States
  • ID - 446166

Table of Contents :

Section One Introduction to the Stress of Being a Medical Student ; Chapter 1. Distributed emotional intelligence: A resource to help medical students learn in stressful settings ; Chapter 2. First clinical attachments: informal learning and stressors in the clinical environment ; Chapter 3. Between two worlds: medical students narrating identity tensions ; Chapter 4. Laughter for coping: medical students' narrating professionalism dilemmas ; Chapter 5. Bringing complexity thinking to curriculum development: Implications for faculty and medical student stress and resilience ; Section Two Introduction to the Stress of Being A Physician ; Chapter 6. Maintaining a balance: doctors caring for people who are dying and their families ; Chapter 7. Physician Stress: Compassion Satisfaction, Compassion Fatigue and Vicarious Traumatization ; Chapter 8. The Medico-Legal Environment, and How Medico-Legal Matters Impact on the Doctor: Research Findings from an Australian Study ; Chapter 9: How Doctors Become Patients ; Chapter 10. The Impaired Physician ; Chapter 11. Healthy Docs = Healthy Patients: arguably the most important reason to care about physician health ; Section 3 Introduction to Management of Physician Stress ; Chapter 12. Overcopers: Medical Doctor Vulnerability to Compassion Fatigue ; Chapter 13. Stress and Coping Generational and Gender Similarities and Differences ; Chapter 14. Treatment and Prevention Work: Center for Practitioner Renewal ; Chapter 15: Promoting resilience and posttraumatic growth in physicians ; Chapter 16. Ethical Decisions: Stress and Distress in Medicine ; Section 4 Introduction to Personal Reflections ; Chapter 17. Surgery ; Chapter 18. The gifts of palliative care: sometimes awkward always wholesome ; Chapter 19. Pediatrics: If Only it was Just the Kids ; Chapter 20. Psychiatrists in Distress: When Work Becomes A Problem ; Chapter 21. Medical Students and Residents ; Chapter 22. Family Medicine: I will never fly in a helicopter again ; Chapter 23. Anesthesiology: Personal Reflections ; Chapter 24. Emergency Medicine ; Chapter 25. Conclusions


Keeping doctors happy and productive requires a thorough understanding of the systemic causes and consequences of physician stress, as well as the role of resilience in maintaining a healthy mental state. The pressure of making life-or-death decisions along with those associated with the day-to-day challenges of doctoring can lead to poor patient care and communication, patient dissatisfaction, absenteeism, reductions in productivity, job dissatisfaction, and lowered retention. This edited volume will provide a comprehensive tool for understanding and promoting physician stress resilience.

Specifically, the book has six interrelated objectives that, collectively, would advance the evidence-based understanding of (1) the extent to which physicians experience and suffer from work-related stress; (2) the various manifestations, syndromes, and reaction patterns directly caused by work-related stress; (3) the degree to which physicians are resilient in that they are successful or not successful in coping with these stressors; (4) the theories and direct evidence that account for the resilience; (5) the programs during and following medical school which help to promote resilience; and (6) the agenda for future theory, research, and intervention efforts for the next generation of physicians.


"Charles Figley is one of the most respected names in the prevention of secondary stress...The scope of the book is wonderful so I think it will fill in many areas not covered by books in the field to-date." --Robert J. Wicks, PhD, Professor, Loyola University; OUP author of Overcoming Secondary Stress in Medical and Nursing Practice (2005) and The Resilient Clinician (2007)."[This book] is long overdue...I don't think any similar books are available...Physicians are notoriously reluctant to reach out for health related information for themselves until there is already a serious problem. Physician health program directors might be interested, and I suppose it is conceivable they might more or less strongly recommend it to their physician clients. They might also recommend it to those physicians who provide services to their clients." --Louise B. Andrew, MD, JD, Associate Director, Center for Professional Well-Being, founder,; founder, American Association of Women Emergency Physicians; former Professor of Emergency Medicine, Johns Hopkins University "[T]he editors, Charles Figley, Peter Huggard, and Charlotte Rees, put forth a lifelong-learning goal of feeling compassion toward self, increasing self-awareness, and practicing self-care over the course of one's career. Although Figley et al.'s text is written through the lens of medicine, the educational goals for holistic training are universal to the helping professions. In the spirit of giving, the editors present readers with the human side of the enterprise--training beyond the textbook. The message goes beyond a call to action to revamp medical education. It reminds us of the humanity of the 'helping professions' and asks us to hold in hand simultaneously the constructs of personal and professional identity formation." -Donna LaPaglia, PsycCRITIQUES

Author Biography:

Charles Figley, The Paul Henry Kurzweg, MD Distinguished Chair and Professor in Disaster Mental Health at Tulane University and Graduate School of Social Work Professor and Associate Dean for Research, New Orleans, Louisiana Peter Huggard, Senior Lecturer and Academic Advisor, Department of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, New Zealand Charlotte Rees, Associate Professor in Medical Education, Centre for Innovation in Professional Health Education and Research, Faculty of Medicine, University of Sydney, Australia


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This product was added to our catalog on Wednesday 24 September, 2014.

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