THE DOCTOR’S PERSONALITY IN MODERN SOCIETY: THE IDEAL TYPE AND PROFESSIONAL DEFORMATION
Abstract
The article deals with the problems associated with the construction of the ideal type of the modern physician, as well as the identification of the key aspects of professional deformations of his personality and the analysis of the effects of these strains on the principles of conduct in relation to a patient. The introduction of market relations in health care system caused the competition between medical institutions, forcing them to look for additional ways to attract patients and as a result, the range of medical services to the population has significantly expended. A positive consequence has become a trend, expressed in an effort to improve the skills of doctors, the quality of work with patients. On the other hand, liberal globalization has led to the devaluation of the structure of the individual doctor and the public interest has strengthened the role and importance of individualistic interests. The result was the alienation of the doctors from the patients took on a mass character, which led to a degradation of the professional medical community and health care system in general. The authors are regarded as normative characteristics of medical practice, and indicators related to the subjectivity of doctor’s behavior, which reflects the perceived boundaries of the doctor’s professional and personal effects to the patient; attitude toward himself as a person and a professional; professional attitude of the society to the doctors and to the prevailing social and historical traditions of healing. The main characteristics that allow to construct an ideal type of physician are: high professionalism and its use for the benefit of man and society; rules of communicating with people who are sick; ethics in relationships in a professional environment; moral principles and ethics of the individual and the social order: the observance of a number of limitations and restrictions. However, under the pressure of contemporary social realities, which combines a set of internal and external factors affecting the identity of the doctor, it is subjected to serious professional deformations. The term “professional deformation of doctors” is close but not identical to the term “emotional burnout” because the first is primarily due to the social character and the second is largely due to the individual properties of the human psyche. Professional doctor’s strain amplified under the direct influence of the media, most evident in that they have no desire to cure the patient, as well as multidimensional phenomenon of corruption in the medical community that seriously negates the importance of doctors in the public consciousness and lead to a loss of credibility of members of society. The article presents data from various sociological studies, including those carried out on the basis of the Research Institute of Cardiovascular Surgery A.N. Bakuleva under the direction of T.N. Semina.
About the Authors
N. G. OsipovaRussian Federation
doctor of sociological sciences, professor, Dean of the Faculty of sociology
T. V. Semina
Russian Federation
PHd in sociology, Head of Department
References
1. Abramova G.S., Yudchits Yu.A. Sindrom emotsional’nogo “vygoraniya” u medrabotnikov [Syndrome of emotional “burnout” in health workers] // Psikhologiya v meditsine [Psychology in medicine]. M., 1998. S. 231–244.
2. Beznosov S.P. Professional’naya deformatsiya lichnosti [Professional deformation of personality]. SPb., 2004.
3. Cabe J., Bury M., Elston M.A. Key concepts in medical sociology. L., 2004.
4. Dobren’kov V.I., Osipova N.G. Istoriya zapadnoy sotsiologii (20–60-e gg. ХХ v.): Uch. dlya vuzov [The history of Western sociology (20–60-ies of the XX century.): Uch. for universities]. M., 2012.
5. Kembell A., Dzhilleg G., Dzhons G. Meditsinskaya etika: uch. posob. [Medical ethics: uch. help.] / Pod red. Yu. M. Lopukhina, B.G. Yudina [Ed. by Yu.M. Lopukhin, B.G. Yudin]. M., 2010.
6. Khardi I. Vrach, sestra, bol’noy [The doctor, the sister, the patient]. Budapesht, 1988.
7. Kulagin O.A. Kak razrabotat’ sistemu stimulirovaniya personala? [How to develop a system of incentives for staff?] URL: http://www.b-seminar.ru/article/show/337.htm
8. Kuz’menko M.M., Mikhaylova Yu.V., Siburina T.A. Sotsiologicheskoe issledovanie sistemy podderzhki vrachami reformy zdravookhraneniya [A sociological study of the system of doctors’ support for health care reform] // Zdravookhranenie Rossiyskoy Federatsii [Health care of the Russian Federation]. 1995. N 6.
9. Markova A.K. Psikhologiya professionalizma [Psychology of professionalism]. M., 1996.
10. Pidde A.L. Sotsiologiya i zdravookhranenie [Sociology and health]. Ivanovo, 2000.
11. Polyakova O.B. Depersonalizatsiya kak sostavlyayushchaya professional’nykh deformatsiy lichnosti i akmeologicheskaya problema [Depersonalization as a component of professional personality deformations and akmeologicheskaya problem] // Akmeologiya [Akmeologiya]. 2009. N 4. S. 44–53.
12. Polyakova O.B. Professional’nye deformatsii lichnosti: ponyatie, struktura, diagnostika, osobennosti [Professional deformation of personality: concept, structure, diagnostics, features]. M., 2013.
13. Semina T.V. Sotsiologiya truda vracha v epokhu globalizatsii [Sociology of the doctor’s work in the era of globalization]. M., 2015.
14. Semina T.V. Sotsial’no-yuridicheskiy konflikt patsienta i vracha v obshchestve [Socio-legal conflict between patient and doctor in society]. M., 2015.
15. Seredina N.V., Shkurenko D.A. Osnovy meditsinskoy psikhologii: obshchaya, klinicheskaya, patopsikhologiya [Fundamentals of medical psychology: general, clinical, pathopsychology]. Rostov n/ D., 2003.
16. Siluyanova I.V. Izbrannye. O prizvanii vracha [Selected. About the call of a doctor]. M., 2008.
17. Sokolova N.A. Kachestvo meditsinskoy pomoshchi kak kriteriy kompensatsii sotsial’nogo riska: problemy pravo primeneniya [Quality of medical care as a criterion for compensation of social risk: problems of the right to apply] // Sotsial’noe i pensionnoe pravo [Social and pension law]. 2012. N 4.
18. Tomalintsev V.N. Tipy lichnosti i voyna mezhdu nimi. Kompleksnoe issledovanie faktora lichnostnogo prednaznacheniya v strukture samosoznaniya [Types of personality and war between them. A comprehensive study of the factor of personal predestination in the structure of self-consciousness]. SPb., 2014.
19. Vodop’yanova N.E. Sindrom psikhicheskogo “vygoraniya” v kommunikativnykh professiyakh [Syndrome of mental “burning out” in communicative occupations] // Psikhologiya zdorov’ya [Psychology of health] / Pod red. G.S. Nikiforova [Ed. by G.S. Nikiforov]. SPb., 2000. S. 443–463.
20. Vodop’yanova N.E., Starchenkova E.S. Sindrom vygoraniya: diagnostika i profilaktika [Burnout syndrome: diagnosis and prevention]. SPb., 2005.
21. Yas’ko B.A. Psikhologiya lichnosti i truda vracha: Kurs lektsiy [The psychology of the physician’s personality and work: A course of lectures]. Rostov n/D., 2005.
22. Zeer E.F. Psikhologiya lichnostno orientirovannogo professional’nogo obrazovaniya [Psychology of personally oriented vocational education]. Ekaterinburg, 2000.
23. Zeer E.F. Psikhologiya professiy [Psychology of professions]. M.; Ekaterinburg, 2003.
24. Zeer E.F., Symanyuk E.E. Psikhologiya professional’nykh destruktsii [Psychology of professional destruction]. M.; Ekaterinburg, 2005.
25. Zil’ber A.P. Etyudy meditsinskogo prava i etiki [Etudes of Medical Law and Ethics]. M., 2008.
Review
For citations:
Osipova N.G., Semina T.V. THE DOCTOR’S PERSONALITY IN MODERN SOCIETY: THE IDEAL TYPE AND PROFESSIONAL DEFORMATION. Moscow State University Bulletin. Series 18. Sociology and Political Science. 2017;23(3):4-29. (In Russ.)