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Richard M. Berlin, MD

JAMA. 1986;255(24):3391-3393.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ILLNESS and hospitalization are major stresses that mobilize intense fears: fears of death, injury, loss of control, stranger anxiety, and separation anxiety. Despite these stresses, most people will enter the hospital and assume the patient role. One important way people adapt to the patient role is by finding a physician who explains their symptoms in a way they can understand. The physician occupies a social position of respect, reverence, and influence comparable with the parental role.¹

Many theoretical models (paternalism, legal, economic, religious, physician conscience)^2-4 have been proposed to explain the relationship between the physician and the patient. The concept of transference, the unconscious assignment to others of feelings and attitudes that were originally associated with important figures in one's early life, is usually invoked as a major underpinning of the physician-patient relationship. Another model, which complements and extends other notions about interactions between physicians and their patients, . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Psychiatry, Berkshire Medical Center, Pittsfield, Mass.

Footnotes
Reprint requests to Department of Psychiatry, Berkshire Medical Center, 725 North St, Pittsfield, MA 01201 (Dr Berlin).

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