Antony Garelick is Associate Dean of MedNet and a consultant psychiatrist in psychotherapy for the Tavistock & Portman and North East London Mental Health Trusts (Tavistock Clinic, 120 Belsize Lane, London NW3 5BA, UK. E-mail: AGarelick{at}tavi-port.nhs.uk). Leonard Fagin is a consultant psychiatrist and Clinical Director of the North East London Mental Health Trust.
Doctor-to-doctor relationships are explored. The impact of the employing organisation on working relationships is considered and methods of analysing problems at the organisational and individual level are described. The application of psychodynamic and systems theory in deepening understanding is discussed, illustrated by vignettes from the work situation. The impact of changes in the work environment are considered and potential sources of support listed.
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