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Advances in Psychiatric Treatment (2005) 11: 241-250
© 2005 The Royal College of Psychiatrists

The doctor–manager relationship{dagger}

Antony Garelick and Leonard Fagin

Antony Garelick is Associate Dean of MedNet and a consultant psychiatrist in psychotherapy for the Tavistock and 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.

The different cultures of doctors and managers and the impact of these on their working relationships are described. A historical resumé tracks organisational change, the evolving nature of the relationship and the stresses it engenders. The phenomenon of scapegoating and an approach to managing risk is explored. Vignettes describing familiar problems, with suggested strategies for analysing them and resolving difficulties, are presented.


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‘When we cannot act as we wish, we must act as we can’: INVITED COMMENTARY ON... THE DOCTOR–MANAGER RELATIONSHIP
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APT 2005 11: 250-252. [Full Text]  



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