Suicide and Drug Abuse in the Medical Community

ABSTRACT: In the United States each year the equivalent of an average-size medical school graduating class commits suicide, with the highest incidence occurring in the decade following the completion of training. Of these suicides, 20% to 30% are associated with drug abuse and 40% with alcoholism. Various problem areas are considered. Role strain, leading to excessive drug use in an attempt to increase work efficiency, is coupled with a denial of the physician's own dependency needs and gratification. The problem of identity occurs in relation to the exaggerated sense of duty and obligation the physician feels in attending to the demands of the patients and their families. Medicine as magical thinking is also discussed, revealing the physician's belief in his own immunity, which is strenuously tested when he actually sets up in practice. The community's high regard for the physician further complicates the situation. Too little has been done about working with emotional problems of medical students during their training and after they begin to practice. Unfortunately, physicians feel uncomfortable in turning to colleagues for help; rather, they tend to isolate themselves, resorting to alcohol and drugs. One should question the selection of medical students and their overall training, not only in terms of academic learning but also with more consideration for the stresses and strains of the future career.     

Creative Pseudo-Reality as a Defensive Factor in Jewish Wit: A Dialectical Perspective

Theoretical dynamics of ethnic humor are juxtaposed with Jewish wit, showing that there is a distinct factor which operates in the Jewish humor response to oppression. Drawing from Ziv's (1986) rich anthology of research and case studies, this factor is conceptualized as creative pseudo-reality. It is hypothesized that Jewish wit features this element of self-effacing humor besides the factors which it shares with the ethnic humor of other marginal groups. The implicit ability to construct a perceived environment which is bound neither to reason nor to logic, is seen as the last line of defense for an oppressed minority whose other options have been denied. Irony and triumph, suggested as key elements in this factor, are illustrated in annotated stereotypical excerpts of Jewish wit. Throughout the analysis, the dialectic principle—maintaining the co-existence of inconsistent dynamics—is highlighted in contrast to the reductionistic either/or approach commonplace in psychological and sociological discourse.     

Uncertainty and social comparison

Two experimetnal tests were conducted of a model which predicts social comparison choices of extreme scores on a personality inventory. In groups of nine, subjects completed a bogus personality inventory that ostensibly measured a desirable or undesirable trait, and were told that either the highest or the lowest obtained score was a positive instance of the trait. The highest score was located for the subjects either with certainty or uncertainty, and the two experiments employed different manipulations of this factor. In both experiments the pattern of subjects' social comparison choices of other subjects' scores was fit best by a model comprising main effects of each factor and interactions between desirability and positive instance and between desirability and certainty.