Suchttherapie bei abhängigen Ärzten

Background

International studies indicate an increased incidence of substance abuse disorders among physicians. This article investigates specific variables in the work field and describes existing treatment programs.

Patients and methods

In a cross-sectional study 107 physicians with and 468 without substance abuse disorders were compared. Two highly developed treatment programs in Germany and Canada are described.

Results

The high work-load associated with the medical work environment leads to reduced performance and social isolation. Treatment programs for addicted physicians work with the concept of ?help before restriction“. The abstinence rate of the 5-year Canadian program is over 90%.

Conclusions

As a form of prevention, medical students should be systematically informed about work-related stress in the medical profession. Structured treatment programs should be implemented nationwide. The expert team ?Risk of addiction in physicians“ of the German Addiction Foundation, whose members are authors of this article, may be a small step in this direction.     

Gender-Role Attitudes and Earnings: A Multinational Study of Married Women and Men

This paper examines the impact of gender-role attitudes on earnings for married individuals. Using hierarchical linear modeling (HLM) and nationally representative data, we tested our hypotheses on 4,785 males and 4,368 females from 28 countries located in North and South America, Eastern and Western Europe, the Mediterranean, Asia and the South Pacific. We found that compared to individuals in their own countries, women with egalitarian attitudes had significantly higher earnings then women with traditional attitudes. In addition, for both women and men, we found an interaction between gender-role attitudes and hours worked. Egalitarianism had a stronger positive effect on earnings among individuals who worked more hours.     

Contextual effects on metaphor comprehension in reading

Subjects read target sentences preceded by either short or long context that induced either a metaphoric or a literal target reading. As had been found by Ortony, Schallert, Reynolds, and Antos (1978), metaphoric targets were comprehended about as quickly as literals when context was long, but more slowly than literals when context was short. The latter result may have been due to the failure of computing a conceptual relationship between short context and metaphoric target; targets unrelated to prior context took as long to comprehend as metaphoric targets. Another experiment showed that metaphorically expressed targets were read more quickly when they followed metaphorically expressed context than when they followed literal context, but literal targets were read quickest when they followed literal context. These results are discussed within a schema framework and within a “process priming” hypothesis.     

To be at the tail of the lions or the head of the foxes?

Agents seeking an opportunity for profit often have to compete with others who pursue the same opportunity. When having to choose between a number of opportunities differing in their value and if individuals differ in their chances of outperforming others, the choice can be cognitively and emotionally demanding. We explore choice between opportunities using stylized Lions–Foxes games. In such a game, each of three players, with different odds of beating others, has to choose one of two contests that offer different rewards. After game theoretically analyzing the games, which we have experimentally employed, we report four experiments that vary in choice elicitation (repeated play or strategy method), in players' matching (random strangers or partners) and in rewards. Regarding contest choices, we found the choice of the higher value (and seemingly more prestigious) contest to be positively related to winning odds, contrary to what four out of the five (mixed, partially mixed, or pure) equilibria predict. Participants started out rather optimistic, with a large majority choosing the higher value option, but with experience, they approached the only viable of two pure strategy equilibria. Still, mixing continued via reacting to past play and outcome, apparently balancing dissatisfaction from choosing either contest.