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A Psychiatrist in a Bureaucracy: The Unsettling Compromises
William D. Weitzel
Psychiatric Services 1976; doi:
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Assistant Proffesor, Department of Psychiatry University of Kentucky College of Medicine Lexington, Kentucky; university is Lexington, Kentucky 40506

1976 by the American Psychiatric Association

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Abstract

Psychiatrists employed by bureaucracies must make a number of compromises in order to reconcile their employing organization's formally stated aims, their superiors' day-today expectations, and their traditional role model of physician and patient-oriented therapist. The author studied nine psychiatrists working for the U. S. Army during a two-year period in the mid-seventies. Their adaptation to expectations and pressures of the bureaucracy can be described in one of three general ways: through alignment with the official views of the Army, compartmentalization of roles to meet both patients' expectations and the Army's expectations, or rejection of a military identity.

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