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Journal of Pediatric Psychology 8(2) pp. 117-127, 1983
© 1983 Society of Pediatric Psychology

other

Transacting with Physicians: Fact and Fiction1

Dennis Drotar2

Departments of Psychiatry and Pediatrics, Case Western Reserve University School of Medicine

2Dennis Drotar, Rainbow Babies and Childrens Hospital, 2101 Adelbert Road, Cleveland, Ohio 44106.

Experiences with physician and psychologist collaboration underscore the necessity to construe interprofessional exchanges in terms of benefits to individual professions as well as to children and families. Professional exchanges which do not benefit consumers are sometimes predicated on simplistic conceptual models of complex psychosocial conditions which isolate problems in individual children, minimize the importance of family and social context, and constrain family participation in treatment. Recent advances in research and practice with pediatric psychosocial conditions illustrate how changes in the conceptual models which guide clinical practice lead to modifications in the nature of professional roles. In an era of expanding technology and cost accountability, psychologists' impact will be maximized by their assumption of leadership roles in systematic outcome studies in pediatric psychosocial problems and enhanced understanding of the unique problems involved in implementation of psychological knowledge in medical settings. Psychologists' ability to maintain their professional resources and integrity in medical settings of the future will depend upon the development of realistic models of collaboration with physicians which (a) recognize the inevitable tensions between medicine and psychology arising from differing cultures, backgrounds, and values; and (b) are of demonstrable benefit to consumers of services.


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