title: A psychiatrist in a bureaucracy: the unsettling compromises.
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-to-day 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.
mesh_terms: D000223:Adaptation, Psychological; D000288:Administrative Personnel; D001291:Attitude of Health Personnel; D003376:Counseling; D006801:Humans; D007325:Institutional Practice; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis; D008890:Military Psychiatry; D011369:Professional-Patient Relations; D012380:Role; D014481:United States