title: The psychological impact of complaints and negligence suits on doctors.
abstract: OBJECTIVE
  To describe the psychological impact of complaints and negligence litigation on doctors.
  
  
  METHODS
  A review of the literature from 1966 to 2003 was conducted. Additional sources were obtained from targeted experts and organizations.
  
  
  RESULTS
  Doctors who have been sued or who have had formal complaints made against them describe the process as an extremely stressful experience. Depression and adjustment disorder were relatively common, while drug and alcohol abuse, physical illness and suicidal ideation were reported less frequently. The majority of doctors who have been the subject of a complaint or law suit practice more 'defensively'.
  
  
  CONCLUSIONS
  A complaint or law suit is uncommon in the daily practice of doctors, yet in today's medicolegal environment they pose a constant potential threat. The threat of, or actual, legal process can cause psychological, physical and behavioural practice changes. The obsessional personality of many doctors may make them particularly vulnerable to seeing the process as a challenge to their professional and personal identity.
authors.affiliation: Department of Psychological Medicine, University of Sydney, Sydney, NSW, Australia. lnash@med.usyd.edu.au
authors.forename: Louise
authors.initials: L
authors.lastname: Nash
authors.forename: Christopher
authors.initials: C
authors.lastname: Tennant
authors.forename: Merrilyn
authors.initials: M
authors.lastname: Walton
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia / Q000453:epidemiology; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology*; D006801:Humans; D008318:Malpractice / Q000331:legislation & jurisprudence*; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data*