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The Psychology of Postponement in the Medical Marriage

JAMAPublished 28 April 1989
Glen O. Gabbard
Citations65
SJR quartileQ1
SJR score5.35
SNIP10.71

TL;DR

The psychology of postponement ultimately proves to be a psychology of avoidance, growing directly out of the compulsive personality traits of most physicians and their preference for work over family life.

Abstract

Many physicians' marriages are characterized by a strategy of postponement. The demands of medical training, the rigors of establishing a practice, and the expectations of colleagues are often used as excuses to avoid emotional intimacy in the marital relationship. Attention to the needs of the marriage is regularly postponed until some indefinite point in the future, resulting in considerable covert marital discord. The psychology of postponement ultimately proves to be a psychology of avoidance, growing directly out of the compulsive personality traits of most physicians and their preference for work over family life. Preventive measures are suggested to address the physician's tendency to avoid issues of marital intimacy.

Keywords

PsychologySocial SciencesMedicine