PT  - JOURNAL ARTICLE
AU  - Stanford Bourne
TI  - Second opinion
DP  - 1976 Jul 01
TA  - The Journal of the Royal College of General Practitioners
PG  - 487--495
VI  - 26
IP  - 168
4099  - http://bjgp.org/content/26/168/487.short
4100  - http://bjgp.org/content/26/168/487.full
SO  - J R Coll Gen Pract1976 Jul 01; 26
AB  - An experienced seminar made a special study of the psychological aspects of referrals for second opinions, investigations, or hospital admission. The cases were a random selection, incidentally forcing the seminar to examine some of the poor medical practice that is rarely published and to recognise the disturbing force of the doctor-illness relationship, as distinct from the doctor-patient relationship. General practitioners use referrals in many ways and select consultants for quite unexpected qualities, often to preserve the relationship with their patients, and contrary to many superficial impressions otherwise. Referrals are part of the continuous flux of patients in and out of a doctor's life and this movement is important to his sense of identity and to his defences against anxiety.