Pediatricians: Generously Caring or Self-Abnegating?
Coulson A. Conn MD1
1 Media, PA
The essay in Pediatrics in Review, "Giving to Our PatientsShould We Draw the Line?," by Dr Larry Nazarian (1986;8:67), although thoughtful and making many good points, goes astray, I believe, when it deals with unfair demands placed on the pediatrician by parents. Dr. Nazarian succumbs to the tendency in each of us that creates so much frustration in practicing pediatricians: in caring for children we tend to adopt a parenting attitude, but then we inappropriately transfer this attitude to adults and also parent them. Too often, instead of dealing with parents as equals, we become paternalistic; of course, we deny this to ourselves and talk about being "caring" and putting ourselves in the child's place.