David Zigmond
Hammersmith Hospital
AestheticsHuman multitaskingInternet privacyEpistemologyPsychoanalysisAdorationDialecticNothingPsychological resilienceDistressGovernmentPsychologyNursingHealth careCausationRefugeeConsciousnessInformaticsDeterminismInstrumentalismLawHolismOptimismAlternative medicinePerspective (graphical)Job satisfactionPsychological interventionState (polity)DeliberationPleasureResilience (network)DidacticismWorkforceWorkloadHeadlineChoseSubject (philosophy)MalaiseOrder (virtue)Context (language use)Service (business)Meaning (existential)WishGeneral practiceBlamePopulationDespondencyProfessional practiceFront doorGeneral medical practice2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Coronavirus disease 2019 (COVID-19)In patientPublic relationsComputer sciencePersonal experienceDevelopment economicsMythologyDramaGenealogyModernization theoryPsychotherapistAnxietyGlobal Positioning SystemMagic (illusion)The artsMedicineSocial psychologysortEnergy (esotericism)
Publications 11
Have rapid advances in IT, and the necessary coronavirus restrictions, rendered traditional face-to-face medical consultations largely redundant? Here are the views of three doctors: one younger, publicly on television; two older, more privately. In the third week of April 2020, already deep into our long COVID-19 maelstrom, a young female GP, Dr YW, was briefly interviewed for BBC2’s Newsnight . She was fresh, direct, and warmly personable, and was introduced as, also, a newspaper journalist an...
> ‘If you give me six lines written by the hand of the most honest of men, I will find something in them with which to hang him.’ > > (Cardinal Richelieu, 1585–1642) > ‘We are pathetically eager to believe that if human affairs are managed right, nothing unpleasant need happen to anyone.’ > > (Sir Max Hastings, 1945-) Much of the world is anxiously stymied by COVID-19. Our assumptions of contemporary living simultaneously and shockingly unravelled and impassed. ‘Unprecedented’ is a common contem...
2 CitationsSource
Valerie Iles’s response to my article ‘Our ailing profession: we need more than resilience and replenishment’1 shows that my major points are unclear, to at least one reader. I certainly do not wish to attribute blame or victimhood, or encourage aggrieved despondency. My article, though, takes a very wide and long view and concludes that our professional healthcare …
The malaise among NHS healthcare workers is akin to a patient dying from an internal haemorrhage: oral replenishments, or even transfusions, may be very inadequate. A recent day conference parried this perspective. The conference was designed to ventilate and motivate our dispirited and defecting doctors. Its brief title was businesslike in its optimism: Restoring Health in the NHS. Recruitment was geared towards the young: the growing loss of their ranks is causing increasing concern for, first...
3 CitationsSource
A recent headline ‘Thousands of GPs “plan to quit”’1 heralded an accurate description of NHS GPs’ plummeting morale, resilience, and commitment. The journalists’ analysis then correctly identified our many problems: ever-increasing workload and stresses from ever-greater expectations of services; then rising litigation; all expressed in a population whose increasing longevity is bound to increase comorbidities. Yet all economically similar countries are facing these inescapable problems. What is...
Health care’s increasing employment of complex technology is often accompanied by a disinheritance of our human complexity. This inverse relationship is undesigned but ever-more important since ‘modernisation’ promises beneficent efficiency for all, yet our common experience is, increasingly, of enduring amidst stressed demoralisation. The profound cultural changes are paradoxical, complex, and difficult to understand. The following personal history offers an explanation: ‘ The truth is rarely p...
1 CitationsSource
Computers and informatics have become central to NHS health care. All experience and activity are now subject to official technical designations. This changes our communications: language becomes increasingly lackeyed to the computer’s requirements. Much else is lost. My first mentors in general practice and psychiatry — galvanised by the just departed 1960s — were all nourished, enlivened, then enlightened by literature and philosophy. Such proclivities were not ponderous or self-conscious post...
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