Reclaiming health professional identity when enforced stoicism harms
摘要
Within the health professions, and particularly within physician culture, an unyielding cultural expectation to embody enforced stoicism—projecting emotional composure and control even amidst distress—presents a significant, often unacknowledged, challenge. While ostensibly intended to foster patient trust and project competence, this pervasive imperative can exert a detrimental influence on professional identity formation and overall well-being. This article critically analyzes the genesis and reinforcement of this mandate, tracing its roots through societal expectations, educational practices, and prevailing institutional norms. Subsequently, the discussion explores the corrosive impact of suppressing authentic emotional experiences, linking such suppression to increased emotional dissonance, burnout, and potentially compromised patient care. In arguing against the tyranny of enforced stoicism, a multi-level framework for cultivating more authentic professional selves is proposed. Strategies spanning individual, educational, institutional, and broader cultural domains are considered, all emphasizing a shift towards environments that champion emotional honesty and value congruence. Reclaiming authenticity emerges not merely as a well-being initiative but as an ethical imperative, crucial for restoring humanism to healthcare and ensuring sustainable, compassionate professional practice.