The data suggest that the power of the doctor may not be utilized to its full potential in the prevention of long-term use, that at least 50% of elderly benzodiazepine users would like to discontinue use, and that patients need information and advice on how to discontinue these drugs.

1';.is article, the second in a series of two on job stressin occupational therapy, reports the results of. 30 semi-structured interviews with a random sample of occupational therapists from the Bath DistriCt Health Authority and selected local authority social services departments. An 30 subjects had participated in a largerstudy which -setout to identify the factors contributing to jobstre$$ in this profe$sional group,i and the follOW-UP interviews aimed to examine coping strategies which were used by the subjects in their worksituation. This is an applied article, where the attempt Is to distil the main findings of the combined studies (the postal survey and the InterViews) to recover Information that can be made available to occupational therapy managers and to clinical occupational therapists.

Given the existence of an established literature on the costs of burnout to the well‐being of the clinician and to the effectiveness of therapeutic interventions for the client, self‐care amounts to sensible preventative action on the part of the mental health worker. This study focuses on experiences of clinical psychologists working in the National Health Service (NHS) in Britain. A two‐stage qualitative study was designed which explored the attitudes and practices of this group of mental health workers towards the receipt of support at work. Analyses revealed that psychologists may be vulnerable to poor levels of self‐care because they perceive the expression of support needs as psychologically threatening. Four themes emerged as significant factors in explaining the relationship between the receipt of support and psychological threat: Organizational devaluation of supportive work practices, ambivalent professional values, psychologists' own fears of being a client, and the perceived costs of the support process itself. An explanatory model describing the interrelationship between these factors is developed.

The study indicates that there is an emotional impact on staff working with patients with CF at end-of-life, pre-transplant stages. Specifically, it reveals the extent of the unpredictability that staff work with, and the range of emotions that staff experience, including uncertainty about professional identity and anxiety about working practices. The depth and intimacy of professional-patient relationships is highlighted, particularly for staff in close contact with and similar in age to their patients. Additionally, the strength of staff's commitment and desire to care for patients within broader humanistic terms that mesh with their own personal values is brought to light. Despite the difficulties with their work, the majority of staff adopted numerous coping strategies to manage their emotions, many of which emphasized the link between their professional and personal values in undertaking their roles.

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