“…. Although attention has focused on "difficult" patients whose character styles and illnesses evoke negative feelings (Adler, 1972;Anstett, 1980;Book, Sadavoy, & Silver, 1978;Groves, 1978), the emotional reactions of physicians have been investigated in a variety of clinical settings (Chappel & Schnell, 1977;Creed & Pfeffer, 1981;Dungal, 1978;Hollender & Shevitz, 1978;Maxwell & Sullivan, 1980;Miller, Lowenstein, & Winston, 1976). The recognition, tolerance, and expression of such feelings can improve patient care (Messner, 1979) and prevent destructive physician-patient interactions (Maltsberger & Buie, 1974).…”