The impact of setting and agency.

Purpose: Workers in institutions that deal with loss and bereavement need to be aware of factors that can negatively influence their capability to work effectively. This paper aims to outline the risk factors and details some approaches to remedying the situation.

Design/methodology/approach: Institutional problems are analysed from a psychoanalytic and systemic perspective.

Stress and coping in accident and emergency senior house officers.

Objectives: To identify levels of psychological distress in accident and emergency (A&E) senior house officers (SHOs).

Methods: Questionnaire survey given to SHOs at training sessions.

Measures: General Health Questionnaire (GHQ) and the Brief COPE.