KevinMD October 13, 2024
Arthur Lazarus, MD, MBA

I had a dismal start to the second year of my psychiatric residency, and my subpar performance was noted by many faculty members. One professor approached me and told me to discuss the situation with my psychotherapy supervisor, adding, “Don’t let your supervisor sugarcoat it.” The professor knew that my advisor was an extremely kind and gentle person who would prefer to leave out the details of my performance so as not to traumatize me.

Sugarcoating the reality of a situation lessens the harshness of underlying events and sidesteps problems. But sugarcoating is exactly what we do when we soft-peddle explanations for the disparity between the outward appearance of a commitment to health and well-being and the actual practices or...

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