Table 1.

Some Restrictive Factors Interfering With Professional Performance

Excessive or Lack of Emotional ArousalExcessive or Lack of Hedonic Tone
FatiguePatient hostility (especially when indirectly expressed)
Poor clinical skillsThe professional’s feelings of rejection or hostility toward the patient (especially when unrecognized)
Transient cognitive problems, (for example, sleep disturbances, alcohol consumption, etc)The clinician has a somatic discomfort
Lack of motivationCreating more work if a certain hypothesis is confirmed
Urgency to finish
Overwhelming clinical workload, “excessive workload”