This impacts not only the doctor but family members as well, in a sometimes interminable process for which none of them are prepared. It signifies the death of the illusion that because he is a doctor and is a kind and gentle and moral person, the patients all love him and wouldn't dare sue him. If the outcome is unfavorable, denial, bargaining, depression and other complications of grief can result.
Denial can also promote dangerous illusions.
Physicians may not report the claim to the insurance company, pretend that the litigation is not ongoing, and not prepare legally for depositions and trial. Casual re-immersion back into practice without integrating the emotional or medical ramifications of the suit may also occur. The feeling of impotence and desire to strike back are directly related to the anger phase and require creative and responsible outlets. Physicians may begin bargaining before the suit has been initiated, with the hope that risk management courses can prevent suits. Depression is fostered by the prolonged nature of the litigation, a sense of not being in control and the associated helplessness that both entail.