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August 19, 1939

TREATMENT OF THE ANXIETY STATESWITH SPECIAL ATTENTION TO CERTAIN PHYSIOLOGIC MANIFESTATIONS

JAMA. 1939;113(8):637-641. doi:10.1001/jama.1939.02800330003002
Abstract

Economic and social upheavals in the era since the World War have undoubtedly increased the number of patients who have anxiety states with symptoms that simulate those of serious organic diseases. At least one third of the practice of most physicians consists of such patients. The average physician has little interest in the problems that this group presents and is likely to label them neurosis, neurasthenia, anxiety neurosis or anxiety hysteria and either to neglect the patient or to treat him in the easiest manner possible. Since his treatment is often unsatisfactory, the patient shops around from doctor to doctor until, if he is fortunate, he finds one who will pay enough attention to his symptoms to recognize the physiologic causes as well as the fundamental psychologic factors. Perhaps the increasing popularity of cults has depended largely on the fact that their practitioners at least do something for their followers

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