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October 18, 1947


Author Affiliations

Rochester, Minn.

JAMA. 1947;135(7):403-408. doi:10.1001/jama.1947.02890070005002

The internist or general physician, in dealing with the common psychogenic illnesses of his patients, has several advantages over the psychiatrist: he generally sees them in earlier stages when they are more amenable to treatment, he is in a better position to relate symptoms to the overall somatic status, and he can approach the patient as an internist rather than as a psychiatrist. Only a small percentage of neurotic patients can be or need to be seen by the psychiatrist. The majority of them, including the many new thousands who appear as part of the aftermath of war, will continue to be treated by physicians in other fields of medicine. And it is becoming increasingly apparent that a greater integration of basic psychiatric concepts with the general practice of medicine is essential if the average physician is to manage effectively this "other 50 per cent" of his medical practice. For

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