Letters to the Editor
February 1998

When Psychiatry Is Not Psychiatry

Author Affiliations

Not Available


Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Gen Psychiatry. 1998;55(2):182-183. doi:

In "Managed Care and the Future of Psychiatry" (1997;54:201-204), Detre and McDonald suggest that psychiatry and neurology merge to create a new specialty. Their narrowly neurobiological approach suggests that the wolves of ideology are now cloaking themselves in the benign sheepskin of managed care.1 The new practitioner would be called a "clinical neuroscientist," whose skills would not include psychotherapy.

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