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October 18, 1941

Psychologie und Psychotherapie der Herz- und Gefässkranken: Eine klinisch-experimentelle Darstellung für Studierende und praktische Aerzte

JAMA. 1941;117(16):1401. doi:10.1001/jama.1941.02820420093044

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This is an excellent and complete compilation. The author shows an intimate acquaintance with the immense literature on the subject of psychosomatic phenomena and a solid knowledge of the problem of cardiovascular diseases. He cites a number of clinical cases which he himself has observed. While recognizing the role which anxiety plays in the formation of neurotic symptoms referable to the cardiovascular system and the neurotic utilization of actual organic cardiovascular defects, the author is not clear as to the actual dynamics of the psychologic problems involved. This is a good reference book, but unfortunately it contributes little to the solution of the problem of differential diagnosis. The author insists that the diagnosis of a psychogenic origin of cardiovascular complaints should not be made by the method of exclusion, for the fact that actual organic disease is excluded by means of careful physical and laboratory examination is not sufficient for

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