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October 13, 1934


Author Affiliations

From the Institute of the Pennsylvania Hospital.

JAMA. 1934;103(15):1111-1117. doi:10.1001/jama.1934.02750410001001

The treatment of psychoneuroses in general practice should be viewed with a broad meaning. Besides the common psychoneuroses, I will include the use of psychotherapy in distressing physical diseases, or in cases of any sort in which there may be an emotional or mental problem, and with any individual who might consult us as physicians for advice on any personal problem involving mental and physical adjustment to life. Patients suffering from frank mental disease need definite psychotherapy and other medical therapy, but consideration of this phase of the field is not included here.

In the classification of the psychoneuroses, one finds general agreement on four central types or symptom complexes; namely, neurasthenia, hysteria, psychasthenia and psychoneurotic anxiety states. The last group includes anxiety hysteria and anxiety neurosis. The latter conditions are difficult to differentiate definitely and for the purpose of this paper such differentiations are unimportant.

ETIOLOGIC FACTORS  The psychoneuroses

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