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A recent number of the Pennsylvania Medical Journal contained a comment to the effect that the readers of papers before different medical groups should use care in ascertaining where their presentation might be most appropriately presented. "The physician who first and usually sees the patient is the general or family physician." For this reason, I wish to present briefly a few points about some of the patients who have been seen at the Institute of the Pennsylvania Hospital. These patients are those who have been greatly troubled with what is called general nervousness, depression, or other emotional difficulties. During the course of the day's work, both in the outpatient department and with the resident patients of the institute, one is astounded not only by the psychiatric difficulties and the evident need for good mental hygiene but also by the close association of these problems with those of general medicine found
SMITH LH. PSYCHOTHERAPY AND GENERAL PRACTICE. JAMA. 1932;98(21):1783–1785. doi:10.1001/jama.1932.02730470005002
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