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August 27, 1955


JAMA. 1955;158(17):1548. doi:10.1001/jama.1955.02960170064023

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To the Editor:—  As a psychiatrist and psychoanalyst who presumably would be classified as an "orthodox Freudian," I would like to make a few comments on Dr. John D. Campbell's article "Manic Depressive Disease in Children" in The Journal, May 21, 1955, page 154. In his concluding paragraph, he states that patients should be studied as if the physician were the original observer, and warns against stereotyped formulations. I heartily concur with these sentiments and feel this attitude should always prevail. However, in the description of etiological factors attributed to the so-called psychodynamic school, he calls attention only to environmental factors such as parents, cultural and social setting, and trauma. These can be very important undoubtedly. Yet, if this were all the "psychodynamic school" had to say, I would join Dr. Campbell in his criticism and underline his statement to consider the possibility of illness within the child himself. Dr.

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