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September 22, 1951

The Neuroses: Diagnosis and Management of Functional Disorders and Minor Psychoses

JAMA. 1951;147(4):354. doi:10.1001/jama.1951.03670210066027

Dr. Alvarez has attempted to bring before the medical profession 45 years of experiences in treatment of disturbed patients. Some of the problems could be understood by a study of the disease, but many of them could be understood only by the study of the persons who had them. In an era when persons are conscious of disease, Dr. Alvarez has attempted to improve the physician's approach to the person who has become the patient.

His approach, as synthesized in 600 pages gleaned from a vast and varied experience in internal medicine, is fundamentally intuitive and empiric. It is based on a common sense evaluation by a sympathetic physician-counsellor who is cognizant of his patient's hopes and aspirations, fears, frustrations, and obligations, as well as his physical make-up and his hereditary endowments.

Dr. Alvarez tends to place much more emphasis on heredity than on environment. The role of each factor

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