Psychoanalysis was originally distinct and isolated from clinical psychiatry. European psychoanalysts rarely had university connections, were little interested in custodial intramural psychiatry, and preferred to deal with neurotic rather than psychotic patients. In the United States there has been a synthesis of clinical psychiatry with psychoanalysis, and the latter is well represented in university medical schools. The synthesis was accelerated by Warld War II, and there is a trend toward establishing the biopsychological unity of the human person. The future of this synthesis remains unclear, however, and the responsibility for establishing the scientific status of psychoanalysis will rest on the shoulders of the clinical workers in this country.
Zilboorg G. CLINICAL TRANSFORMATIONS IN PSYCHIATRY AND PSYCHOANALYSIS. JAMA. 1959;171(6):648–651. doi:10.1001/jama.1959.03010240016006
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