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August 26, 1974

Blithesomeness in Area 2

Author Affiliations

Los Angeles

JAMA. 1974;229(9):1169. doi:10.1001/jama.1974.03230470021015

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To the Editor.—  Mirabile dictu! I say this because Dr. Eddy Palmer's "Right Lower Quadrant Pain in the Teen-Aged Girl" (228:1682, 1974) stresses two totally inconsistent areas: (1) the great value of a careful history taken while observing the girl's emotional reactions, motivations, and responses to stress in the past, and (2) the "many experienced pediatricians" who decide such symptomatology represents a "quasimalingering form of emotional response to the superficial problem of growing up" and who then presumably recommend to "ignore the sick girl."I fail to understand how a most valid concept in area 1 can "put down" our friends, the experienced pediatricians, so blithely in area 2.