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February 26, 1992

Medical Psychiatric Practice

Author Affiliations

University of Washington Seattle
Case Western Reserve University Cleveland, Ohio

JAMA. 1992;267(8):1138-1139. doi:10.1001/jama.1992.03480080108042

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The current paradigm of biopsychosocial theory gives considerably more weight to medical factors than to psychological ones, and practice patterns have followed that apportioning to a substantial degree. Alexander's Holy Seven seem almost as distant from our recent views as Hippocrates' humoral theory. This shift in perspective sits squarely on a mountain of experience accumulated by family physicians, internists, psychiatrists, geneticists, and biochemists.

Much of the shape of this evolution has been chronicled by a spate of books published by the American Psychiatric Press. Medical Psychiatric Practice, volume I, begins a new series that showcases the recent advances in medical psychiatry. The topicality of this work is illustrated by major review papers on neuroimaging technologies, psychopharmacology in the medically ill, frontal lobe syndromes, neuroleptic malignant syndrome, human immunodeficiency virus infections, and nicotine dependence.

This volume is quite a bit improved over the authors' 1987 work Principles of Medical Psychiatry, which