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To the Editor:—
The issue of diagnosis and therapy is of concern to physicians specializing in psychiatry, for this is the primary responsibility of a licensed practitioner of medicine. Therefore I would question the medical ethics of any physician who refers a patient to a clinical psychologist in private practice for diagnosis or unsupervised treatment. There are a number of state medical societies and district branches of the American Psychiatric Association concerned with the expansion of the nonmedical treatment of the mentally ill. Herman A. Dickel, MD (195:365, 1966) speaks in direct opposition to the overwhelming majority of physicians who specialize in psychiatry.It is fantastic to say that only recently have "physicians realized that 'psychosomatic' illness is one of their responsibilities...." I have been teaching this in elaborate programs in a medical school for the past 25 years. I fear that Dr. Dickel is the spokesman for the
Berman S. Relations Between Psychiatry and Psychology. JAMA. 1966;196(7):666. doi:10.1001/jama.1966.03100200106039
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