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April 1965

Marriage Counseling in Medical Practice.

Author Affiliations

Edited by Ethel M. Nash, MA; Lucie Jessner, MD; and D. Wilfred Abse, MD. Price $8. Pp 368, with no illustrations. The University of North Carolina Press, Chapel Hill 27515, 1964.

Arch Intern Med. 1965;115(4):508-510. doi:10.1001/archinte.1965.03860160134034

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The big message carried in this book, and one that would seem to be belied by the title, is that all doctors should come up from hiding their heads under that mound of electrocardiographic paper; they should come out from behind that series of dark, shadowy x-rays; they should come away from that outsized examining table and face facts—divorce is a disease! Merely to apply the accepted principles of pathogenesis to the discordant marriage places a large majority of troubled patients directly within the scientific medical establishment. In fact, marital tension is essentially an endemic condition with an annual morbidity (ie, domestic conflict) reaching almost 100% of the susceptibles and a proved (legally reported) mortality (ie, divorce) of 25% at the very minimum. Yet, with such evident knowledge flaunted in our professional faces, we turn tail and, using the lack of time as our flimsy, fallacious excuse, virtually reject the

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