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September 1965

The Twenty-Minute Hour.

Arch Intern Med. 1965;116(3):474-475. doi:10.1001/archinte.1965.03870030154044

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Various figures have been reported as making up that part of a general practice of medicine which concerns itself with emotionally disturbed patients. It is safe to assume that over 50% of patients seen in the doctor's office are, to a degree, beset with anxieties or fatigued by the burden of depression. Not many of them, one fears, will hear the word that touches or countenance the attitude that soothes. Fewer still will find a systematic helpful ventilation of their emotions available to them.

In coping with the problem, the physician practicing general medicine is confronted with some major deficiencies: as a student his exposure to psychological medicine has been rather sketchy, certainly insufficient; as a doctor he finds his time liquid and any of his attempts to formalize a course of therapy is usually met with the frustrating demands of "emergent" somatic complaints of other patients; further, will he

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