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June 1969

Handbook of Psychiatric Consultation.

Arch Gen Psychiatry. 1969;20(6):733-734. doi:10.1001/archpsyc.1969.01740180117016

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Deliberately designed to be a "handbook," Schwab has collated the literature and the results of his experience in an eclectic fashion at a level to be understandable to psychiatric residents. Of necessity the book is often explicitly didactic. Schwab traces the development of psychiatric consultations in a general hospital through three phases: (1) The patient-oriented consultation dating from the period of popularity of psychosomatic theory; (2) consultee-oriented consultation in which the colleague who requests the consultation is considered the object to be rescued; and (3) the situationoriented consultation which reflects the current popularity of community and social psychiatry. Social engineering is the new thing. It is my impression that practical clinical experience will not allow for the tenability of this thesis for very long.

Reflecting the teaching program at the University of Florida, Schwab has commendably reviewed the literature and history

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