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The Medical Evaluation of Psychiatric Patients (Hardcover, 1988 ed.)
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The Medical Evaluation of Psychiatric Patients (Hardcover, 1988 ed.)
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One of the fascinations of psychiatry is that it is amenable to
many different approaches. In seeking to account for mental
disorder, for example, it is pos sible to explore the meaning and
significance of symptoms in the psychody namic sense, to examine
the social determinants of illness, or to adopt an es sentially
biological viewpoint in investigating links between physiological
and psychological dysfunction .. As a clinical discipline it may be
practiced in the community, in the specialized clinic or hospital,
or shoulder-to-shoulder with other medical practitioners in the
general hospital. This richness and diversity are at once a
strength and a weakness, attracting practitioners with a wide range
of talents and interests, yet sometimes leading to polarizations
and false an titheses. The so-called "medical model" of psychiatry
has come under a good deal of attack, and deservedly so when
claiming an exclusive provenance over all types and aspects of
mental disorder. What cannot be gainsaid, however, is the central
role of medicine in relation to many parts of the field, and the
success in terms of understanding and therapy that has resulted
from medicine's in volvement. Nor can it be doubted, after the most
cursory acquaintance with the physically or mentally ill, that the
relationship between these two forms of suffering is often so close
and so mutually reinforcing that distinctions are drawn somewhat
arbitrarily. This last is perhaps the cardinal reason for the
alliance between medicine and psychiatry."
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