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Each year approximately two million people who are burned
require medical treatment. Seventy thousand require
hospitalization, and nine thousand die from their injuries. "Coping
StrategieS" provides the burn patient and his/her family a unique
source of information and insight on the effects of disfigurement,
sexuality, cosmetics, prosthetics, coping with stress, anxiety and
guilt, and about employment strategies. These topics are addressed
by professionals and survivors and parents of survivors--uniting
all points of view and making this work important reading.
I have spent the best part of the last quarter of a century working
on the con sultation service at the Massachusetts General Hospital.
Much of my satisfaction has stemmed from working with
nonpsychiatric physicians, especially in having them come to
realize the value of psychological methods in the treatment of
their patients. It has always been my belief that learning to
understand the patient's mental life was as much a part of medicine
as the taking of vital signs. To treat adequately, certainly to
treat well, a physician must know something of his patient's
thought processes. Teaching others the value of this knowledge is
the first step in educating them to seek ways of learning it
themselves. Rarely can this be done in the lecture hall. One can
best pique curiosity by demon strating worth, and that is done at
the bedside or in whatever setting the con sultation is carried
out. Every consultation then carries an implicit imperative to
attest its value. It can be covert teaching at its best. I have
found the practice of consultation psychiatry satisfying and
compelling enough to want to remain in it for at least another
quarter of a century ."
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