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Modern psychiatry–A handbook for believers
BOOK REVIEWS colleagues. It was su~~ested that existing programs should be re-examined in the light of realistic goals for the non-psychiatrist. A review of psychotropic drugs is valuable, since this helps present psychiatry in its most tan~ible aspects. Some of the problems created by the lack of communication of psychiatrists with non-psychiatrists are reviewed by Dr. Robert S. Garber. He emphasized that psychiatrists must think of themselves as physicians fir~t and not remain isolated from the main stream of medicine. Dr. Jacob Swartz indicated the importance of helping the doctor develop his own techniques rather than teaching him to adopt those of the psychiatrist. The methods employed should meet the needs of his patients as well as his own personality. An important aspect of the teaching program is to help the physician to understand his own feelings in his interrelationships with difficult patients. Skepticism on the part of the instructor as to the value and result of teachin~ will communicate itself to the physician student, according to Drs. Kleinschmidt, \1. Ralph Kaufman and Diener of Mt. Sinai Hospital in :--Jew York. They emphasized the value of clinical case material rather than lectures in psychodynamics. The importance of teaching psychopharmacology was underscored. Getting the student physician to accept "less than a cure" was also pointed out; in many instances he had to give up omnipotent fantasies for magical solutions. Dr. C. Kni~ht Aldrich emphasized that too many courses attempted to make "authoritative physicians act like psychiatrists"-with the mistaken assumption that all patients with emotional ills are looking for the type of treatm('nt psychiatrists usually provide. In th(' reports of the discussion groups, it was evident that there was considerable disagreement among psychiatrists as to what should be taught as well as concerning the techniques of teaching. In the closing remarks, Dr. Philip Solomon underscored the growing recognition of the need for more and better psychiatric care. This manuscript, with its wealth of material, should be required reading for everyone interested in postgraduate psychiatric education.
w.O. ANXUAL REVIEW OF .\IEDICINE, Volume 12. Edited [II/ Dadd Rytalld, .\I.D. Palo Alto, California: A,illual Reviews, 1961. $7.00.
\Vhat strik('s one promptly as he views the contents of this book's that the authors of the various articles are outstanding individuals in their respective fields. There are interesting articles on the "Respiratory Viruses," "Untoward Reactions to Antimicrobial Agents," articles related to :'I:eoplastic Disease such as "Tumor \Ietabolism" and "TumorVirus Rt,lations," articles on Cardiovascular Disease such as "\Iyocardiopathies" and "Extra-Corporeal Circulation." Ther" an' reviews dealing with the kidney such as "Hormonal Influences on Renal Function" and "Acquired Tubular Disorders"; an article on "Oral Hypoglycemic Agents," one on "Medical Aspects of Space Flight," some on "Iron and Pigment Metabol\fay-June, 1964
ism" and finally, one which considers "Psycho-therapeutic Drugs." Each treatise is very well written and brings the reader up to date in the particular subject. The editor deserves credit for his choice of subjects and for the calibre of the invited contributors. BURTON L. ZoHMAN, M.D. MODERN PSYCHIATRY-A HANDBOOK FOR BEL1EVERS. By Frances ]. Brtu:eland, M.D. and Michael Stock, D.P. 346 pages. New York: Doubleday 6: Co., 1963. $4.95.
A distinguished psychiatrist and a clergyman have collaborated to portray a (.'omprehensive picture of present day psychiatry. Most important is their contention that psychiatry and religion are compatible. This book, clearly written in understandable language, will be readily acceptable to non-psychiatric physicians as well as to the educated laity. It is not a "do-it-yourself" manual; on the contrary, it constantly focuses on the need for the help that can be provided by those properly trained. The chapter dealing with "Historical Perspectives" traces the history of the science and art of psychiatry from its roots in ancient Greece throu~h the contributions of Kraepelin, Pinel, Bleuler, Adolf Meyer and Sigmund Freud. Psychoanalytic theory is then presented in easily assimilated terms; the authors point out that this theory is "neither religious nor anti-religious." Recent progress in research, inclusive of advances in physiololtY are correlated with psychodynamic understanding. In "Psychosomatic Disorders," the role of anxiety, hostility, guilt and other disturbing emotions in the production of organ dysfunction is indicated. The authors point up the importance of consideration of the "whole" man-that psychosomatic symptoms must be understood as defenses which have been unconsciously adopted to handle difficult situations. The role of the family physician in mental health is considered in detail. The key position of the practitioner is emphasized. As for the c1erltYJllan, his proper place is not to diagnose and to treat-but he should be "oriented towards a recognition of where he must not trespass." This book is recommended to both the psychiatrist as well as to the non-psychiatrist; it will also I){, helpful to the laity who seek correlations between religion and ps)'chiatry.
w.O.
TRANSPLANTATION. Edited by G. E. W. Wolsten/lOlme and Margaret P. Cameron. 426 pages. Boston: Little, Brown, 1962. $12.00.
A Ciba Foundation Symposium was held in London November 1-3, 1961 as a follow-up to conferences on transplantation of tissues held in London in 1953, in Paris in 1957 and in Liege in 1959. Professor P. B. Medawar, the Nobel Laureate, served as chairman. Thirty participants from nine <.'Ountries presented papers. The Conference was dedicated to the memory of the late Peter Alfred Gorer, the world's leading authority on the serololtY and serological genetics of homograft reactions. The contributors to the conference reviewed in
201
w.O. ANXUAL REVIEW OF .\IEDICINE, Volume 12. Edited [II/ Dadd Rytalld, .\I.D. Palo Alto, California: A,illual Reviews, 1961. $7.00.
\Vhat strik('s one promptly as he views the contents of this book's that the authors of the various articles are outstanding individuals in their respective fields. There are interesting articles on the "Respiratory Viruses," "Untoward Reactions to Antimicrobial Agents," articles related to :'I:eoplastic Disease such as "Tumor \Ietabolism" and "TumorVirus Rt,lations," articles on Cardiovascular Disease such as "\Iyocardiopathies" and "Extra-Corporeal Circulation." Ther" an' reviews dealing with the kidney such as "Hormonal Influences on Renal Function" and "Acquired Tubular Disorders"; an article on "Oral Hypoglycemic Agents," one on "Medical Aspects of Space Flight," some on "Iron and Pigment Metabol\fay-June, 1964
ism" and finally, one which considers "Psycho-therapeutic Drugs." Each treatise is very well written and brings the reader up to date in the particular subject. The editor deserves credit for his choice of subjects and for the calibre of the invited contributors. BURTON L. ZoHMAN, M.D. MODERN PSYCHIATRY-A HANDBOOK FOR BEL1EVERS. By Frances ]. Brtu:eland, M.D. and Michael Stock, D.P. 346 pages. New York: Doubleday 6: Co., 1963. $4.95.
A distinguished psychiatrist and a clergyman have collaborated to portray a (.'omprehensive picture of present day psychiatry. Most important is their contention that psychiatry and religion are compatible. This book, clearly written in understandable language, will be readily acceptable to non-psychiatric physicians as well as to the educated laity. It is not a "do-it-yourself" manual; on the contrary, it constantly focuses on the need for the help that can be provided by those properly trained. The chapter dealing with "Historical Perspectives" traces the history of the science and art of psychiatry from its roots in ancient Greece throu~h the contributions of Kraepelin, Pinel, Bleuler, Adolf Meyer and Sigmund Freud. Psychoanalytic theory is then presented in easily assimilated terms; the authors point out that this theory is "neither religious nor anti-religious." Recent progress in research, inclusive of advances in physiololtY are correlated with psychodynamic understanding. In "Psychosomatic Disorders," the role of anxiety, hostility, guilt and other disturbing emotions in the production of organ dysfunction is indicated. The authors point up the importance of consideration of the "whole" man-that psychosomatic symptoms must be understood as defenses which have been unconsciously adopted to handle difficult situations. The role of the family physician in mental health is considered in detail. The key position of the practitioner is emphasized. As for the c1erltYJllan, his proper place is not to diagnose and to treat-but he should be "oriented towards a recognition of where he must not trespass." This book is recommended to both the psychiatrist as well as to the non-psychiatrist; it will also I){, helpful to the laity who seek correlations between religion and ps)'chiatry.
w.O.
TRANSPLANTATION. Edited by G. E. W. Wolsten/lOlme and Margaret P. Cameron. 426 pages. Boston: Little, Brown, 1962. $12.00.
A Ciba Foundation Symposium was held in London November 1-3, 1961 as a follow-up to conferences on transplantation of tissues held in London in 1953, in Paris in 1957 and in Liege in 1959. Professor P. B. Medawar, the Nobel Laureate, served as chairman. Thirty participants from nine <.'Ountries presented papers. The Conference was dedicated to the memory of the late Peter Alfred Gorer, the world's leading authority on the serololtY and serological genetics of homograft reactions. The contributors to the conference reviewed in
201