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- W2474886286 abstract "The dermatologic encounter in its simplest form is an interaction between a physician and a rash. But it may be something broader and more complex, involving a physician, a patient as a person, a rash, and--the fourth dimension--an emotional setting endowed by each of these elements. The quality of interest dedicated to the patient's feelings by the dermatologist is no match or substitute for that of the professional psychiatrist, nor need it be. One can, however, go far with an elementary, commonsense technique. I urge that the unsophisticated do-it-yourselfer become acquainted with the wisdom of the late Walter Alvarez, who brought curiosity, sensitivity, deep personal interest, and keen observation to bear on his studies of emotional factors in internal medicine. These are embodied in his book, Nervousness, Indigestion and Pain. 1 Identifying emotional abnormalities in a patient does not necessarily establish them as the cause of his (or her) disease. The nervous patient gets real dermatoses no less than one without nervous problems. The physician must distinguish also between psychologic factors that cause disease and those that aggravate or prolong preexisting disease. To emphasize the need for good diagnostic talent and clear clinical vision, i, cite the valuable study by Greenberg 2 demonstrating the hazard of finding, if one searches singlemindedly, and misinterpreting as etiologic, coincidental psychologic aberrations" @default.
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- W2474886286 date "1979-01-01" @default.
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- W2474886286 title "Patient encounters patterns, perplexities, precautions" @default.
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