For the average future physician, it would be wiser to omit even the
psychiatry studies than those in abnormal psychology. The latter ought
to lead him far enough to discriminate early between a mere
neurasthenia, for instance, and a beginning of insanity. As soon as the
discrimination is perfected and insanity is found, he has to give the
case out of his care anyhow and hand it over to the specialist and to
the asylum. The knowledge of psychiatric treatment is, therefore, not
essential for the average practitioner. But no one can relieve him from
the responsibility for those borderland cases, for the hysterias and
psychasthenias and neurasthenias, and he can never master them without
normal and abnormal psychology. Moreover it must not be forgotten that
mental factors may enter into every disease. The psychology of pain, for
instance, and of comfort feeling, the psychology of hunger and thirst,
of nausea and dizziness, the psychology of the sexual feelings, the
psychology of hope and fear, of confidence and discouragement, of
laziness and energy, of sincerity and cunningness play their role in
almost every sick room. And if the physician haughtily declares that he
does not care for the methods of suggestion, it might justly be asked
whether he can be a physician at all if he does not apply some
suggestions; yes, if his very entrance into the sick room does not
suggest relief and improvement from the start. The introduction of a
serious study of psychology is the most immediate need of the medical
curriculum. Instructorships in abnormal psychology must be created in
every medical school; institutes for psychotherapy should soon follow.
But in all this, there is nowhere to appear any artificial antithesis
between mind and body, any more than between organic and functional
diseases; we have discussed all that with full detail. Only the
physician who has a thorough psychological preparation can fulfill the
manifold demands which modern life must raise; he alone is prepared to
cooeperate with the other factors of the community in the development of
a sound and healthful nation, to work towards the hygiene of the nervous
system and of the mental life; and to correct the injuries which the
perversities of our civilization inflict.
Public-domain text, read in full here on John Shaqi.
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