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George E. Vaillant, MD; Leon N. Shapiro, MD; Phyllis P. Schmitt

JAMA. 1970;214(9):1661-1665.

Abstract
Out of 102 unselected patients admitted to a general hospital 44 were found to be motivated in part by emotional distress. Of these 44 patients, only three were admitted to a psychiatric service and only 16 received psychiatric consultation. Of the 44 patients, only 13 could have been adequately managed, even in retrospect, without general hospitalization. Usually the ward physician was as ready as the psychiatrist to recognize emotionally motivated admissions; case histories of disagreements are used to suggest methods for improving the recognition of this group of patients.

Author Affiliations
From the Department of Psychiatry, New England Medical Center and Tufts University School of Medicine, Boston.

Footnotes
Reprint requests to 185 Harrison Ave, Boston 02111 (Dr. Vaillant).

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