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The Congestive Heart Failure Model of Schizophrenia
Earl A. Burch, Jr, MD;
Kay T. Burch
JAMA. 1979;241(18):1923-1925.
Abstract
Many primary care physicians wish to address the psychiatric aspects of their medically ill patients but are impatient with the abstract terminology used in psychiatry's past psychoanalytical period. Modern psychiatry is a more integrated field and considers the biological and social as well as the analytical contributors to disease. Using these newer concepts, we present a teaching model in which schizophrenia is viewed as a syndrome and is compared with the well-known medical syndrome of congestive heart failure. This approach facilitates the conceptualization of a complex psychiatric illness and makes it more appealing to primary care physicians by demonstrating common ground between medicine and psychiatry.
(JAMA 241:1923-1925, 1979)
Author Affiliations
From the Department of Neuropsychiatry and Behavioral Sciences (Dr Burch), University of South Carolina School of Medicine, Columbia; and the William S. Hall Psychiatric Institute (Dr Burch and Ms Burch), Columbia, SC.
Footnotes
Reprint requests to William S. Hall Psychiatric Institute, PO Box 119, Columbia, SC 29202 (Dr Burch).
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