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Vernon H. Mark, MD

JAMA. 1976;235(7):757.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Increasing specialization in medicine may bring hazards as well as benefits to the patient whose complaints do not fall into the typical pattern of medical disease. He or she may be called a "crock," sent to a psychiatrist for management, and then suffer the results of little or no communication between the referring physician and the psychiatrist. Nowhere is this practice more unfortunate than when it occurs in an emotionally disturbed patient who also has symptoms of structural or functional brain disease. Waxman and Geschwind illustrate this clearly in their article in the recent issue of Archives of General Psychiatry (32:1580-1586, 1975). They point out that some patients with temporal lobe epilepsy, especially when it involves the limbic system, may have changes in their behavior that occur between obvious seizures. They describe hyperreligiosity, punctuated by religious conversions; hypergraphia, characterized by strikingly voluminous writings of an unusually compulsive nature; and occasional . . . [Full Text PDF of this Article]

Author Affiliations
Boston City Hospital Boston

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