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skill to properly diagnose and cure the functional 50 per cent suggests
another reason for the negative reaction of the average doctor to these
patients; he cannot help but feel that he is relatively helpless to treat
with any degree of permanent success what may be more than half of
his patients. These patients, with their ever-present unresponsive com-
plaints, may seem to constitute a walking monument to the doctor's
inadequacy, failure, and defeat. How could any physician avoid a nega-
tive response to people whose complaints seem proof of his own failures?
It is the rare doctor who could hope to welcome patients whom he is not
trained to diagnose or treat, and whose particular symptoms are likely
to be personally disagreeable in the sense that they are troubled people
who never give the doctor the gratification of getting well. For the sake
of the physician's own professional satisfaction it will be well for him
to seek out the postgraduate training that will enable him to deal with
the "troublesome" functional 50 per cent.


BIBLIOGRAPHY
1 Pratt, Lois, Arthur Seligmann, and George Reader: Physicians views on the
level of medical information among patients, Am. J. Pub. Health 47: 1277-1283, 1957.
2 Bard, Morton, and Ruth Dyk: The psychodynamic significance of beliefs re-
garding the cause of serious illness, Psychoanalyt. Review, 43: 146-162, 1956.
3 Blum Richard H.: The Psychology of Malpractice Suits, California Medical
Association, San Francisco, 1957.
4 Romano John: Patients' attitudes and behavior in ward round teaching, J.A.M.A.
117: 664-667, 1941.
5 Hovland C. I., I. L. Janis, and H. H. Kelley: Communication and Persuasion:
Psychological Studies of Opinion Change
, Yale University Press, New Haven, 1953.
6 Albright Robert: Economics of doctor-patient relations, in E. G. Jaco (ed.),
Patients, Physicians and Illness Free Press, Glencoe, Ill., 1958, pp. 506-516.
7 Hinkle L. E., and H. G. Wolff: The nature of man's adaptation to his total
environment and the relation of this to illness, A.M.A. Arch. Int. Med. 99: 442-460,
1957.

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Publication Information: Book Title: The Management of the Doctor-Patient Relationship. Contributors: Richard H. Blum - author. Publisher: McGraw-Hill. Place of Publication: New York. Publication Year: 1960. Page Number: 149.
    
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