we know how they
have developed in a particular person we possess clues to the way that
person will react under a given stimulus, that is to say, what he will
think, how he will feel, and how he will act; and it fails, again,
properly to instruct students regarding the interrelationships of
members of different social groups (familial, civic, economic,
occupational, ethical, national, racial, etc.); in other words, our
general educational organization is as yet far from successful in
inculcating philosophical, biological, psychological, and sociological
conceptions that are adequate symbols of reality.
(3) Though our medical schools have made phenomenal advances in the
organization and equipment of their institutes and in provision for
teaching and research in a large number of preclinical and clinical
sciences, they have up to now almost wholly ignored normal psychology,
psychiatry, and mental hygiene. The majority of the professors in these
schools are so absorbed by the morphological, physical, and chemical
aspects of their subjects, that students rarely get from them any
inkling of the psychobiological aspect, any adequate knowledge of human
motives, or any satisfactory data regarding human behavior, normal or
abnormal.[6] It is only recently and only in a few schools that
psychiatric clinics have been established as parts of the teaching
hospitals, that medical students have been able to come into direct
contact over an appreciable period of time with the objects of
psychiatric study, that the psychic manifestations of patients have
received any direct and particular attention in the general medical and
surgical wards, and that there has been any free and constant reciprocal
exchange of thought and opinion between students of the somatic on the
one hand and students of the psychic on the other.
(4) The language of the psychiatrist is unique and formidable. The names
he has applied to motives and impulses, to symptoms and syndromes, are
foreign to the tongue of the general practitioner who is so awed by
them that he withdraws from them and remains humbly reticent in a state
of enomatophobia; or, if he be more tough-minded, he may be amused by,
or contemptuous of, what he refers to as "psychiatric jargon" or
"pseudoscientific gibberish." There is, furthermore, a dearth of
concise, authoritative, well-written text-books on psychiatry, and the
general medical journals rarely print psychiatric papers designed to
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