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Liaison psychiatry: a service for averting dehumanization of medicine. Recent psychosocial changes in medicine.

Recent technical advances of medical science have become responsible for the altered role of the physician and changes in the practice of medicine. As the practice has become hospital-centered, the importance of the individual physician and the prestige of the medical profession have markedly decreased. Dehumanization of medicine has been a natural outcome of these changes, for as the scientific approach to patient care increased the psychosocial support of the physician and significant others decreased. Liaison psychiatry, the therapeutic arm of psychosomatic medicine, utilizes the holistic principle which incorporates the psychosocial nuances of human behavior into the medical model. It is felt that this service must be utilized with increased frequency if further dehumanization of medical practice is to be prevented.

Ethics, Medical

Amygdaloid nucleus syndrome and dehumanization syndrome.

Through statistical tests 3 groups of impulsive-aggressive patients were studied: group 1, 100 individuals with temporal dysrhythmia; group 2, 18 individuals with temporal dysrhythmia submitted either to group analytical therapy or to psychoanalysis; group 3, 25 impulsive-aggressive individuals. Moreover the author differentiates between the amygdaloid nucleus and dehumanization syndromes, through psychoanalytical or psychiatric studies, and stresses the importance of the molding periods in relation to social factors (frustration-aggression-injustice). Amygdalotomy of the hippocampus was suggested in special cases.

Aggression

[Specialization and dehumanization of medicine].

A landmark of our times is the preeminence of technology. The old idea of man achieving a better destiny through effort and self improvement has been displaced by the use of technology which is right here to provide everything, to instantly convert future in present. Contemporary Medicine is committed to technology, but this leads to a fragmentation of man in ever smaller segments. As a consequence a real knowledge of the sick individual becomes impossible, his self consciousness, his intimal life and vital projects become inaccessible to the doctor.

Humanism

[The moral crisis of dehumanization and psychiatry].

The excessive determination is in relation with the recent theory of the brain. The brain is only from the discovery of Babinski an executive organ, but there is the personality with the moral problems. The excessive importance of the prognostic from Kraepelin and Bleuler is a danger that have seen by Baillarger, one of the founder of Medico-psychologique society. It is important to emphasize the action of moral factors from the revelation of hebraïc Bible until Pinel, Esquirol and the other foundators of french psychiatry until Clerambault, Marchand and Guiraud.

Attitude of Health Personnel