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Special Article |

Psychiatry: Circa 1919-1969-2019

HOWARD P. ROME, M.D.
Ann Intern Med. 1969;71(4):845-853. doi:10.7326/0003-4819-71-4-845
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This excerpt has been provided in the absence of an abstract.

In 1894 one could have heard the distinguished neurologist and popular author, S. Weir Mitchell (1), castigate American psychiatry at its 50th Anniversary for being both obscure and socially irrelevant. And if 25 years later one heard the distinguished neurosurgeon, Harvey Cushing (2), deliver a similar but more moderately tempered rebuke, he would be forced to conclude that psychiatry in this country at those times was in the doldrums.

Periodically after 1919 similar complaints were voiced by a number of the more perceptive leaders in psychiatry and related fields (3-10). They expressed dissatisfaction with the insularity of the psychiatry of

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