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Illness and the Family

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Delaware Guidance Services for Children and Youth; Wilmington, Delaware

Ann Intern Med. 1978;89(1):132-133. doi:10.7326/0003-4819-89-1-132
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The medical technology that has developed so rapidly during the past 20 years has brought new solutions to old problems but also a new array of emotional difficulties for patients. Physicians may now have to deal with extreme anxiety and sometimes psychosis in patients after heart surgery (1), or anger, dependency, depression, even suicide attempts in patients undergoing hemodialysis for renal failure (2). These problems join those in patients terminally ill with cancer (3) as major challenges in care of the whole person. They are most apparent to those physicians who work largely in hospital practice. But with the decline


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