WILLIAM B. SPAULDING, M.D., F.R.C.P.(C), F.A.C.P.
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Accuracy of diagnosis improves as more is learned about the causative mechanisms of symptoms. If we knew precisely how each symptom was produced for each of our patients and if we could safely turn the mechanisms on and off at will, difficulties in understanding the significance of symptoms would largely disappear. At present, the pathogenesis of relatively few symptoms is known in detail. Physiologically specific methods for the safe and reliable reproduction of common symptoms are rare. Quick ways of turning off the causative mechanisms are so limited as to be of little practical value. Lacking more scientific methods we
SPAULDING WB. Neurotic Symptoms in Patients with Organic Disease. Ann Intern Med. ;69:635–636. doi: 10.7326/0003-4819-69-3-635
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Published: Ann Intern Med. 1968;69(3):635-636.
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