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Problems of "Perception" and "Communication" in Mental Illness
DAVID McK. RIOCH, M.D.
AMA Arch Gen Psychiatry 1959;1(1):81-92.
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The establishment of the Albert D. Lasker Memorial Lectureship at the Institute for Psychosomatic and Psychiatric Training and Research of the Michael Reese Hospital signifies the coming of age of the multidisciplinary approach to research in psychiatry. It thus also signifies the sound development of a scientific—or operational—approach to the problems of human relationships and their chemical and functional-anatomical substrata. This Lectureship is thus a fitting tribute to a man whose insight and freedom from conventional pressures prompted him to support, and thus make possible, the Institute and its pioneering program. For those of us who were introduced to psychiatry some 40 years ago the advances made in the past 10 to 15 years are both breath-taking and thrilling. In view of the basic contributions to these recent developments by the research program of the Institute, I not only deeply appreciate the honor of
. . . [Full Text PDF of this Article]
Author Affiliations
Washington, D. C.
Director, Division of Neuropsychiatry, Walter Reed Army Institute of Research, Walter Reed Army Medical Center, Washington 12, D. C.
Footnotes
Submitted for publication Sept. 1, 1958.
The First Albert Lasker Memorial Lecture, delivered at the Institute for Psychosomatic and Psychiatric Research and Training of Michael Reese Hospital, Chicago, April 9, 1958.
For the sake of completeness, it may be noted that the "observer" in a reciprocally evoked transaction, in addition to the information from his exteroceptor sensory system, is provided with data from his interoceptor system. The latter are usually decoded as "feelings," which largely represent undifferentiated anticipatory behavior (overt and covert) as though in preparation for a continued course of the transaction, as determined by a variety of previous experiences and learned cultural roles. Such evoked "feelings" apparently are major factors in phenomena referred to as "intuition," "countertransference," "clinical judgment," and so forth. Current training programs for psychiatrists are largely directed toward stabilizing this evoked behavior in the patterns appropriate to the respective psychiatric schools of thought.
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