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Marc H. Hollender, MD; Stephen P. Hersh, MD

Arch Gen Psychiatry. 1970;23(4):343-345.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE psychiatrist, as a consultant, is occasionally asked to see a patient suspected of or known to be inducing a medical illness by ingesting pills or injecting pathogens. Under such circumstances, he may be expected (1) to confirm the existing suspicions and/or confront the patient with the facts and (2) to treat him for the underlying psychiatric disturbance responsible for his aberrant behavior.

Those instances known to us, in which psychiatrists have attempted to perform the dual roles of adversary and therapist, have resulted in dismal failures. Such results are hardly surprising. How can a psychiatrist function first as a detective or a prosecutor and then expect to be accepted as an ally or helper?

If the psychiatrist, as a consultant, is not to be placed in an impossible position, how then might he handle the situation? One way is to meet first with the referring Physician and to . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

From the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Dr. Hollender is now at the Department of Psychiatry, Vanderbilt University, Nashville, Tenn.

Footnotes
Accepted for publication Feb 24, 1970.

Reprint requests to Department of Psychiatry, Vanderbilt University, Nashville, Tenn 37203 (Dr. Hollender).

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