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Scientific Method and Social Role in Medicine and Psychiatry

AMA Arch Intern Med. 1958;101(2):228-238. doi:10.1001/archinte.1958.00260140060010.
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It is a great pleasure and a privilege to join with Dr. Castle's friends, colleagues, and former students in celebrating his 60th birthday by contributing to a Festschrift in his honor.

Although the note which I will introduce stems from my work in psychiatry and psychoanalysis, I believe that it is nevertheless fitting for the occasion. I propose to consider the similarities and differences between medicine and psychiatry. This subject is usually debated in informal gatherings in a personal and impressionistic fashion. Instead of this approach, my purpose here is to present a scientific inquiry into this subject, meaning thereby an examination of medicine and psychiatry as bodies of knowledge, methods of treatment, and professional roles in society.

The Common-Sense Approach to Medicine and Psychiatry  I shall begin with what may be called the common-sense approach to medicine and psychiatry. According to this view, medicine comprises a very large area


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