To the Editor.
—I greatly appreciated the article by Bursztajn and Barsky1 in the January 1985 Archives. It has much broader application than just psychiatric referral. A great many of the patients we see with headaches, gastrointestinal tract symptoms, neurasthenia, atypical chest pain, etc, will not benefit much and perhaps will even be worse off unless both they and their physicians recognize and address the psychological components of the problem. This article gives practical information on how to do that. I wish I had begun to apply these principles 15 years ago.