Abstract
To the Editor:— May I add another aspect to the controversy so ably described by Dr. Kubie inThe Journal, Jan. 29, page 466? Let me start by amending the title of the problem to Psychology, Psychiatry, and Medicine instead of limiting it entirely to the psyche. Dr. Kubie's plan for creating an intermediate profession was devised because of the need for psychotherapists—and I agree that the average internist is not adequately trained for such work—but I wonder if all the means of providing such training have been adequately explored? Many internists, whose medical school graduation date obviated the need for residency training, have nevertheless been trained on the postgraduate level. Attendance at special courses, clinic work, and hospital ward service have enabled them to meet the rigorous demands of the American Board of Internal Medicine. I doubt if anyone can seriously question their ability, despite the current differences in
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