Abstract

It is a commonly held opinion that a large percentage of the patients seeking help in the offices of general practitioners suffer from emotional problems of one kind or another, solely or concomitant with the somatic problems they present. We were interested in exploring this proposition with regard to the incidence of emotional problems in patients coming to the Medical-Surgical Emergency Clinic of a large municipal general hospital. This project was a natural outcome of our commitment to the idea that emotional problems of all kinds deserve the opportunity for immediate attention. Based on this idea, the Trouble Shooting Clinic had been started by the senior author (LB) in November, 1958, offering psychiatric first-aid around the clock. 1,2 It was as one facet of this project that we decided, in July of 1962, to assign, routinely a psychiatrist, psychologist, or social worker to the Medical-Surgical Emergency Clinic at City Hospital

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