In the envisaged ambulatory situation, the psychiatrist appears as a consultant whom is interested by the psycho-dynamic and psycho-social aspects of the illness, of the patients and the medical practice. This, above all, takes place in the doctor-patient’s relationship. In this prospect the psychiatrist does not possess any magical power of divination as often attributed to him. He must not succumb to the easy temptation of giving too much importance to his intervention by using his professional knowledge and scientific language which is often too hermetic. By giving his opinion and therapeutic advices he must enlighten the general practitioner on the personality structures and dynamical conflicts that can play a role in the evolution of an illness or a patient. The psychiatrist must not forget to bear in mind the physical aspect of the illness, because very often the psychological problem, even obvious, has to be put into the background. This implies a good knowledge of physical medicine as well as the pratice of a general practitioner. The consultant psychiatrist should have a psychoanalytical formation as well. Not for a traditional psychoanalysis but to enable him to appreciate the profound personality structure and the psychodynamical situation.

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© 1972 S. Karger AG, Basel
1972
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