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C. D. J. Generales, M.D., Ph.D.
JAMA. 1952;148(6):490. doi:10.1001/jama.1952.02930060072025.
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To the Editor:—  The case described in a letter by Dr. W. G. Eliasberg (Psychotherapy in Cancer Patients, J. A. M. A.147:525 [Sept. 29] 1951) and also reported by Dr. Otto Kant (Deceptive Psychoneurosis, Psychiatric Quarterly20:129 [Jan.] 1946) certainly needs further serious comment. Psychotherapy ostensibly suppressed the main symptoms of pain and improved the general attitude and behavior in this "mental" case, which autopsy ultimately proved to be carcinoma of the pancreas with widespread metastases and sudden death due to pulmonary embolism.It has been known for some time and it has again been recently stressed by Dr. Irving J. Sands, of the department of neurology at Columbia (Proceedings of 145th Annual Meeting of the Medical Society of the State of New York, Section on Neurology and Psychiatry, May 4, 1951, N. Y. State J. M.51:2370 [Oct. 15] 1951) that true somatic disease may


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