"Photograph No. 107. Successful excision of the upper portion of the shaft of the right femur." From Orthopaedic Injuries of the Civil War: An Atlas of Orthopaedic Injuries and Treatments During the Civil War, by Julian E. Kuz and Bradley P. Bengtson, 76 pp, with illus, paper, $9.95, ISBN 0-9635861-7-3, Kennesaw, Ga, Kennesaw Mountain Press, Grand Rapids, Mich, Medical Staff Press (http://www.iserv.net/ ~civilmed), 1996. Reproduced by permission.
When I was a resident and junior faculty member working in consultation-liaison psychiatry, the literature on the field was scattered in journals and chapters of psychiatric and medical textbooks. Only a few, thin books were devoted to the field, such as the primer by Strain and Grossman.1 My limited experiences as a physician working with medically and psychiatrically ill patients had convinced me of the need for a biopsychosocial, integrated approach to patient care. At the time, medicine was undergoing considerable specialty