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Computers Enter Mainstream Psychiatry

Lynne Lamberg
JAMA. 1997;278(10):799-801. doi:10.1001/jama.1997.03550100021008.
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COMPUTERS increasingly are entering the psychiatric consultation room, according to reports at this year's annual meeting of the American Psychiatric Association (APA). Some psychiatrists use computers to take histories, fine-tune diagnoses, monitor progress, and maintain therapeutic contact via electronic mail (e-mail) between office visits. They report changes in the physician-patient relationship as patients and families explore vast Internet medical information resources and join online support groups. Pathologic computer use is a growing concern.

Practicing 'Solo'  Leading off a 2-day program on computers in clinical practice, Howard Feinstein, MD, PhD, a psychiatrist practicing in Ithaca, NY, described a recent visit with a patient referred to him for a medication consultation. Sitting at his desk opposite the patient, his keyboard in front of him and the screen to the side to permit face-to-face contact, Feinstein evaluated and entered the man's remarks into a computer chart. At the end of the interview, he


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