There is now widespread recognition that emotional problems, to say
nothing of the interactions of emotions with other manifestations of
illness and disease, constitute a substantial component of all human
suffering. For too long the pro- vision of medical care has been
restricted to the physical aspects of that suffer- ing while the
psychological aspects have been shunned. Whether through igno- rance
about the nature of emotional illness and its clinical management, or
through uncertainty about the legitimacy of their ministrations,
physicians and many other health professionals have left the care of
psychiatric problems to psychiatrists and other mental health
professionals. For a variety of reasons this strategy is no longer
feasible and substantial changes are required. The extent of the needs,
the nature of the presenting problems, the ex- pectations of the
patients, the prohibitive costs of alternative approaches, and the lack
of trained mental health professionals make it imperative that general
health workers learn to cope with the psychological and behavioral
health prob- lems of their patients. There are no other alternatives if
the realities of comtem- porary suffering, limited resources and
psychobiological knowledge are accepted. It is to the pragmatic
knowledge base for this essential component of contemporary health care
that this book makes a seminal contribution. Dr.