In the best concept of the term, all human beings are psychosomatic problems. Every patient has both somatic and psychologic problems, excepting those that are dead when the doctor arrives. Draper1 has stated "If we examine closely the structure of organismic unity which doctors nowadays seem to be striving so hard to preserve for the individual we may find perhaps that its division resides in a contemporary medical attitude and not within the animal at all." Patients in any service show varying degrees of emotional disturbance which alter the course of their illness, and these must be evaluated and treated if optimum conditions for recovery are desired. Psychosomatic problems may be divided into (1) patients with symptoms referred to one of the body systems but without demonstrable evidence of somatic pathologic change and (2) patients with definite structural alterations thought to be at least in part due to psychologic