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Editorial
Mood Disorders—New Definitions, New Treament Directions
Paul Grof
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In Review
"Cade's Disease" and Beyond: Misdiagnosis, Antidepressant Use, and a Proposed Definition for Bipolar Spectrum Disorder
S Nassir Ghaemi, James Y Ko, Frederick K Goodwin
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The Neurobiology of Bipolar Disorder: Focus on Signal Transduction Pathways and the Regulation of Gene Expression
Yarema Bezchlibnyk, L Trevor Young

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Original Research
Major Depression and Its Association With Long-Term Medical Conditions

Lisa M Gagnon, Scott B Patten

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Seasonal Affective Disorders: Relevance of Icelandic and Icelandic-Canadian Evidence to Etiologic Hypotheses
Jóhann Axelsson, Jón G Stefànsson, Andrés Magnússon, Helgi Sigvaldason, Mikael M Karlsson

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Canadian Psychiatric Inpatient Religious Commitment: An Association With Mental Health
Marilyn Baetz, David B Larson, Gene Marcoux, Rudy Bowen, Ron Griffin

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The Moderating Effects of Coping Strategies on Major Depression in the General Population
JianLi Wang, Scott B Patten

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Antidepressant Side Effects in Depression Patients Treated in A Naturalistic Setting: A Study of Bupropion, Moclobemide, Paroxetine, Sertraline, and Venlafaxine
JD Vanderkooy, Sidney H Kennedy, R Michael Bagby

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Treatment Delays for Involuntary Psychiatric Patients Associated With Reviews of Treatment Capacity
Michelle Kelly, Sandra Dunbar, John E Gray, Richard L O'Reilly

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Book Reviews
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Books Received

Letters to the Editor
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Book Reviews

History

Medicine: My Story. Barnet (“Barney”) Berris. Toronto: University of Toronto Press; 2001. 183 p. CAN$32.95.


Reviewer Rating:
Review by Stanley E Greben, MD
Toronto, Ontario


This book comprises Dr Barney Berris’s memoirs. Dr Berris played an important part in developing academic medicine in Canada. He was born and raised in Toronto, where he acquired his undergraduate medical education and training. The early part of the book tells the story of his childhood and youth, his family connections, and his experiences as a student in Toronto’s public school system.

Dr Berris then describes how he became a medical doctor. This will be of great interest to all in the profession of medicine. For those of us who have been part of the University of Toronto Faculty of Medicine, his comments about some of the great teachers at that institution are most pertinent. The best teachers in the Toronto system were renowned in many countries. Two of the most appreciated professors were Dr JCB Grant, whose textbook, A Method of Anatomy, was used far and wide and Grant’s brother-in-law, William Boyd, who taught pathology. Several of his textbooks were also used by many faculties of medicine around the world. Dr Berris was also most impressed with Dr KJR Wightman, who taught therapeutics, and whose name was linked with Dr Berris in later years, when 1 of the 4 academies of the medical school was named the Wightman-Berris Academy.

Dr Berris is Jewish. When he graduated from the School of Medicine, he was a very successful student who ranked high in the large class of graduating students. To his great surprise, he was not selected to intern at the Toronto General Hospital, nor at the Toronto Western Hospital. In fact, his student record was much better than the record of others who were chosen. Dr Berris, whose story is not mired down by resentfulness, tells how the anti-Semitism in the community at large was equally pervasive in the medical school at that time. As a result, he was accepted to intern at St Joseph’s Hospital, where he attained more experience working in a nonteaching hospital.

After completing his internship, he experienced another disappointment: he was not accepted for specialty training. Once again, however, it worked out well. He attended the University of Minnesota and had an excellent experience. As well, the Chairman of the department where he worked at the University of Minnesota was on very friendly terms with Dr Ray Farquharson, Chairman of the Department of Medicine at the Toronto General Hospital. When Dr Berris returned to Toronto, he was not given a staff position but was asked to take 1 more year’s training. He arranged for this, and in 1951 he became the first Jewish doctor appointed to the full-time staff of the Department of Medicine, University of Toronto. In many ways, Barney Berris was a person who, for reasons of timing and talent, led the way to a much more open and democratic system in Canadian medicine.

Dr Berris was chosen for the position of physician-in-chief at Mount Sinai Hospital. He spent 13 years in that post while it was developing into an important hospital in the University of Toronto network. His contributions were great as an outstanding clinician, researcher, and teacher. How he describes some of his experiences with patients, students, and residents makes heartwarming reading to anyone with any connection to academic medicine. Dr Berris, in his later years, was a highly appreciated person and role model. He also worked in positions outside the hospital, where he influenced his profession further.

He describes his 1-year sabbatical and the pleasure and stimulation of being invited to work with important medical contributors in places far away from Toronto.

Barney Berris was, to use his words, a “witness to change.” Many of those changes happened because of his style and his attitudes, which were well displayed during the course of his career. His book, Medicine: My Story, will interest anyone with any connection to the profession of medicine. As a highly gifted, very honest, well-written, and well-spoken leader in academic medicine, he has written this book—one which his colleagues will find heartwarming, intelligent, and of great interest. Those in Toronto who are his contemporaries will benefit a great deal from reading it. In addition, a much wider audience will be moved by his humility, the quality of his work, and the comments he makes about the present and future direction of medicine and our world.

 

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bon passable pas recommendé