Dr. Fink, if I understand him correctly,
has presented a case
illustrative of some of the 
intellectual challenges posed by the science of medicine,
if it is a science, and by 
scientific methods in other discplines in general.
It is the rule rather than the exception
that the patient comes to his physician
with a symptom which he feels,
the emergence of a feeling,
and the physician's task is then to identify the
structiral anatomically demonstrable physical abnormality
which is the cause of this disorder.
And to employ such pharmacologic, surgical or physical
therapy at to remove the cause and or alleviate the symptoms.
.PP
Dr. Fink has told us the story of a woman who became
depressed, was treated unsuccessfully with medication and psychotherapy,
was advised to have electroshock therapy, in preparation
for which and EEG and computerized tomography were obtained,
which studies showed the presence of a large frontal lobe tumor.
After the removal of the tumor the patient's depression dissipated
and her mental function improved dramatically.
.PP
The alleged inferences to be drawn from this dramatic and provocative
account that all diseases have an anatomical basis,
that in diseases in which an anatomic basis is inapparent
this is the case because the anatomic basis has not (yet)
been discovered. Furthermore, disorders without anatomic
basis are assumed to be disorders of discipline, to be
corrected by education or punishment, to be forstelled by
the threat of punishment.