ABSTRACT
Perhaps not surprisingly, many factors can support or undermine clinicians and their clinical approach to patient care. Substantial impediments to humane treatment, many blatantly absurd, can often be observed on psychiatric units. The chapter describes incidents of chronic frustration experienced by staff working with poorly conceptualized or understood behavioral disorders, often in the absence of competent, vision-oriented leadership, under the progressive and crushing pressure of increasing regulations and an emphasis of money over clinical and human needs.
