ABSTRACT
I must ask for your forgiveness, because much of this chapter sounds like History of Psychiatry 101—a history you all know. But starting with a historical review is the only way I could think of to respond to a very kind invitation to try to make sense of what I think is our contemporary dilemma—how to retain direction and a sense of ourselves in spite of health maintenance organizations in the United States and government agencies in my part of the world and in spite of competing therapeutic interests, which advertise various treatment modalities as the ultimate elixirs for all that ails us.
