ABSTRACT
Psychoanalysis, and its broad, diluted form known as dynamic psychiatry, had been the dominant segment for so long that it regarded the development of new therapies as epiphenomena or as irrelevant. Psychologists and psychiatric social workers have gained increasing control over community mental health centers and an increasing proportion of the professional positions, while the proportion and power of psychiatrists has steadily diminished. The lack of commitment and techniques is reflected in the poor training which most psychiatrists practicing today have had for community work. Like all training, appropriate preparation begins with appropriate recruitment. Federal funds were prompting medical schools everywhere to establish primary care programs, and the major specialties of internal medicine, pediatrics, and surgery were all designing primary care tracks. Community mental health was hardly a movement which advocated proliferating the drugs of biopsychiatry to the underprivileged.
