ABSTRACT

Most applicants to analytic clinics had previously been to psychiatrists, psychologists, or social workers; a strong minority had been to physicians. A significant number of professionals is involved in the process of funneling applicants to psychiatric clinics. Higher social class, membership in the Friends, motivation to pay for psychotherapy, and especially living in a milieu in which others go to psychotherapists and in which one can ask for possible sources of treatment are all related to going to psychiatrists first. Among the nonmembers of the Friends there is an even greater relationship between making sacrifices and trying psychiatry first. The relationship of medicine to psychiatry is perhaps the most stable. There are many reasons for leaving a therapist, not all of which are clear to the applicant even in retrospect. It is something of a false start for applicants to that clinic because the Institute is not well linked to psychiatry.