ABSTRACT
A few ex-residents use the hospital quite differently because — like some attending men trained elsewhere — they possess strong alternative models for organization of hospital treatment. If the hospital becomes larger, more interest in administration may be generated, possibly abetted by the generally increasing prestige of hospital practice and administration throughout the metropolitan area. Psychiatrists have scarcely begun to work with hospital personnel, to adapt their office styles to hospital settings and their theories and techniques to the kinds of patient that nowadays agree more readily to relatively brief hospitalization than to extensive office therapy. Some patients are so bizarre, so sick, that psychiatrists rely upon ward settings more than upon their own face-to-face contacts with them. Although nonanalytically oriented psychiatrists are continually entering the metropolitan community, the situation is quite different at PPI itself. Among the most important structural features of PPI is that it houses the private patients of attending physicians.
