The Problems of Public Psychiatry

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Abstract
To the Editor: Regarding the article by Mollica (Feb. 17 issue),1 it has been a truism to speak of confusion in public psychiatry, and even though the exegesis of that confusion is helpful, it is important to note that such confusion is essentially inevitable. This inevitability springs from several sources. First of all, some patients have chronic illness that is refractory to treatment, and serious professional conflict exists about how best to provide for these patients.2 , 3 Secondly, public managers generally avoid the triage problem: Should the sickest patients receive the resources to aid their treatment maximally, or should those resources . . .

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