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Articles   |    
Psychosocial Constraints on the Important Decision-Maker
LESTER GRINSPOON
Am J Psychiatry 1969;125:1074-1082.
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Associate clinical professor of psychiatry, Harvard Medical School, and director of psychiatry (research), Massachusetts Mental Health Center, 74 Fenwood Rd., Boston, Mass. 02115

1968-69, American Psychiatric Association

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Abstract

Although institutions may take impressive steps to safeguard the physical health of their highest decision-makers, they tend to ignore and in fact exclude provision for safeguarding vital interpersonal needs. The successful executive experiences a restriction of freedom in his relationships with other people, lessened objectivity and candidness among his subordinates, and increasing isolation and loneliness. There is no easy way for decision-makers and institutions to compensate for these psychosocial constraints, but the importance of devising some means seems clear.

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