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Functioning at the clinical-research interface: the clinical-research meeting

Published Online:https://doi.org/10.1176/ajp.132.9.919

The authors describe their experience in carrying out clinical and psychobiological research in a therapeutic milieu setting. The clinical- research meeting, composed of clinical-care staff with secondary research responsibilities, researchers, and acutely psychotic patients, proved to be a useful mechanism for identifying and resolving inevitable problems at the clinical-research interface and enhanced the effectiveness of research implementation and patient care. The authors discuss three specific areas where covert issues threatened to undermine the work of the unit-the abrogation of research responsibility, the abrogation of clinical responsibility, and intergroup competition and envy.

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