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The Challenge of the Community Mental Health Movement to Psychoanalysis

Published Online:https://doi.org/10.1176/ajp.124.8.1049

There is real danger today that community mental health programs will grow up apart from and conceptually antithetical to psychodynamic thinking. The author traces the unfortunate consequences should such a separation ensue. Rather than doing away with the need for individually oriented treatment, the proper development of a community mental health program actually generates an increased pressure for individual psychiatric care and psychotherapy. The specific enlargements of the usual purview of psychiatric practice brought about by a commitment to the community mental health concept are discussed within this framework.

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