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Published Online:https://doi.org/10.1176/ajp.123.4.426

The National Health Service has become the work setting for most British psychiatrists; of the main subspecialties only psychoanalysis remains outside. Only about five percent of first admissions to hospitals with a diagnosis of schizophrenia now become long-stay patients, contrasted with 70 percent in 1930. Discharge to the community has not created a problem. Hospital and community psychiatrists, teachers of psychiatry, and researchers share a mood of lively self-appraisal which also contains an openness to new knowledge and a readiness for necessary change.

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