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even dragging it backwards. When the proposition was advanced that certain types of behavior were evidence of mental illness which called for treatment, rather than being criminal or blameworthy, the advocates of the status quo labeled this unrealistic and radical. Many fought the good fight and the battle has been won. The struggle, however, was too exhausting for some who now say "You may be right but let us consolidate the advances we have made (i.e.. do nothing) since we lack the energy for any new struggles." For others, anything new or different is not fully understandable and therefore must be wrong. At a higher level, those with administrative responsibility are torn between the sweet reasonableness of a sensible medically oriented treatment program and personal loyalty to colleagues and subordinates who will neither change nor give way. Finally the whole generation of psycholog,ists and social workers who now carry the brunt of community clinic treatment has been raised and trained in a "gospel" which has in no way prepared them intellectually or practically to accept pharmacotherapy. Haitij, Liberia,2 Indonesia.3 The Hospital Revolution From the establishment of the first American public mental hospital in 1773 until the year 1956,
American Journal of Public Health – American Public Health Association
Published: Sep 1, 1962
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