Community psychiatry differs sharply from individual psychiatric therapy. The goal of community psychiatry is extensive rather than intensive therapy; insight into basic psychodynamics for the few is sacrificed for better adjustment by the many.
Twenty-three authors present incisive, stimulating, and highly informative material. Louisa Howe pictures the community as a dynamic organization rather than a geographic section; Clara Mayo and Don Klein discuss group dynamics in terms of intergroup reactions and external pressures on the group; Portia Hume and Viola Bernard delineate the roles and aims of training programs. The total impression is that the community psychiatrist must have the personality and techniques of a Madison Avenue public relations expert, the knowledge and skills of a highly experienced psychiatrist, and the selfless zeal of a dedicated missionary.
City Hospital of New York, as reported by Bellak, has (1) "Trouble Shooting Clinics" open 24 hours a day and oriented toward immediate