The practice of psychiatry is, I am sure, full of satisfaction—win, lose, or draw with the patient. There is joy in success; heightened interest and determination in the face of failure. It is only when we try to make what we do intelligible that the difficulties multiply and, for good reason, the anxiety mounts. This difficulty is common to all professions. All have secrets: some to be concealed from the public, some from colleagues, some even from oneself, the ultra-privatissima. But psychiatrists who believe in uncovering when covering hampers performance may be uuder special mandate to steel themselves to its pains. In any case, since I also believe that the future of psychiatry is bound up so much more with clarification of theory than inventions of practice, I shall assume that the pressures of necessity are added to the fortitude and patience for which I ask.
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