LAWRENCE J. Kubie speaks of himself in this issue as an old scold. He, of course, is 76, but for veteran Kubie students his article contains a quite familiar sting. That creative provocation with which—in person or in prose—he has always sought for the best in psychiatric invention and practice, defies time, and continues to evoke healthy controversy.
He is now scolding a "trend which has crept upon us unnoticed" —the retreat from patients and its impact upon policies and practices in education, research, and the design of health systems. In so doing, he implies the doctor-patient experience as the central defining focus of the field of psychiatry. He reminds us of the major and, in fact, sanctioning expectation that both the medical and patient community have of a psychiatrist: his authentic capacity to assess and guide the individual patient by whatever means science