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Discussion: Reflections from the clinical trenches
Author(s) -
Himadi Bill
Publication year - 1995
Publication title -
behavioral interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.605
H-Index - 34
eISSN - 1099-078X
pISSN - 1072-0847
DOI - 10.1002/bin.2360100305
Subject(s) - bureaucracy , restructuring , psychosocial , psychology , mental health , mentally ill , scale (ratio) , clinical supervision , psychotherapist , social psychology , public relations , psychiatry , mental illness , political science , law , physics , quantum mechanics , politics
This paper involves a series of personal reflections on the deleterious impact of excessive bureaucracy and other institutional forces on the psychosocial treatment of the chronically mentally ill. The writer appeals to three groups of mental‐health practitioners—behavior analysts, practicing clinicians, and academic clinicians—to promote cultural change by advocating a restructuring of large‐scale bureaucracies with the concurrent establishment of multiple community‐based associations.