Were we all asleep at the switch? A personal reminiscence of psychiatry from 1940 to 2010

  title={Were we all asleep at the switch? A personal reminiscence of psychiatry from 1940 to 2010},
  author={Leon Eisenberg and Laurence B. Guttmacher},
  journal={Acta Psychiatrica Scandinavica},
Just how extraordinary those changes have been, was not fully apparent to me until I sat down to prepare this memoir. While we were occupied with debates about issues internal to our field, changes in organization and financing of care proved to be decisive in its evolution. In 1956 the United States had 550 000 mental hospital beds (2). The prediction was that the number of hospitalized mental patients would climb to 700 000 by the year 2000, yet the reverse occurred. By 1998 the supply of… 
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