I have tried to show in these 'working notes' what I perceive to be the forces coming into more prominence in our society, and which are impinging upon us with increasing urgency. Far from being on the 'way out', psychoanalytic knowledge could, and should, be more than ever on the 'way in'. It is incumbent upon psychoanalysts, especially those in specialist centres, as many of us now are, to study the current scene as carefully as we can and to act constructively to the best of our ability. I believe that, if we do not innovate in regard to our own roles, our mental health centres will shrivel and hence the welfare and development movements will be impoverished.