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This is a thorny problem, one with which I have struggled ever since I listened to a departmental presentation about 25 years ago urging faculty to solicit donations from patients, as if we were surgeons or internists. I think Dr. Forrest deserves marks for trying to find a compromise to the unique nature of psychiatric treatment in the service of achieving
a proper solicitation, but I remain unconvinced of the feasibility. To me the key is Dr. Forrest's entreaty to his patients: “Just don't tell me about it.” To me this clearly compromises a fundamental tenet of psychiatric treatment. I remain unwilling to conduct such solicitations.