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In a loose-jointed and refreshing prose style, Rickman briefly discusses the subjects of his title. Psychotherapy within psychiatry emphasizes the inseparable connection between psychological research and therapy, and provides in the transference situation a research instrument of great potency. Since the psychotherapist must face painful issues of human maladjustment without resorting to evasions such as placebos, psychotherapy gives psychiatry an index of its professional morale in dealing with the serious clinical problems of suffering humanity. The future of psychotherapy within psychiatry depends on the freedom given the psychotherapist to work with psychoses as well as neuroses and to have at least one case on which he can spend unlimited time, unharassed by the organization he serves whether his efforts are successful or not. Eager social psychiatrists are warned of the temptation to offer remedies for the ills of society when our notions about their etiology are still so dim.
An appendix, even more winning than the original paper, has been added to mark the psychiatric interview, with the modern discovery of the dynamics of the doctor-patient relationship, as the best gift of psychiatry to medicine. This section is packed with important strategical principles and tactical suggestions invaluable to the psychotherapist.