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The role of individual psychotherapy within the context of social psychiatry and community mental health programs is discussed. Emphasis is given to the concept that whatever the therapeutic context the aim is the resolution of individual psychopathology. Three major categories of pathogenesis are suggested. A plea is made that psychoanalytically trained therapists play a greater role in the community mental health structure and aid in the development of programs designed for prophylaxis and prevention of psychopathology.