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This book is an excellent, well written, thoroughly documented, informative yet short review of the founding, growth, and development of one of the outstanding psychiatric institutions in this country. The author, who has been associated with the Sheppard and Enoch Pratt Hospital since 1957, as president of the hospital since 1960, has used as source materials for his work hundreds of hospital reports, minutes of meetings, essays, reprints, and newspaper accounts preserved in the hospital files. In 1853 the founder, Moses Sheppard, a single, wealthy Quaker from Baltimore set up a trust for an asylum for the insane that 'would combine every feature that vision and experience might indicate as requisite or desirable to minister to the greatest possible advantage of the patients'. With