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To the Editor:—
In the article, "The Psychotherapy of Paralysis Agitans," by Doshay, in The Journal, March 26, page 1347, I was moved by the report of the invalid woman who had to be dragged to the psychiatrist's office every two months until her sick husband finally died from the strain of these efforts. The conclusion drawn was that better community facilities would have prevented this tragedy. I must admit that while my practice was confined to institutional work I too had tubular vision which allowed me to see only a limited spectrum of solutions to problems of this sort. I am familiar with the geography of New York City, and I know that the route from Presbyterian Hospital to Staten Island is a direct one and has only a ferry and a few traffic lights as hindrances. I am sure that a more direct approach to this patient's problems