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The present volume details the experience of the psychiatric service at the University Hospital, Boston, inaugurated in 1946 and extended to include inpatient facilities in 1958. The organization of any service is determined by the needs and problems of the larger structure, and this principle is true of the service described. In many ways the University Hospital Psychiatric service is fortunate: large staff-patient ratios in the hospital; enthusiasm among the attending staff; great promise in an unfolding community mental health program; and affiliation with a state hospital to provide the resident with treatment experiences unavailable at University Hospital. Other psychiatric services with different needs and problems will develop differently, but the present volume will be useful to administrators, teachers, and clinicians regardless of their setting.