Edited excerpts follow.
A few years ago, a colleague told me about San Francisco General Hospital. The only patients without a ward dedicated to them were white male heterosexuals. They had to make do with the random unoccupied bed. The psychiatrists who ran the pro-grams apparently believed that psychological readjustment was not possible without an understanding of one s place in the continuing drama of the dominant and the disenfranchised. Millions of lives have been saved, improved, and extended by the public health efforts of these three periods.