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Oppression of the poor and black is one of the tragic realities of American life. At first glance the psychiatric profession's record in dealing with these groups looks good; with rare exceptions psychiatrists have emphasized that social discrimination and prejudice — rather than innate weakness or illness — are the main cause of the unhappiness of both groups. However, the profession has also taken an implied negative stand toward these people by ignoring their mental health needs. By failing to uncover, dramatize, or treat the problems of poverty-stricken or minority groups, the psychiatrist has made it easier for society to ignore their problems. Furthermore, even with a growing awareness of the susceptibility of oppressed groups to emotional disorders, psychiatrists still tend to assume that these people cannot be helped with the most highly valued varieties of psychiatric treatment. It is deplorable enough that psychiatrists do not offer the