The passage discusses the deteriorating relationship within the NHS, emphasizing that it is not solely between consultants and administrators but also involves other staff members who can influence the dynamics. The context is one of increasing financial constraints, centralization, and authoritarianism, which fosters exploitative aspects of individualism. The author suggests that a more holistic approach, akin to family therapy, could help consultants and administrators understand each other's pressures and constraints, potentially leading to better collaboration or separation. Additionally, the wider context, including the emphasis on economic service delivery, may shift over time. The passage also includes a letter from a psychiatrist expressing concern over a clinic's policy of destroying patient files after 25 years, arguing that this practice hinders longitudinal research and the understanding of psychiatric disorders. Another letter from the clinic defends the policy, citing space constraints and cost concerns, while acknowledging the potential value of old files. Finally, a discussion on the dilemma faced by adolescent psychiatrists in selecting appropriate treatment units for disturbed adolescents is mentioned.The passage discusses the deteriorating relationship within the NHS, emphasizing that it is not solely between consultants and administrators but also involves other staff members who can influence the dynamics. The context is one of increasing financial constraints, centralization, and authoritarianism, which fosters exploitative aspects of individualism. The author suggests that a more holistic approach, akin to family therapy, could help consultants and administrators understand each other's pressures and constraints, potentially leading to better collaboration or separation. Additionally, the wider context, including the emphasis on economic service delivery, may shift over time. The passage also includes a letter from a psychiatrist expressing concern over a clinic's policy of destroying patient files after 25 years, arguing that this practice hinders longitudinal research and the understanding of psychiatric disorders. Another letter from the clinic defends the policy, citing space constraints and cost concerns, while acknowledging the potential value of old files. Finally, a discussion on the dilemma faced by adolescent psychiatrists in selecting appropriate treatment units for disturbed adolescents is mentioned.