"I hate being moved. I hate that man who came in. So self-righteous, so cruel. He made fun of me, that's why I cried. You never did that. You led me into temptation by your - politeness."

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Men have cried out to me in sincere and despairing appeal: 'Doctor, I cannot go on like this! I have everything to live for! I must stop, but I cannot! You must help me!'...One feels that something more than human power is needed to produce the essential psychic change. Though the aggregate of recoveries resulting from psychiatric effort is considerable, we physicians must admit we have made little impression upon the problem as a whole. Many types do not respond to the ordinary psychological approach.

— William Duncan Silkworth