Sir: We are grateful to Dr Gamble for his letter (Psychiatric Bulletin, September 1999, 23, 569-570) which simply helps to reinforce the purpose of our original article (Thomas & Bracken, Psychiatric Bulletin, June 1999, 23, 327-329). Dr Gamble's attitudes towards advocacy demonstrate how important it is that the College makes exposure to local advocates and advocacy services a mandatory requirement for all training schemes for the Membership Examination.
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