Sir: Maden (Psychiatric Bulletin, December 1999, 23, 707-710) advocates that the concept of ‘treatability’ of psychopathic disorder “must go, before irreparable damage is done to psychiatry's public standing”. He condemns psychiatrists who diagnose an untreatable personality disorder and conclude that supervision is impossible and leave a probation officer to carry out this supervision. By distancing ourselves from the concept of ‘treatability’ are we not becoming more concerned with public protection rather than treatment of patients?
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