There is no doubt that by contrast with the reports of 20 years ago, we have made considerable progress. Some of the material in reports published 20 years ago was among the most horrifying one could read and it was a reproach to us all that we allowed it. It was not just because the country was poor – it was as much a statement of the way we looked at psychiatric illness as a statement of fact about a society that would not spend money it was supposed to spend. It was not as simple as ignoring the matter. It was because none of us were able to handle it.