All Ecotopian doctors receive what we would call psychiatric training, though psychology and psychiatry no longer constitute separate fields. My doctor, thus, paid considerable attention to my psychic state as well as to my medical injuries. It is claimed that mental illness has shown a decline since Independence, but it would be extremely difficult to evaluate such claims because of the drastically altered circumstances. I can confirm, however, that Ecotopian streets are not enlivened by the numerous and obvious crazies we are familiar with in our cities. On the other hand, the security and
  All Ecotopian doctors receive what we would call psychiatric training, though psychology and psychiatry no longer constitute separate fields. My doctor, thus, paid considerable attention to my psychic state as well as to my medical injuries. It is claimed that mental illness has shown a decline since Independence, but it would be extremely difficult to evaluate such claims because of the drastically altered circumstances. I can confirm, however, that Ecotopian streets are not enlivened by the numerous and obvious crazies we are familiar with in our cities. On the other hand, the security and confidence achieved by the Ecotopians with their dense, highly personalized style of neighborhood and extended-family living are bought at a substantial price in anonymity and freedom. Ecotopians have the feeling, I was told by one doctor, of “never being alone.” The commonest psychiatric symptom for which people visit doctors, he told me, is having fantasies about solitude and about committing violent crimes. (It is a strange tribute to the ritual war games that it is mainly older people and women, who do not take part in the games, who are troubled by such violent impulses.) Some people find it helpful to take wilderness hiking trips by themselves, where they can be totally alone for weeks at a time. Still, it is doubtful if Ecotopians are happier than Americans. It seems likely that different ways of life always involve losses that balance the gains, and gains that balance the losse...
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