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Published Online:https://doi.org/10.1176/ps.25.9.607

The authors describe a breakdown in patient government on the psychiatric ward of a Veterans Administration hospital following the resignation of the Vice-President of the United States. When the ward staff recognized the similarity between the ward milieu and the national situation, they proposed a series of actions, based on a philosophy of individual and collective responsibility, that quickly re-established an effective patient government.

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