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Isabel Menzies Lyth has formulated a way of thinking about social structures as forms of defence. The author extends her analytic range to cover themes of children in long-stay hospitals and day-care institutions, and the maternal role today.

Continuing the themes of Containing Anxiety in Institutions, Menzies Lyth reflects on a variety of social situations: the dynamics of the Fire Brigade, conflicts between psychiatric hospitals and the communities that they serve and family patterns of consumption. The collection concludes with a survey of the psychological aftermath of disaster.