The monstrous story of our institutions for the insane, based on intramural investigation. Here are institutions where curables have been rendered hopeless by dehumanization and depersonalization, lack of privacy, lack of decency, neglect. Today one out of seventeen faces commitment to American bedlams, not one of which meets minimum standards set twenty years ago by the A.P.A. From Philadelphia to Cleveland, Manhattan to Detroit, California to Georgia, individual institutions are laid bare, their twin evils of over-crowding and understaffing, their concomitants of poor food, filth, vermin, rats, custody without treatment. A shocking story, statistically supported.