This piece reflects on Herbert Aptekarâ??s paper on the use of private psychiatrists by social agencies. The piece asserts that Aptekarâ??s work shows encouraging practical results. Additional assertions affirm the need for social workers in the area of child psychiatry where contact with a family may disturb the transference relationship between child and therapist. The psychiatric diagnosis of the future will necessitate more knowledge of the pathology of the family as a functional unit and there is a role to be played by the social worker in dealing with issues in that realm.