This piece reflects on Herbert Aptekarâ??s paper on the use of private psychiatrists by social agencies. The piece compliments Aptekarâ??s work but questions what the contribution made to the workers' understanding by the psychiatrists and the meaning for the workers and, through them, to the clients of a fusion of disciplines. The piece also asserts that Aptekarâ??s definition of child guidance isn't understood. The piece concludes by affirming that the problem of who treats what is not as important as the proper identification of the problems and their management after identification.