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Since the 19th century, feminists have criticized the mental health establishment and its treatment of women. Issues include the sexist use of psychoanalytic concepts and psychiatric diagnoses, the misuse of medication, and sexual misconduct in therapy. Feminists have also called attention to psychological problems arising from gender inequality in everyday life. Physical and sexual abuse of women is of special concern. Feminist innovations in therapy include consciousness-raising, sex-role resocialization, and new approaches to psychoanalysis and family therapy. We urge feminists to develop a fuller understanding of gender and power, and to use this knowledge to challenge the established theory and practice of clinical psychology.