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The article you requested is

The Human Cost of a Management Failure: Organizational Downsizing at a General Hospital

J Clin Psychiatry 1997;58:276 [book review]

This book is a case study of an organization undergoing painful change. The clinical data consist of three sets of semistructured interviews with 12 “General Hospital” managers taken over a 1-year period. Each set is followed by an interpretation by each of three consultants. Only the first author sees and synthesizes all of the interpretive work during the study. The book closes with a gathering of the consultants to review all of the data and interpretations gathered over the yearlong project.