This group of papers presents the conference reports and discussion topics of the American Orthopsychiatric Association annual meeting. The conference topic was "Dilemma of the Therapist; Practice and Values in a Changing Society." Reports and discussions focused on examining ethical concerns and the dilemmas they pose for therapeutic practice; they specifically dealt with the following topics: (1) changing definitions of sexuality, (2) the variety of new therapeutic modalities and their philosophical underpinnings, (3) the appropriateness of offering mental health services in certain institutional settings, (4) the influence of changed delivery systems on therapeutic work, (5) the influence of changing life styles and family patterns, (6) the influence of socioeconomic class on practice, and (7) the impact made by ethnic struggles on therapeutic work. The list of discussion topics clearly suggests how the external world interfaces with psychological concerns and adaptation--two interdependent, reciprocal, and inseparable spheres of complex human existence. (Author/PC)