Dr Garrett was formerly the Vice Chairman of Psychiatry at SUNY Downstate Medical Center, where he is currently Professor of Clinical Psychiatry and Director of Psychotherapy Education. He is also on the faculty of the Institute for Psychoanalytic Education (IPE) affiliated with NYU Medical Center in New York City. He received his medical degree from the Albert Einstein College of Medicine, and completed his residency training in Psychiatry at Bronx Municipal Hospital Center. Most of Dr Garrett’s professional career has been spent in the public psychiatry sector, first at North Central Bronx Hospital, where he became Associate Director of Psychiatry, and then Medical Director in 1995. In 1997 he became Deputy Director of Psychiatry at Bellevue Hospital, where he was responsible for clinical services. In 2003 he moved to SUNY Downstate as Vice Chairman for Clinical Services. At present his time is evenly divided between patient care, supervision of psychotherapy, teaching, and clinical research. He has for many years had an interest in the difficulties clinicians encounter when trying to develop a relationship with psychotic individuals who have a fundamentally different view of reality than the clinician. He has a particular interest in combined psychodynamic and cognitive behavioral treatments of psychosis. His academic and research interests also include the voice hearing experience and the relationship between psychosis and ordinary mental processes.