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Begins from the premiss that job satisfaction among caring professionals is important not only for its own sake, but also for its effect on service outcomes. Presents empirical results, from four very different countries, which suggest that management‐influenced variables can help to ameliorate job dissatisfaction arising from factors such as resource constraints. Develops the thesis that cross‐cultural comparisons are a valid instrument for assessing the effect of management efforts which contribute to psychiatric satisfaction and feelings of autonomy. Establishes the need for more cross‐national investigation of the relationship of management to worker job satisfaction.