To determine which idea the evidence from the text supports, it would be important to look for specific phrases or context in the evidence. Since I don't have access to the text you're referencing, I can provide a general guideline to help you analyze the evidence:
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Psychiatrists were trying to stop information about their practice at the asylum from reaching the public: Look for evidence of efforts to restrict information or communication.
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Psychiatrists did not care about their patients and found them to be a nuisance: Evidence supporting this would suggest neglect or disdain for patients.
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Psychiatrists were overwhelmed with patients and could not conduct their practice thoroughly: This would be supported by evidence indicating a high volume of patients or an inability to provide adequate care.
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Psychiatrists knew their secrets were being exposed and were trying to do “damage control” to repair their image: Look for signs of acknowledgment of exposure or attempts to manage public perception.
Without the actual text, I recommend identifying key phrases in the evidence that align with one of the ideas above. If the evidence shows efforts to limit communication or manage reputation, the last option may be supported. If it indicates neglect or high patient volume, then the corresponding options might fit better.