BRITISH JOURNAL OF PSYCHIATRY (THE JOURNAL OF MENTAL SCIENCE) [Published by Authority of the Royal Medico -Psychological Association]

SUPPLEMENT, MAY 1964

THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION AUTUMN QUARTERLY MEETING

THE AUTUMN QUARTERLY MEETING of the SINCLAIR-GIEBEN, ABRAHAM HERMAN CORNELIS, M.D., Association was held at the Royal Society of Medicine, M.R.C.P., D.T.M. & H., Lecturer in Mental London, on Friday, 15 November, 1963, under the Health, University of Aberdeen. An Ordinary Presidency of Professor Desmond Curran. Member since 1959.

STEWART, RONALD, M.B., Ch.B., formerly Medical Minutes Superintendent, Gartloch , Glasgow. An The Minutes of the November 1962, February and Ordinary Member since 1931. May 1963 Quarterly Meetings, having appeared in the WEIL, PAUL LUDWIG, M.D., Psychiatrist, Mapperley Journal, were approved and signed. Hospital, Nottingham. An Ordinary Member since 1950. Obituary The President announced with regret the death of WHALLEY, NORMAN, M.B., Ch.B., F.R.C.S.E., the following members : Department of Neuro-Surgery, Morriston Hospital, Swansea. An Ordinary Member since 1951. CANNON, ALEXANDER, Ph.D., LL.D., D.Litt., M.A., M.B., B.Chir., D.P.M., Medical Director and Physician for Nervous Diseases, Isle of Man Clinic. Election of Associate Members An Ordinary Member since 1932. The following candidates for Associate Member- DOYLE, WILLIAM JOHN, B.SC., M.B., B.Ch., B.A.O., ship, approved by Council on 2 July, 1963, were D.P.M., County Medical Officer of Health and unanimously elected: Principal School Medical Officer for the County of BANNISTER, DONALD, B.A., Ph.D., Senior Psycholo- Devon. An Ordinary Member since 1962. gist, Bexley Hospital, Kent. FEVERSHAM, RT. HON. THE EARL OF, D.S.O., D.L., Proposed by Drs. D. M. Leiberman, G. L. Shaw, J.P., Chairman, The National Association for Alan Norton. Mental Health. An Honorary Member since 1957. JONES, HORACE GWYNNE, B.Sc., Dip.Ed., F.B.Ps.S., HARRIS, NOEL GORDON, M.D., F.R.C.P., D.P.M., Senior Lecturer in Psychology, St. George's formerly Physician in Psychological Medicine, Hospital Medical School. Middlesex Hospital. President 1953-54; Chairman Proposed by Prof. D. Curran, Drs. Peter Hays, Education Committee 1955-59; Convener, Public G. M. Russell. Relations Committee 1957-59. An Ordinary Member since 1928; an Honorary Member since 1959- Election of Ordinary Members

MACRAE, MALCOLM MACMILLAN, M.D., D.P.M., The following were unanimously elected to Physician Superintendent, Strathmartine Hospital, Ordinary Membership: . An Ordinary Member since 1950. BOSTOCK, JOHN, M.B., B.S., M.R.C.S., L.R.C.P., MILNE, JAMES, B.SC., M.B., Ch.B., D.P.M., Physician F.R.A.C.P., D.P.M., 106 Bonney Avenue, Clay- Superintendent, Hawkhead Hospital, Glasgow. field, Brisbane, Australia. An Ordinary Member since 1944. Proposed by Drs. B. J. Phillips, A. Walk, E. Slater. CASKEY, GLADYS MAY, M.B., B.Ch., B.A.O., Staff LEE, GAM POY, M.B., Ch.B., Psychiatrist, Seacliff Medical Officer, St. Luke's Hospital, Armagh, Psychiatric Hospital, Seacliff, New Zealand. N. Ireland. Proposed by Drs. M. H. De Groot, R. W. Medlicott, Proposed by Drs. J. S. Mulligan, W. A. G. W. Ironside. MacCallum, A. S. Clenaghan. LLOYD, HELEN, M.B., B.Ch., B.A.O., D.P.M-, COMMON, DAVID LANG, B.A., B.D., M.B., B.S., Assistant Medical Officer, St. Loman's Hospital, M.R.C.S., L.R.C.P., Psychotherapist, The City Mullingar, Eire. Temple Psychological Clinic, London, E.C. i. Proposed by Drs. B. Perry, G. J. Coghlan. J. D. Proposed by Drs. W. L. Neustatter, A. Torrie, Hayes. F. J. Roberts. MULCAHY, MICHAEL DONAL, M.B., M.R.C.P.I., COORE, LAWSON DAVID JONATHAN, M.B., B.S., D.P.H., D.P.M., Medical Director, Lota Hospital D.P.M., Psychiatrist, Bellevue Hospital, Kingston, for Mentally Handicapped Children, Glanmire, Jamaica, West Indies. Cork; Consultant Psychiatrist, St. Joseph's, Proposed by Drs. I. M. Stewart, D. L. Davies, Clarinbridge, Eire. A. J. Oldham. Proposed by Drs. J. D. Sullivan, Mary Sullivan, DUNLOP, JOHN MAURICE, M.B., B.Ch., Psychiatrist, A. Walk. Department of Child Psychiatry, Belfast City MURRAY, CYRIL VICTOR, M.B., D.P.H., Diploma in Hospital, Belfast, N. Ireland. Psychiatry (Toronto), Clinical Teacher, Depart- Proposed by Drs. R. J. Mcllwaine, J. C. Meenan, ment of Psychiatry, University of Toronto, Canada. G. B. Plunkett. Proposed by Professor A. B. Stokes, Drs. W. G. FERNANDO, SUMANTRA JAYANANDANA MOHANDAS, Burrows, R. Fox. M.A., M.B., B.Chir., D.P.M., Registrar, Horton PATRY, FREDERICK LORIMER, M.B., M.D., Consultant Hospital, Epsom. Psychiatrist, Manatee Memorial Hospital, Brad- Proposed by Drs. H. R. Rollin, J. H. Watkin, enton, Florida; and Veterans Administration, St. D. L. McNeill. Petersburg, Florida, U.S.A.

GIBB, IAN ANGUS MCLEAN, M.B., Ch.B., Registrar, Proposed by Drs. J. A. Sours, W. G. Burrows, , Edinburgh. R. Fox. Proposed by Drs. Sallie Gray, J. Le Gassicke, RICHMAN, ALEX, M.D. Diploma in Psychiatry J. Booth. (McGill), Assistant Professor, Department of GREENBANK, RICHARD KELLY, B.A., M.D., Assistant Psychiatry, Faculty of Medicine, University of Professor of Psychiatry, Temple University Medical British Columbia, Canada. Centre, Philadelphia, U.S.A. Proposed by Drs. E. L. Margetts, W. G. Burrows, Proposed by Drs. J. A. Koltes, W. G. Burrows, R. Fox. R. Fox. Ross, JOSIAH, B.Sc., M.B., B.Ch., Registrar, Bethlem

HAFTER, SARA SHEILA, M.D., Clinical Administrator, Royal and Maudsley ; 71 Courtlands Chestnut Lodge Sanitarium, Rockville, Maryland, Avenue, London, S.E.12. U.S.A. Proposed by Drs. R. F. Hobson, W. Warren, B. Proposed by Professor G. M. Carstairs, Drs. C. B. Davies. Kidd, H. J. Walton. SATTEN, JOSEPH, M.D., Director, Department of HAILSTONE, JOHN DONOVAN, B.Sc., M.B., B.S., Social Psychiatry, The Menninger Foundation, M.R.C.S., L.R.C.P., Psychiatrist, Middletown Topeka, Kansas, U.S.A. , Middletown, New York, U.S.A. Proposed by Drs. E. J. Anthony, W. G. Burrows, Proposed by Drs. Elizabeth Shoenberg, J. Pippard, R. Fox. A. G. Mezey. SZYRNSKI, VICTOR, Ph.D., M.D., F.R.C.P.C., HAYWARD, PAUL WILLIAM EANDLEY, M.B., Ch.B., Professor and Head, Department of Psychiatry, Registrar, , Roslin, Midlothian. School of Medicine, University of North Dakota, Proposed by Drs. A. B. Hegarty, W. M. Mason, U.S.A. W. D. Boyd. Proposed by Drs. W. G. Burrows, R. Fox, H.

KINROSS-WRIGHT, JOHN, M.A., B. M., B.Ch., M.R.C.S., Jacobs. L.R.C.P., D.P.M., Professor of Psychiatry, Baylor WOOD, JAMES FALCONER, M.B., Ch.B., Registrar, Univ. College of Medicine, Houston, Texas, U.S.A. Ross Clinic, Cornhill Road, Aberdeen. Proposed by Drs. W. Sargant, M. Partridge, Proposed by Professor W. M. Miliar, Drs. J. G. W. G. Burrows. Henderson, J. Leckie.

2 Report of Council Proceedings at the Committee. Council decided to appoint a small Special Committee to consider this matter afresh and In the absence through illness of the General make recommendations. Secretary, Dr. W. Warren read the Report of the The Papers and Discussions Committee reported Council Proceedings. that the February Meeting would be devoted to the Council met at 11 Chandos Street on 14 November. subjects of clinical trials in psychiatry and of beha- The question of merit awards was further considered viour therapy. At the May meeting in CardifF the and it was agreed that steps should be taken to make morning session would be devoted to social psychiatry the regional advisers more fully acquainted with the and the afternoon session to a discussion of the procedure they should follow. indications for and implications of drug therapy in The Finance Committee reported that the depressions. Association's registration with the local authority The Association has been invited to support the under the Charities Act, i960, had been completed; National Association for Mental Health in inviting also that a handsome legacy of about £20,000 in the World Fédération of Mental Health to hold its shares had been made to the Association by the late next Congress in London in 1968. Council agreed to Dr. R. G. Blake-Marsh. this and expressed their willingness to help in the The Editor-in-Chief said he would welcome planning of the Congress. further correspondence from members for publication Council considered a further communication from in the Journal or the Supplement. the Association's solicitors regarding minor amend- The Registrar reported a successful two-day ments to the Bye-Laws which had been proposed by Maudsley Bequest lecture course in psychology, the Privy Council. These were approved. arranged by Dr. Denis Leigh, and a recent two-day The Chairman of the Organizing Committee of the course in psychiatry for general practitioners. Sixth International Congress of Psychotherapy, 1964, The Education Committee reported that repré- reported that plans are now well advanced and that a sentatives of the Association had met représentatives second circular was about to be sent out. of the Ministry of Health to discuss the future needs The Joint Committee of the R.M.P.A. and the of psychiatrie nurse training, and also that the the new Society of Medicai Officers of Health reported that édition of the Nurses' Handbook would soon be progress is being made in the préparation of a published. Dr. Walk had been re-appointed to the memorandum on co-operation in after-care. General Nursing Council. Recommendations were made by Council for The Parliamentary Committee reported that appointments to Regional Hospital Boards and to the while the Ministry of Health had stated that there Board of Governors of the Bethlem Royal and were no plans to amend the law as to the voting Maudsley Hospitals. rights of patients in psychiatrie hospitals, the Scottish Home and Health Department on the other hand did PAPERS AND DISCUSSION consider that such amendment was needed. "THE FUTURE OF ORGANIZED PSYCHIATRY" Further facts were brought to the Committee's notice relating to the Leeds Regional Hospital (This discussion will be reported in extenso in a Board's questionnaire issued to nurses, from which it Special Supplement to be issued later this month.) appeared that this formed part of an investigation conducted by two members of the Association, and MAUDSLEY LECTURE that the co-operation of the medicai and nursing In the afternoon, Sir Geoffrey Vickers, V.C., officers had in fact been sought. delivered the thirty-eighth Maudsley Lecture entitled Council approved the interim report of the "The Psychology of Policy Making and Social Parliamentary Committee embodying its commente Change". on the Porritt Report. It was agreed that this should be sent to the constituent bodies of the Porritt In proposing the vote of thanks, PROF. DENIS HILL Committee and also circulated to all members. It was said that Sir Geoffrey Vickers had unusual qualifica- recommended that discussions should take place in tions as Maudsley Lecturer, for he combined in his the Divisions, and that in the light of these discussions person not only the mind and training of the lawyer the Parliamentary Committee should at a later date but also the knowledge and social conscience of a put forward positive recommendations on the future humanistic scientist. It must be very rare for the of the Mental Health Services. soldier-lawyer to turn social scientist and social The question of legal liability in relation to the engineer, but this was in fact what Sir Geoffrey giving of E.C.T. under anaesthesia had been discussed Vickers had done. It required a philosophical turn 3 of mind far beyond that of the common run of men, applying it to the problems of social interaction and of as well as considerable courage. policy making. The message in this lecture will reach, Prof. Hill continued : "There is no doubt about the I am sure, a far wider audience than we have in this latter, for you will know that he was awarded a hall today—indeed far wider than we psychiatrists Victoria Cross for gallantry in the First World War. can provide. Sir Geoffrey has told me that it was I don't think he can have been more than 20 at the J. Z. Young, another of our Maudsley Lecturers, who time. The pathway from soldier-lawyer to humanistic first interested him in cybernetics. Yet it must be clear scientist has been an unusual one, but I suspect that that Sir Geoffrey's thinking has ranged into fields of for Sir Geoffrey the decisions were taken during the human activity not encompassed either by the Second World War when he found himself directing engineers or the physiologists. affairs in the Ministry of Economic Warfare, or "It seems to me that this lecture is especially impor- perhaps it was on the Coal Board, of which he was tant to psychiatrists at the present time. Never before member and the legal adviser soon after the war. It has our subject changed at such a rapid rate—new must have been a major step to move from the ideas, new forms of treatment, new policies about direction of human affairs in the abstract to the study mental health are appearing each year. It is well that of how people living and working together do so we should look at and try to understand all 'appreci- happily or unhappily. ative systems'—try to determine what are the "Sir Geoffrey was one of a small group of laymen 'norms' by which we are steering, what are the who made possible the creation of the Mental Health factors which make these norms and how far off- Research Fund, and he has been the Chairman of its course we may be. Research Committee from the beginning. Those of you "At the 1958 Stress Conference at Oxford, of which who have read the reports of the various conferences Sir Geoffrey was chairman, he gave a provocative of the Fund will know that he has been no sleeping paper in which he anticipated, in miniature, the far partner. Not only has he chaired all their conferences wider-ranging thoughts which he has given us today. but he has taken an active part in debate and contri- We are indeed very grateful to him that he should buted significant papers of his own. Sir Geoffrey have made this the occasion to give them." Vickers has been a great champion of psychiatry and The vote of thanks was carried by acclamation. of psychiatric research in this country. He has been tireless in his efforts on our behalf, and I for one know Seminars that his influence behind the scenes has been very great. As the lay member of the M.R.C, during the Seminars were held on the 14 November, at the years 1952-60 he exercised continuous pressure to Wolfson School of Nursing, Westminster Hospital. bring about what can be called the break-through The subjects and speakers were as follows : into psychiatric research at the national level. "THE WESTMINSTER DAY HOSPITAL" Psychiatry has had to compete with industry for Sir Dr. Gerald Garmany Geoffrey's interest and time and he has been much in "MIGRAINE—-PSYCHOSOMATIC INVESTIGATION" demand on both sides of the Atlantic. I think on the Dr. J. S. Whiteley whole psychiatry has had its fair share of him, and we are proud to claim him now as one of our senior ANOREXIA NERVOSA—AETIOLOGY, statesmen. Hb lecture today has given us, once again, TREATMENT AND FOLLOW-UP a measure of his quality. The remarkable intellectual Dr. Peter Dally exercise which he has displayed to us today is the ABBREVIATED FORMS OF PSYCHOTHERAPY result of a scholar taking the theory of cybernetics and Dr. Anne Darquier

WINTER QUARTERLY MEETING

THE WINTER QUARTERLY MEETING was held on 13 Obituary February, 1964, at the Royal Society of Medicine, The President announced with regret the death London, under the Presidency of Professor Desmond of the following members: Curran. DARLINGTON, Arthur, B.A., M.B., B.Ch., D.P.H., Minutes D.P.M., formerly of the Mendip Hospital, Wells. The minutes of the previous meeting had not yet An Ordinary Member since 1926. been published in the Journal and were not, therefore, HEGARTY, Denis, M.B., B.Ch., B.A.O., D.P.M., signed. Acting Branch Resident Medical Superintendent

4 St. Ita's Hospital, Donabate, Co. Dublin. An BERRY, Colin, M.B., Ch.B., M.R.C.S., L.R.C.P., Ordinary Member since 1955. Registrar, Hollymoor Hospital, Northfield, Birm- MCEVOY, Fergus Bryan, M.B., B.Ch., B.A.O., ingham, 31. D.P.M., L.M., Psychiatrist, Lindville Private Proposed by Drs. H. P. Dam, A. Orwin, F. A. Mental Home, Cork, Eire. An Ordinary Member Jenner. since 1945. BROWN, James Leonard, M.D., Ch.B., M.R.C.S.,

MACGOWN, Agnes Mildred, M.B., Ch.B., L.R.C.P., Senior Medical Officer, H. M. Prison, M.R.C.P.E., D.P.M., D.C.M.S., Medical Officer, Maidstone, Kent. Ministry of Pensions and National Insurance, Proposed by Drs. H. S. Capoore, A. Norton, Norcross. An Ordinary Member since 1925. G. I. Tewfik.

MAUDSLEY, Henry Fitzgerald, M.C., M.D., F.R.C.P., BURKE, Henry Joseph, M.B., B.Ch., B.A.O., L.M., F.R.A.C.P., D.P.M., Consulting Psychiatrist, D.P.H., D.C.H., Assistant Medical Officer, St. Royal Melbourne Hospital, Australia. An Fintan's Hospital, Portlaoise, Eire. Ordinary Member since 1934. Proposed by Drs. J. J. Wilson, V. Crotty, I. W. Browne. O'MEARA, Louisa Mary, M.B., B.Ch., B.A.O., D.P.H., D.P.M., Visiting Psychiatrist, General BYARD, Janet Irene, B.A., M.B., B.Ch., B.A.O., Hospital, Jersey. An Ordinary Member since 1938. Registrar, Salford Royal Infirmary, and Hope Hospital, Manchester. RUGGLES, Arthur, Medical Superintendent, Butler Proposed by Drs. J. F. Wilde, G. Sedman, G. Hospital, Providence, R.I., U.S.A., Lecturer in Hopkinson. Psychiatry, Yale University. An Honorary Mem- ber since 1931. CAMPBELL, Archibald Angus, M.A., B.M., B.Ch., House Surgeon, Nuffield Department of Surgery, Election of Ordinary Members Radcliffe Infirmary, Oxford. Proposed by Drs. F. Letemendia, R. G. Mclnnes, The following were elected to Ordinary Member- B. M. Mandelbrote. ship: COHEN, Vivienne, M.B., B.S., M.R.C.S., L.R.C.P., AHMED, Aftab, M.B., B.S., Senior House Officer, Clinical Assistant, Maudsley Hospital, Denmark Pen-y-val Hospital, Abergavenny, Mon. Hill, S.E.5. Proposed by Drs. W. T. Wales, W. D. C. Thomas, Proposed by Drs. S. I. Cohen, S. L. Last, M. D. I. M. Davies. Eilenberg. CRISANTO, Carlos Alberto, M.D., Registrar, Hender- COONEY, John Gabriel, M.B., B.Ch., B.A.O., son Hospital, Brighton Road, Sutton, Surrey. D.P.M., D.P.H., D.C.H., Medical Director, Proposed by Drs. F. H. Taylor, A. S. Thorley, Subnormality Services of Sisters of Charity of J. R. Rees. St. Vincent de Paul; Consultant Psychiatrist, AMINOFF, Jack, M.R.C.S., L.R.C.P., Medical Officer, St. Patrick's Hospital, James's Street, Dublin. Roffey Park Rehabilitation Centre, Horsham, Proposed by Drs. D. J. Doorly, J. N. P. Moore, Sussex. J. FitzGerald. Proposed by Drs. E. L. N. S. Sack, L. J. Davies, J. T. Robinson. COPAS, Desmond Edward, B.Sc., M.B., B.Ch., Assistant Psychiatrist, St. Cadoc's Hospital, BALL, Dorothy Joan, M.B., B.S., D.R.C.O.G., Caerleon, Mon. Registrar, Fulbourn Hospital, Cambridge. Proposed by Drs. G. M. King, J. M. Hughes, Proposed by Drs. B. B. Zeidyn, E. G. Oram, K. T. S. Davis. Myers. BARCLAY, Percival James, M.B., B.S., M.R.C.S., CRONIN, Denis Patrick, L.R.C.P.I., L.R.C.S.I., L.R.C.P., General Practitioner, 9 The Knowle, L.M., D.P.M., Consultant Psychiatrist, Warley Basildon, Essex. Hospital, Brentwood, Essex. Proposed by Drs. R. E. Mackie, I. Herzberg, Proposed by Drs. G. C. Heller, C. P. B. Brook, D. D. Prothero. R. V. Berry. BEDI, Kulwant Singh R., B.Sc., M.B., B.S., DAY, Kenneth Arthur, M.B., Ch.B., Senior House M.R.C.P.E., D.C.H., D.P.M., Registrar, Powick Officer, Barrow Hospital, Barrow Gurney, near Hospital, Worcester. Bristol. Proposed by Drs. J. D. Currie, Una Batt, I. E. I. Proposed by Drs. R. E. Hemphill, P. K. G. Williams. Warren, R. L. Bird. 5 DODDS, Angus, M.B., Ch.B., M.R.A.C.P., Senior HENDERSON, Mary Kirkhope Pullar, M.B., Ch.B., Registrar, Crichton Royal Hospital, . D.P.M., Medical Officer, Glasgow Royal Mental Proposed by Drs. R. A. Robinson, J. P. Quaife, Hospital, Glasgow. A. C. Tait. Proposed by Drs. W. McClatchey, J. Moffat, D'ORBAN, Paul Theodore, M.B., Ch.B., D.P.M., S. Levine. Medical Officer, Bellevue Hospital, Kingston, HEWETT-CLARKE, Anthony Hugh Rowland, M.A., Jamaica. L.M.S.S.A., Junior Medical Officer, Cane Hill Proposed by Drs. I. McL. Stewart, K. C. Royes, Hospital, Coulsdon, Surrey. L. D.J. Coore. Proposed by Drs. J. T. Hutchinson, E. Roderic- DUBOURG, Gordon Osborne, M.B., Ch.B., D.P.M., Evans, D. Smedberg. Senior Registrar, Exe Vale Hospital, Exeter, HOOPER, Margaret Ann, M.B., B.S., Senior House Devon. Officer, Warneford Hospital, Oxford. Proposed by Drs. L. Couper, J. Scott, R. J. Mules. Proposed by Dr. R. G. Mclnnes, Prof. D. Curran, EDMONDSON, John Stuart, M.B., Ch.B., D.Obst. Dr. E. Slater. R.C.O.G., Registrar, Mapperley Hospital, Not- HORSLEY, John Stephen, M.R.C.S., L.R.C.P., tingham. Consultant in Social Psychiatry, Public Health Proposed by Drs. C. Rose, W. L. Jones, D. Department, Sheffield. Macmillan. Proposed by Drs. A. Walk, F. T. Thorpe, F. J. S. Esher. ELBIRLIK, Kemal H., M.D., Director, Francis Lapé Hospital, Istanbul, Turkey. KAZAMLAS, Nicholas G., M.D.(Athens), Registrar, Proposed by Drs. Jeanne L. Hertzog, E. Slater, Runwell Hospital, Wickford, Essex. A. Walk. Proposed by Drs. R. Ström-Olsen, I. A. Cameron, G. E. Langley. ELLIS, Mary Jenny Lake, M.B., B.S., M.R.C.S., L.R.C.P., Junior Medical Officer, Powick Hospital, LIAKOS, Aris, M.D.(Athens), Senior House Officer, Worcester. Runwell Hospital, Wickford, Essex. Proposed by Drs. R. A. Sandison, J. D. A. Proposed by Drs. G. D. Fraser Steele, A. A. Whitelaw, Eileen M. Whitelaw. Robin, H. W. Liddell. LOUGHRAN, John Morris, M.B., Ch.B., D.P.M., Fox, Audrey Vera, M.B., Ch.B., Junior Medical Gogarburn Hospital, Edinburgh 12. Officer, Stoke Park Hospital, Stapleton, Bristol. Proposed by Drs. R. Bailey, R. C. MacGillivray, Proposed by Drs. W. A. Heaton-Ward, J. Janear, J. Campbell. D. F. Early. MCGREGOR, Fiona Mary, M.B., Ch.B., Registrar, FREEMAN, Adam Roger Mark, M.A., B.M., B.Ch., Park Prewett Hospital, Basingstoke, Hants. D.Obst. R.C.O.G., Registrar, Littlemore Hospital, Proposed by Drs. N. Copeland, G. C. Heller, Oxford. R. V. Berry. Proposed by Drs. B. M. Mandelbrote, H. S. J. Mansbridge, J. Baden-Daintree. MCKNIGHT, Aubrey Lionel, M.B., Ch.B., T.D.D., Registrar, Litdemore Hospital, Oxford. GOORNEY, Anthony Bryan, B.Sc., M.B., Ch.B., Proposed by Drs. B. M. Mandelbrote, J. Baden- D.I.H., Wing Commander, R.A.F., 621 Park Daintree, N. D. G. Best. West, London, W.2. Proposed by Drs. P. O.Connor, E. Slater, A. MAAN, Shamsher Singh, M.B., B.S.(Lucknow), Walk. Junior Medical Officer, Middlewood Hospital, Sheffield. GRAHAM, Philip Jeremy, M.B., B.Chir., M.R.C.P., Registrar, Maudsley Hospital, Denmark Hill, Proposed by Prof. E. Stengel, Drs. W. L. Tonge, S.E.5. F.J. S. Esher. Proposed by Drs. J. Dominian, M. J. Pritchard, MELLETT, Peter George, M.B., B.S., Registrar, J. L. T. Birley. Netherne Hospital, Coulsdon, Surrey. Proposed by Drs. D. Hill, E. F. Carr, W. M. HAFEEZ, Q.. M. S., M.B., B.S.(Dacca), Psychiatrist, Mclntyre. Pakistan Air Force Instructor, Aero-Medical Institute, Mauripur, Karachi-13. MULVANY, Barry Joseph, M.B., B.S., D.P.M., Junior Proposed by Drs. J. M. A. Habib, I. Husain, Medical Officer, Rampton Hospital, Retford, M. Ashraf. Notts. 6 Proposed by Drs. D. R. K. Street, L. J. Segal, Proposed by Drs. D. C. Watt, I. A. Horton, A.J. I. Dacre. L.J. Glancy. MURPHY, George Earl, B.S., M.D., Assistant Pro- TISCHLER, Salo, M.A., M.R.C.S., L.R.C.P., D.P.M., fessor of Psychiatry, Washington University School Consultant Psychiatrist, Cassel Hospital, and of Medicine; Assistant Psychiatrist, Barnes and "High Wick", St. Albans; 50 Cassiobury Drive, Renard Hospitals; 4940 Audubon Avenue, St. Watford, Herts. Louis 10, Missouri, U.S.A. Proposed by Drs. R. F. Tredgold, D. A. Pond, Proposed by Drs. D. Davis, W. G. Burrows, R. H. H. Wolff. Fox. TOBERT, Alexandra, M.B., B.S., D.C.H., Far Leys, OGDEN, Alan Hugh, M.B., Ch.B., Senior House Southwell, Notts. Officer, Glenside Hospital, Bristol. Proposed by Drs. T. A. Ratcliffe, E. Arkle, B. Proposed by Drs. D. F. Early, J. A. Morphew, Barnett. R. V. Magnus. VARLEY, John Eric, M.A., M.R.C.P., D.P.M., PASMORE, Jean, M.R.C.S., L.R.C.P., Junior Medical Senior Registrar, Maudsley Hospital, Denmark Officer, Cassel Hospital; Medical Officer, Family Hill, S.E.5. Planning Clinic for Marital Problems, 21 Edwardes Square, London, W.8. Proposed by Drs. W. Warren, K. L. Granville- Proposed by Drs. A. Brook, A. R. Wilson, B. Grossman, O. W. Hill. Andratschke. WARBURTON, John Worrall, M.B., Ch.B., D.P.M., PUZANTIAN, Vahe Roupen, B.A., M.D., D.P.M., Senior Registrar, Powick Hospital, Worcester. Senior Psychiatrist, Lebanon Hospital, Beirut. Proposed by Drs. P. Hall, M. Harper, Una Batt. Proposed by Drs. F. J. Fish, W. F. S. Kiernan, WARREN, George St. Leger, M.D., D.P.H., Registrar, Prof. G. M. Carstairs. Tara Hospital, Box 13, Saxonwold, Johannesburg. RIVERS, Nigel, M.R.C.S., L.R.C.P., L.M.S.S.A., Proposed by Drs. D. Wynberg, O. W. Hill, C. M. Junior Medical Officer, Naburn Hospital, York. Tonks. Proposed by Drs. F. A. Bleaden, J. H. Price, A. WHARTON, Brian Kenneth, M.R.C.S., L.R.C.P., Walk. D.P.M., Senior Neuro-Psychiatrist, R.A.F. Cos- SEATON, Philip Herbert, M.A., M.B., B.Ch., Senior ford, near Wolverhampton, Staffs. Medical Officer, Highcroft Hospital, Erdington, Proposed by Drs. P. J. O'Connor, D. N. Johnstone, Birmingham. J. C. Jenkins. Proposed by Drs. E. Jacoby, D. Anton-Stephens, C. D. Neal. WHYBROW, Peter Charles, M.B., B.S., M.R.C.S., L.R.C.P., Senior House Officer, Department of SHAMMAS, Elia, M.B., Ch.B., D.T.M. & H., Registrar, Psychological Medicine, University College Hospi- St. Wulstan's Hospital, Malvern, Worcs. tal, W.C.i. Proposed by Drs. R. Morgan, P. J. F. Walsh, Proposed by Drs. E. W. Dunkley, A. Walk, W. H. E. Haas. Warren. SILVERSTONE, Julian Trevor, M.A., B.M., B.Ch., M.R.C.P., Registrar, Maudsley Hospital, Den- WOOD, Elizabeth Cowan, M.B., Ch.B., Medical mark Hill, S.E.5. Officer, Rubery Hill Hospital; Research Assistant, Proposed by Drs. D. H. Bennett, E. Moran, Dept. of Paediatrics, Birmingham Children's J. L. T. Birley. Hospital; 119 Selly Park Avenue, Birmingham, 29. Proposed by Drs. J. R. Mathers, C. Entwistle, SIPPERT, Alan, M.B., Ch.B., D.P.H., Assistant R. A. Lambourne. Senior Medical Officer, Leeds Regional Hospital Board, 10 Beckwith Crescent, Harrogate. Proposed by Drs. W. A. L. Bowen, H. Warren, Election of Associate Members G. A. Dransfield. The following candidates were elected to Associate SMITH, Colin Rees, M.B., B.S., Senior House Officer, Membership. Moorhaven Hospital, Ivybridge, Devon. Proposed by Drs. F. E. Pilkington, J. M. Gilroy, BLAKEMORE, Colin Bayston, B.Sc., Dip.Psychol., K. F. Weeks. Lecturer in Psychology, Institute of Psychiatry, TAYLOR, Terence Charles, M.B., B.S., M.R.C.S., Maudsley Hospital, London, S.E.5. L.R.C.P., Senior House Officer, St. John's Proposed by Drs. Denis Leigh, E. Serafetinides, Hospital, Stone, Aylesbury, Bucks. J. Dominian.

7 FRANSELLA, Fay Adeh Rachel, B.A., Dip.Psychol., satisfactory financial position the subscription to Assistant Lecturer in Psychology, Institute of the Journal for non-membere should not be raised Psychiatry, Maudsley Hospital, London, S.E.5. for one year. Proposed by Drs. H. R. Rollin, J. A. M. Wilkinson, "The Registrar reported a successful series of J. H. Watkin. Maudsley Bequest lectures. REIMAN, Susanne, B.A., Dip.Psychol., Senior Clinical "Council approved the memoranda on the Psychologist, The London Hospital, 8 St. Simon's Training of Occupational Therapists and on the Avenue, S.W. 15. Training of Ambulance Staff submitted by the Edu- Proposed by Drs. S. L. Last, G. A. Heasman, cation Committee. The Education Committee M. D. Eilenberg. reported on the position regarding enrolled nurses; it has not been possible to include in the Bill now before Report of Council Proceedings Parliament any provision for a separate Roll for enrolled nurses from psychiatrie hospitals, although Dr. Monro read the following report of the the training will be substantially différent for proceedings of the meeting of Council held on psychiatrie nurses and those in the general field. 12 February : "Council agreed to the recommendation of the "At its meeting yesterday afternoon Council noted Parliamentary Committee that further urgent that the draft amended Bye-Laws had been approved représentations should be made to the Ministry by the Privy Council, and these are being printed on the subject of the pay of clinical psychologists for distribution to members. in the Health Service. The Parliamentary Com- "Council unanimously decided that the postal mittee also considered the salary scales of psychiatrie ballot on the Future of Organised Psychiatry should social workers. It seemed that local authorities were be held in the middle of May. This date would paying more than the Health Service by appointing allow time for a second ballot to be held, if necessary, social workers in administrative, professional and and the results analysed before the Annual Meeting technical grades. It was decided as a first step to in July. The form of ballot paper devised by the approach the Association of Psychiatric Social Special Committee was approved with minor Workers to ascertain the facts. amendments. Drs. Isabel Wilson and L. C. Cook "Attention was drawn to the policy of the Ministry were appointed to be scrutineers for the ballot, with in counting beds occupied by patients on leave as the assistance of the office staff. Council wishes to empty beds. Council approved that the Ministry emphasize that the ballot will be completely con- should be pressed to discontinue this policy as it fidential and that papers will not be seen by anyone resulted in a false picture being given of bed occu- other than the scrutineers and the office staff. pancy. Further criticisms had been received of Results will almost certainly be analysed by means Section 30 (2) of the Mental Health Act, and Council of a punch-card technique and when the ballot agreed that the Ministry should be approached is complete the papere will be destroyed. to take steps to amend this Section to enable action "The General Secretary reported that all bodies under it to be taken by someone other than the nominating members to the Joint Consultants responsible médical officer in pereon. Committee had been approached, and a separate "The Papere and Discussions Committee reported approach had been made direct to the Joint Con- that at the May meeting at Cardiff the one session sultants Committee itself asking that the R.M.P.A. would be devoted to a discussion of the indications should have the right to nominate a member. for, and side effects of drug treatment of dépres- "Council agreed that for a six months trial period sion, and the other session to aspects of social the R.M.P.A. should share the services of a Public psychiatry. At the Annual Meeting in July, Pro- Relations Officer with the National Association for fessor Stokes had agreed to give a lecture on periodic Mental Health. psychoses. "Council approved the report of the Treasurer and "Council approved in principle the proposai the draft accounts for 1963, which showed that the received from the American Psychiatric Association Association is in a satisfactory financial position. to hold a joint meeting in this country in May, 1965. Increases in the salaries of the office staff were agreed It was hoped that the meeting would be held in to. Edinburgh, and the officere were authorized to "The Editor-in-Chief reported that the Journal proceed with practical arrangements. had made a profit. Council approved his recom- "Council approved the Report on Social Studies mendation that from January 1965 the Journal prepared by the Psychotherapy and Social Psychi- should be published monthly, and in view of the atry Section for the Heyworth Committee. 8 "The Royal College of Physicians of London had "Controlied Trials in Psychiatry" asked the Association to provide them with the Dr. R. H. Cawley names of members whom the College could nominate Professor M. Weatherall as their représentatives on Regional Appointaient Dr. B. W. Cronie Committees for consultant and senior posts. Coun- cil agreed to ask the Divisions to undertake Seminare were held at the London Hospital as this." follows :

"AN INVESTIGATION INTO SOME FUNCTIONS OF A DR. J. G. HOWELLS asked whether the décision PSYCHIATRIC DEPARTMENT IN A TEACHING to hold the ballot in May was taken in order that HOSPITAL" members might be made aware of developments Dr. Martin French. under discussion in another body. The President said that this was a somewhat over-simplified "PSYCHIATRIC PROBLEMS IN CARDIAC SURGERY" Statement of the case. Dr. Howells said that he Dr. Samuel I. Cohen. thought some members would be dissatisfied with "PSYCHIATRIC ASPECTS OF COSMETIC SURGERY" this delay. Dr. P. H. Tooley. "PSYCHIATRIC INDICATIONS OF THERAPEUTIC The following papers were read: ABORTION" Dr. G. A. Heasman "Behaviour Therapy" Dr. S. L. Last. Mr. H. Gwynne Jones Sectìon Meetings were held at 11 Chandos Street Dr. M. G. Gelder and at the Insti tute of Psychiatry, and there was a Dr. J. E. Cooper film show at the Royal Society of Medicine.

SOUTH-EASTERN DIVISION

THE SPRING DIVISIONAL MEETING was held at as possible, and this included what was to her an Bexley Hospital, Bexley, Kent, on Tuesday, 9 April, important and pleasurable duty, viz., attending 1963, by kind permission of the Hospital Manage- Divisional Meetings. She was very happy that she ment Committee and of Dr. M. Radzan, Physician had been able to get to Bexley that day. She wished Superintendent, and his medical colleagues. the Chairman, the officers and the members well. Members of the Association were received by She then vacated the Chair in favour of Dr. Ström members of the medical staff of the Hospital, Olsen. and parties were conducted round the wards of the The Secretary gave the report of the Meeting Hospital and the departments. of the Divisional Committee of Management held There was a large gathering at lunch, which that morning. included the Président, Dr. Isabel Wilson. The Chairman of the Hospital Management Committee, Election of Officers : Alderman MacLean, cordially welcomed the visitors In accordance with the Bye-Laws the Division and their Président. He referred to the particular elected the following: honour his Hospital had received when Dr. L. C. Chairman .. .. Dr. Rolf Ström Olsen Cook was Président a few yeare back. Dr. Strôm Olsen responded on behalf of the Division, and Dr. Secretary . . Dr. S. W. Hardwick Isabel Wilson added her personal thanks for the Assistant Secretary . . Dr. A.J. Oldham warm welcome of the Bexley Hospital Management Junior Representative Committee and medical staff. on Council . . Dr. D. G. Cooper

Meeting Election of Divisional Committee of Management: Dr. Isabel Wilson, President, took the Chair. In accordance with the Bye-Laws the following In a brief speech she said that during her year of were elected in replacement of retiring members: office she had done her best to participate as fully Drs. Sawle Thomas, A. Shapiro, S. L. Last, A. Folkson as she could in as many activities of the Association G. H. Collins, A. D. Isaacs.

9 Election of Ordinary Members. Proposed by Drs. W. G. Burrows, A. H. Crisp. J. M. Hinton. The following were unanimously elected : JOHNSON, Robert Alfred, B.A., M.B., B.Chir., BHATTACHARYA, Ashutosh, M.B., B.S.(Calcutta), M.R.C.S., L.R.C.P., Senior House Officer, D.P.M., Registrar, Belmont Hospital, Sutton, Claybury Hospital, Woodford Bridge, Essex. Surrey. Proposed by Drs. E. Shoenberg, D. V. Martin, Proposed by Drs. William Sargant, E. D. West, N. D. G. Best. C. M. Stewart. KABIR, Mohammed Ahmed, M.B., B.S.(Pakistan), BLAND, James Stewart, B.A., M.B., B.Chir., M.R.C.S., Registrar, Holloway Sanatorium, Virginia Water, L.R.C.P., D.P.M., Senior Registrar, Graylingwell Surrey. Hospital, Chichester, Sussex. Proposed by Dis. C. R. Harris, J. A. Irwin, Proposed by Drs. J. Towers, P. Sainsbury, S. M. Nugent. N. Kreitman. KIRBY, Christine, M.B., B.S., M.R.C.S., L.R.C.P., BOYLAN, Terence Moore, M.B., B.Ch., B.A.O., L.M., Registrar, St. Francis Hospital, Haywards Heath, D.R.C.O.G., D.C.H., D.P.H., 23 Stockleigh Hall, Sussex. Prince Albert Road, London, N.W.8. Proposed by Drs. Mary Sullivan, R. H. Wheeler, Proposed by Drs. Denis Leigh, Isabel Wilson, A. Folkson. A. Walk.

CHAPPLE, Peter Arbuthnot Lane, M.B., Ch.B., LOMAX-SIMPSON, Josephine, M.B., Ch.B., D.P.M., Registrar, Cane Hill Hospital, Coulsdon, Surrey. Psychiatrist, London County Council; Psycho- Proposed by Drs. J. T. Hutchinson, E. Roderic- therapist, South London Hospital for Women. Evans, H. Dale Beckett. Proposed by Drs. J. Bierer, E. K. Ledermann, A. Walk. EKINS, Barry, M.B., B.S., M.R.C.S., L.R.C.P., D.P.M., Junior Medical Officer, Brookwood MACKENZIE, Murdo, M.D., M.R.C.P., 72 Harley Hospital, Knaphill, Woking, Surrey. Street, London, W.i. Proposed by Drs. J. M. Frew, D. C. Dowar, Proposed by Drs. Denis Leigh, D. L. Davies, J. Garai. J. P. Dewsbery.

GOSLING, Robert Howard, B.Sc., M.D. (Birmingham), MCLEAN, Jean Fleming, M.B., Ch.B., Senior House M.D.(Cornell), D.P.M., Consultant Psychiatrist, Officer, Claybury Hospital, Woodford Bridge, Tavistock Clinic, 2 Beaumont Street, London, Essex. W.i. Proposed by Drs. A. G. Mezey, D. V. Martin, Proposed by Drs. J. D. Sutherland, H. Ezriel, D. F. Craggs. H. V. Dicks. MALIK, Sammy Mokhtar Abdel, M.B., B.Ch.(Cairo), GRANVILLE-GROSSMAN, Kenneth Lawrence, M.B., D.P.M., Registrar, Brookwood Hospital, Knaphill, B.S., M.R.C.P., D.P.M., Senior Registrar, Mauds- Woking, Surrey. ley Hospital, Denmark Hill, London, S.E.5. Proposed by Drs. D. C. Dewar, J. Garai, P. I. M. Proposed by Drs. P. B. Storey, E. Moran, M. J. Winn. Pritchard. MARTINUS, Hettiarachchige Don George, M.B., HAYWORTH, Alan, M.A., M.B., B.Chir., D.Obst. B.S.(Ceylon), 40 Leinster Gardens, London, W.2. R.C.O.G., The Bermondsey Settlement, Bevington Proposed by Drs. H. S. Capoore, A. Okasha, Street, London, S.E. 16. G. I. Tewfik. Proposed by Drs. P. D. Scott, P. B. Storey, MELDRUM, Brian Stuart, M.A., M.B., B.Chir., P. B. Whatmore. Hon. Research Assistant, Department of Physio- HEMSI, Leon Keen, M.B., Ch.B., M.R.C.P., logy, University College, London. Registrar, Bethlem Royal and Maudsley Hospitals ; Proposed by Drs. D. Richter, J. W. T. Redfearn, 105 Monks Orchard Road, Beckenham, Kent. B. Mallett. Proposed by Drs. F. E. Kenyon, W. O. McCormick, MIROPOULOU, Maria, M.D.(Athens), Senior House D. F. Scott. Officer, St. Clement's Hospital, Bow Road, HESELTINE, Gilbert Francis Dibden, B.A.,L.M.S.S.A., London, E.3. L.M.C.C., Clinical Assistant, The Middlesex Proposed by Drs. A. B. Monro, J. J. Cockburn, Hospital, London, W. 1. B. M. N. Pitt. MOORE, Norah, M.B., B.S., Clinical Assistant, Autumn 1963; St. John's, Stone, Aylesbury, Spring Bethlem Royal and Maudsley Hospitals; 7 Weald 1964; Leavesden Hospital, Autumn 1964. Way, Gaterham, Surrey. Dr. Gordon E. Langley was nominated as the Proposed by Drs. B. Davies, W. Warren, W. O. Divisional Representative on the Psychotherapy and McCormick. Social Psychiatry Section. PALMER, Leslie La Monte, B.Sc., M.D., Medical Officer, National Health and Welfare (Canada), The following papers were then delivered:— 38 Grosvenor Street, London, W.i. (a) "Haloperidol, A Controlled Trial", by Dr. A. Proposed by Drs. W. G. Burrows, R. Fox. E. Okasha and Dr. G. Tewfik. Read by Dr. Okasha. Slater. (b) "G.P. Study on Psychiatric Morbidity", by PRATT, Richard Thomas Charles, D.M., M.R.C.P., Dr. G. K. Shaw. D.P.M., Physician in Psychological Medicine, National Hospital, Queen Square, W.C. 1. (c) "An Experiment in Group Deconditioning of Proposed by Drs. E. Slater, K. Davison, R. Agoraphobics", by Dr. M. Radzan and Dr. D. Hunter. Bannister. Read by Dr. Bannister. REEVES, Robert Walter Kingham, M.B., B.S., These papers were received with considerable Registrar, Hellingly Hospital, Hailsham, Sussex. interest and provoked a lively and stimulating Proposed by Drs. D. Rice, R. Maggs, H. B. N. discussion. Jennings. The proceedings ended when Dr. Strom-Olsen, on behalf of the Division, thanked Dr. Radzan and ROBERTS, Gwen Elias, M.B., B.Ch., D.P.M., Research his colleagues for providing such an interesting day Fellow, Department Organic Research, Hospital and for the generous hospitality. for Sick Children, Great Ormond Street, W.C.i. Proposed by Drs. J. P. Spillane, D. Lewis, A. Caps tick. THE AUTUMN DIVISIONAL MEETING was held at SETHNA, Edulji Rustamji, M.B., B.S.(Bombay)., Claybury Hospital, Woodford Bridge, Essex, on M.R.C.P., D.T.M. & H., Registrar, St. Francis Wednesday, 16 October, 1963, by kind permission Hospital, Haywards Heath, Sussex. of the Hospital Management Committee and of Dr. D. V. Martin, Physician Superintendent, and his Proposed by Drs. J. S. Stead, S. Jacobson, A. medical colleagues. Folkson. In the morning, members were conducted round SHAW, George Kynoch McGregor, M.B., Ch.B., the Hospital by members of the medical or nursing D.P.M., Locum Senior Medical Officer, Bexley staff. Hospital, Bexley, Kent. At lunch the Chairman of the Hospital Manage- Proposed by Drs. M. Radzan, D. M. Leiberman, ment Committee, Mr. F. T. Baldock, M.B.E., J.P., A. Norton. extended a cordial welcome to the visitors. Dr. R. TRICK, Kerith Lloyd Kinsey, M.B., B.S., L.R.C.P., Stróm Olsen, in reply, referred to Claybury as one of M.R.C.S., Registrar, Hellingly Hospital, Hailsham, the "big five" in the past history of psychiatry in this Sussex. country. The ñames of famous psychiatrists of the Proposed by Drs. R. Maggs, H. B. N. Jennings, past—Sir Frederick Mott, Sir Hubert Bond and A. Milne. Dr. Shaw Bolton were associated with its pioneering TURQUET, Pierre Maurice, M.A., M.R.C.S., L.R.C.P., days. It was clear from the visit today that the same D.P.M., Consultant, Tavistock Clinic and Tavis- initiative and enterprising spirit was present at the tock Institute of Human Relations; 4 Phillimore present time. Place, London, W.8. The Secretary gave the report of the Meeting of Proposed by Drs. T. F. Main, M. Pines, B. the Divisional Committee of Management held that Andratschke. morning. Future meetings had been fixed for St. WARTNABY, Kathleen May, M.B., B.S., M.R.C.P., John's Hospital, Aylesbury, for the Spring of 1964. Registrar, Bethlem Royal and Maudsley Hospitals; and at Leavesden for the Autumn of 1964. 14 St. Thomas Gardens, London, N.W.5. The Divisional Committee proposed that the Proposed by Drs. W. Linford Rees, B. Davies, following recommendations should be made to W. O. McCormick. Council: that Dr. J. V. Morris, due to retire from the East Anglian Board, should be renominated; that The Secretary reported that future meetings had Dr. J. B. S. Lewis, due to retire from the North-West been provisionally arranged as follows:—Claybury, Metropolitan Regional Hospital Board, should be renominated. In place of the late Dr. T. P. Rees, Proposed by Drs. D. H. Bennett, L. J. T. Birley, two names were put forward for the South-West E. Moran. Metropolitan Board: (i) Dr. A. A. Baker of Banstead JAIN, Virendra Kumar, M.Sc., M.B., B.S., Registrar, and (a) Dr. Hutchison of Cane Hill, in that order of St. Clement's Hospital, Ipswich. priority, intimating that if Dr. Baker was not avail- Proposed by Drs. J. V. Fennell, J. Sherliker, able, Dr. Hutchison's name go forward. The Meeting J. K. Marshall. endorsed these recommendations. KLASSNIK, Benjamin, M.B., B.Ch., Assistant Medical Election of Ordinary Members. Officer, Middlesex County Council. Proposed by Drs. R. C. Greenberg, W. A. Heaton- The following were elected to Ordinary Member- Ward, J. T. R. Bavin. ship: MACRAE, Carey Gordon, B.Sc., M.D., L.M.C.C., BARRACLOUGH, Brian Manson, M.B., Ch.B., Medical Officer, Department of National Health M.R.A.C.P., Registrar, Maudsley Hospital, Den- and Welfare (Canada), 38 Grosvenor Street, W.i. mark Hill, S.E.5. Proposed by Drs. W. G. Burrows, L. L. Palmer, Proposed by Drs. R. Levy, E. Moran, B. G. Adams. R. Fox. BRUCE, Joan Tugwell, M.B., B.S., M.R.C.P., D.P.M., Senior Registrar, Maudsley Hospital, Denmark O'CONNOR, Patrick Joseph, O.B.E., M.D., Hill, S.E.5. F.R.C.P.E., D.P.M., Principal Specialist in Proposed by Drs. G. F. M. Russell, F. Post, Neuropsychiatry, R.A.F., Kelvin House, Cleveland F. E. Kenyon. Street, W.i. Proposed by Drs. A. M. MacLeod, D. N. John- BULLEN, Hilda Elizabeth, M.B., Ch.B., M.R.C.S., stone, J. C. Jenkins. L.R.C.P., Psychiatrist-in-Charge, Horncastle Co- educational School, Horncastle, East Grinstead, PALMAI, George, B.Sc., M.B., B.S., D.T.M. & H., Sussex. Senior House Officer, Maudsley Hospital, Denmark Proposed by Drs. Eva Frommer, Mildred Creak, Hill, S.E.5. I. S. Berg. Proposed by Drs. W. Linford Rees, B. Davies, H. G. S. Sergeant. CONRAN, Michael Bernard, M.B., B.S., Senior House Officer, Shenley Hospital, near St. Albans, Herts. PARKER, Anthony Leonard, M.B., Ch.B., D.P.M., Proposed by Drs. J. Macintyre, L. C. Kreeger, Senior Registrar, St. George's Hospital, S.W. 1. D. G. Cooper. Proposed by Professor D. Curran, Drs. B. A. O'Connell, I. L. MacDonald. CORBETT, John Anthony, M.B., B.S., M.R.C.P., Registrar, St. George's Hospital, S.W.i. PEARCE, James Frederick, B.Sc., M.B., B.S., D.P.M., Proposed by Drs. P. Hays, G. F. Gorman, M. F. Registrar, Maudsley Hospital, Denmark Hill, A'Brook. S.E.5. EL-TOMI, Ahmed Abd El-Halim, M.B., B.Ch., Proposed by Drs. W. Warren, B. Davies, C. D.P.M., Registrar, Severalls Hospital, Colchester, McDonald. Essex. PEARCE, Keith Ian, M.D., M.R.C.S., L.R.C.P. Proposed by Drs. Russell Barton, L. C. Hurst, L.M.C.C., Visiting Worker, M.R.C. Clinical J. W. Weston. Psychiatry Unit, Graylingwell Hospital, Chichester, GILLAN, Richard Urquhart, M.B., Ch.B., M.R.C.P., Sussex. D.P.M., Senior Registrar, Bethlem Royal and Proposed by Drs. N. Kreitman, P. Sainsbury, Maudsley Hospitals. J. Powers. Proposed by Drs. J. G. Hamilton, B. Davies, RICHMAN, Naomi Shirley, M.A., B.M., B.Ch., E. H. Hare. D.P.M., Registrar, Bethlem Royal and Maudsley HARLEY, John Alfred, M.B., B.S., M.R.A.C.P., Hospitals. Senior House Officer, Bethlem Royal and Mauds- Proposed by Drs. W. Warren, R. F. Hobson, ley Hospitals. O. W. Hill. Proposed by Drs. G. W. Hill, E. Moran, K. L. RICHMOND, Peter William, M.B., Ch.B., M.R.C.P., Granville-Grossman. D.P.M., Senior Registrar, St. George's Hospital, HELLER, Michael David Arthur, M.B., B.S., S.W.i. M.R.C.P., D.P.M., Senior Registrar, Bethlem Proposed by Drs. P. Hays, M. F. A'Brook, G. F. Royal and Maudsley Hospitals. Gorman.

12 Ross, Oswald, M.B., B.Ch., B.A.O., D.Obst.R.C.O.G. The following papers were then read: Clinical Assistant in Psychiatry, Harlow Hospital, (a) "Problems in the Organization of the Treat- Harlow, Essex. ment of Psychoneurotics", by Dr. D. V. Proposed by Drs. J. C. Sawle Thomas, Eva Waller, Martin. A. Walk. (b) "An Investigation into the Effects of the SHULMAN, Ralph, M.B., Ch.B., M.R.G.P.E., Treatment of Chronic Neurosis in a Thera- M.R.C.P.G., Registrar, Maudsley Hospital, Den- peutic Community Unit", by Mr. T. M. Caine, mark Hill, S.E.5. Principal Psychologist. In his paper, Dr. Martin described the develop- Proposed by Drs. P. D. Scott, D. F. Scott, E. ment of a neurosis unit based on therapeutic com- Moran. munity principles. The evolution of this unit over SMYTH, Henry Gerard, M.B., B.Ch., B.A.O., seven years was briefly outlined and the present social D.P.M., Medical Superintendent, Bromham structure given in some detail. The present situation Hospital, near Bedford. regarding the training of junior doctors in psycho- therapy was described, and the features distinguishing Proposed by Drs. R. Payne, J. V. Morris, J. M. this neurosis unit from individual or group psycho- O'Callaghan. therapy were mentioned. SNOWDON, Brian Armstrong, M.B., Ch.B., Registrar, Mr. Caine, in his paper, described tests measuring Bethlem Royal and Maudsley Hospitals. various levels of psychological functioning, and related Proposed by Drs. W. V. Wadsworth, J. L. T. test score changes to improvement accompanying Birley, B. Davies. treatment in the therapeutic community. The success rate at follow-up was reported at 74 per cent., and TAITT, Norace Reginald, M.D., Registrar, Leavesden certain predictors were described whose use would Hospital, Abbots Langley, near Watford, Herts. improve this figure and point to those patients requir- Proposed by Drs. E. W. Shepherd, W. W. ing more intensive investigation, Campbell, G. Scott. In the discussion which followed, several members took part, including Drs. Crockett, Heller, Greenberg, WOOSTER, Edgar Gerald, B.A., M.B., B.Chir., Maggs and Hunter. M.R.C.P., D.P.M., Registrar, Maudsley Hospital, The proceedings concluded after Dr. K. K. Drury, Denmark Hill, S.E.5. a Past President of the Association had proposed a Proposed by Drs. N. H. Rathod, R. Levy, vote of thanks to Dr. Martin and his colleagues for F. E. Kenyon. all they had done to ensure such a successful meeting.

NORTHERN AND MIDLAND DIVISION

THE SPRING MEETING of the Northern and Midland The Divisional Committee of Management Division was held at High Royds Hospital (formerly reported that the next meeting of the Division Menston Hospital), Menston, Ilkley, on Thursday, would be held on 17 October at Sheffield, and 28 March, 1963, by kind invitation of the Hospital Professor Stengel had kindly offered to make the Management Committee and the Medical Director, necessary arrangements. Dr. Robert McDonald. The Secretary referred to the discussions that had been going on regarding the Future of The meeting commenced at 10.30 a.m. with a tour Organized Psychiatry. Two other Divisions of of the Hospital and a visit to the newly-completed the Association had already had most fruitful Nurse Training School which was very much admired discussions on this very important subject. The for its design and its excellent equipment and facilities. Divisionai Committee of Management unani- During the tour great interest was shown in the mously agreed to invite one of the senior members Metabolic Research Unit where an outline was given of Council to attend the next meeting and to of the very interesting work which is being done there. devote the morning session to a discussion on the The Divisional Chairman, Dr. Pentreath, wel- subject. comed the President, Dr. Isabel Wilson, and expressed On the question of Merit Awards the opinion the pleasure of all present that she had been able to was expressed that the position of members living in find time to come along to be with us today. the provinces was less favourable than that of

13 our colleagues in the four Metropolitan Regions HICKS, Robert Carey, M.B., B.S., Registrar, Powick from the point of view of being granted Merit Hospital, near Worcester. Awards. It was recommended that the Honorary Proposed by Drs. J. D. Currie, J. D. A. Whitelaw, Secretary should write to Dr. Monro to point out R. A. Sandison. that this Division was much concerned with the HURST, John, M.B., Ch.B., Registrar, All Saints' small number of psychiatrists holding Merit Hospital, Birmingham, 18. Awards and to enquire whether there was any Proposed by Drs. J. A. Harrington, N. W. Imlah, way in which the Division or members of the J. F. Cleobury. Division could help in this matter. JARRETT, Francis John, M.B., Ch.B., Registrar in The following were unanimously elected Ordinary Psychiatry, Liverpool Psychiatric Day Hospital Members : and Sefton General Hospital. ANGUS, James William Scott, M.B., Ch.B., Registrar, Proposed by Drs. G. Egan, I. Leveson, M. J. The Retreat, York. Tarsh. Proposed by Drs. R. W. Bryson, J. Grey, D. Joyce KALRA, Pritam Lai, B.Sc., M.B., Ch.B., D.P.M.* Galbraith. Assistant Psychiatrist, St. George's Hospital' ASPINALL, Dennis Leece, M.B., Ch.B., M.R.C.S., Stafford. L.R.C.P., D.R.C.O.G., Registrar, Lancaster Moor Proposed by Drs. H. M. Flanagan, R. Vereker, Hospital, Lancaster. J. H. Burns. Proposed by Drs. S. Smith, G. M. Gibb, M. D. LEWIS, Margaret Anne, M.B., B.S., Junior Medical Cashman. Officer, Winterton Hospital, Sedgefield, Co. BARRY, Aloysius Colman, B.Sc., M.B., Ch.B., Durham. D.P.M., Senior Medical Officer, Sefton General Proposed by Drs. E. A. Burkitt, G. E. Duggan- Hospital, Liverpool 15. Keen, J. R. Hawkings. Proposed by Drs. I. Leveson, G. P. Walsh, H. F. Jarvie. LEYBURN, Peter, B.Sc., M.B., B.S., M.R.C.P., BREEN, Donai Sean Treacy, L.R.C.P.&S.L, Junior D.P.M., Senior Medical Officer, St. George's Medical Officer, All Saints' Hospital, Birmingham, Hospital, Morpeth. 18. Proposed by Drs. P. E. Rixon, Elizabeth Easton, Proposed by Drs. J. J. O'Reilly, J. F. Cleobury, D. Irwin. J. A. Harrington. MCCLELLAND, Hamish Anderson, M.B., B.S., COMISH, Keith Alastair, M.R.C.S., L.R.C.P., Junior M.R.C.P., D.Obst.R.C.O.G., D.C.H., Registrar Medical Officer, Towers Hospital, Leicester. in Psychological Medicine, Royal Victoria In- Proposed by Drs. H. B. Kidd, C. E. H. Turner, firmary, Newcastle upon Tyne. A. H. Bakker. Proposed by Drs. R. Orton, F. A. Whitlock, Fox, Kenneth, M.B., Ch.B., Senior House Officer, H. Neubauer. St. James's Hospital, Leeds. MAXWELL, Cyril, M.B., Ch.B., Medical Adviser Proposed by Drs. J. T. Rose, J. C. Little, B.James. (Psychiatry), Geigy Pharmaceutical Co., Man- GOMERSALL, James David, M.B., Ch.B., Senior chester, 23: Clinical Assistant (Psychiatry), Walton House Officer, St. James's Hospital, Leeds. Hospital, Liverpool, 9. Proposed by Drs. J. C. Little, B. James, D. A. Proposed by Drs. C. M. Vaillant, Betty Yule, Spencer. T. E. Grant. GOODBURN, Julian Mark, M.B., Ch.B., Senior House Officer, Uffculme Clinic, Birmingham. MORGAN, Dennis Harry, B.A., M.B., B.Chir., Proposed by Drs. J. A. Harrington, N. M. Imlah, M.R.C.P., D.Obst.R.C.O.G., Registrar, Univer- M. F. Conlon. sity Department of Psychiatry, Royal Infirmary, GOTEA-LOWEG, John L. A. H., Junior Medical Manchester. Officer, Parkside Hospital, Macclesfield, Cheshire. Proposed by Drs. G. Hopkinson, J. Hoenig, Proposed by Drs. R. H. Boardman, R. M. Young, E. W. Anderson. N. Berlyne. MORRIS, Hermon, M.B., Ch.B., L.M.S.S.A., Registrar HASHMI, Farrukh Siyar, M.B., B.S., Psychiatric in Psychiatry, Queen's Park Hospital, Black- Registrar (Research), Uffculme Clinic, Birmingham. burn. Proposed by Drs. J. A. Harrington, N. W. Imlah, Proposed by Drs. M. Silverman, B. Lebkowski, M. F. Conlon. T. V. A. Harry.

H NEAL, Charles David, M.B., Ch.B., M.R.C.S., WHITE, Beryl Margaret, B.Sc., M.B., Ch.B., St. L.R.C.P., Registrar, Highcroft Hospital, Erding- Mary's Hospital, Stannington, Morpeth. ton, Birmingham. Proposed by Drs. J. J. Justice, Josephine Rutter, Proposed by Drs. I. A. MacDonald, R. M. Taylor, G. M. Langham-Hobart. E. Jacoby. ROCKLEY, Gerald Joseph, M.B., B.S., D.Obst. R.C.O.G., D.P.M., Senior Registrar, Pastures The following Officers were elected for the Hospital, Mickleover, Derby. ensuing year: Proposed by Drs. F. Berliner, J. H. Colhoun, Chairman R. E. Brandon. Professor E. Stengel ROGERS, Stephen Clifford, M.B., B.S., Clinical Secretary Dr. W. V. Wadsworth Assistant, Department of Psychiatry, Hospital of Junior Représentative St. Cross, Rugby. on Council Dr. D. B. Fowler Proposed by Drs. C. Tetlow, S. W. Gillman, E. L. Assistant Secretary Dr. B. Ward Sutherland. ROLSTON, Eleanor Thomasine, M.B., B.S., M.R.C.P.I., D.P.M., Senior Registrar, St. Mat- The following were elected to the Divisional thew's Hospital, Burntwood, Lichfield, Staffs. Committee of Management : Proposed by Drs. J. L. Clegg, S. J. Frewin, Dr. T. M. Cuthbert Dr. I. Frost J. K. Wing. Dr. S. Barton Hall Dr. T. L. Pilkington ROY, Chunilal, M.B., B.S., Registrar, St. Luke's Dr. J. R. Roy Dr. M. Silverman Hospital, Middlesbrough. Dr. S. Smith Dr. J. A. R. Bickford Proposed by Drs. T. M. Cuthbert, D. D. Webster, R. V. Read. Dr. H. Freeman Dr. C. P. Gore Dr. J. S. Madden Dr. C. Tetlow SCHAPIRA, Kurt, M.D., Registrar, Department of Psychological Medicine, Newcastle General Hospi- Dr. R. Vereker tal, Newcastle-upon-Tyne. Proposed by Prof. M. Roth, Drs. M. W. P. Carney, A paper was delivered in the morning by Dr. H. B. H. Neubauer. Milne on "Periodic Psychoses" and also one by SURAWY, Jerzy, M.B., B.Ch., B.A.O., Senior Medical Dr. H. P. Hullin on "Fluid and Electrolyte Officer, St. Edward's Hospital, Cheddleton, near Changes in Periodic Psychoses". These were Leek, Staffs. followed by a lively discussion. Proposed by Drs. J. A. Hutchinson, J. V. Hal- In the afternoon Dr. P. M. J. O'Brien delivered penny, T. Galla. a paper entitled "The Psychotherapeutic Treat- WHITE, John Hunter McNeil, M.B., B.S., Registrar, ment of Alcoholism" and Dr. J. S. Madden also St. Mary's Hospital, Stannington, Morpeth. delivered a paper entitled "Why Does the Alcoholic Proposed by Drs. J. J. Justice, Josephine Rutter, Drink?" Both these papers were followed by discus- W. M. M. Lyon. sion.

SCOTTISH DIVISION

THE SUMMER MEETING of the Scottish Division was Election of Ordinary Members. The following were held at , , on Friday, 21 June, 1963, elected: under the Chairmanship of Prof. Ferguson Rodger. AHMED, Mohamed Basheeruddin, B.Sc., M.B., B.S., Senior House Officer, Department of Psychological The Chairman made reference to the following Medicine, Southern General Hospital, Glasgow. members of the Division who had died since the last Proposed by Drs. I. M. Ingram, B. G. Young, Meeting: Drs. J. Milne, M. M. Macrae and A. H. C. J. M. Carlisle. Sinclair-Gieben. The Chairman also made reference BLACK, Sheila Johnstone Dedman, M.B., Ch.B., to the death of Dr. Kenneth Cameron, who although L.M.C.C., Registrar, Glasgow Royal Mental not a member of the Scottish Division had been very Hospital. well known in his native . The Division paid Proposed by Drs. Angus MacNiven, T. Freeman, tribute to those Members in the usual way. W. T. McClatchey.

15 CARTER, Mary, M.R.C.S., L.R.C.P., D.P.M., Arising also from Dr. Ross's report a sub-committee Clinical Assistant, Department of Psychological was elected to give evidence to the Farquharson-Lang Medicine, Royal Hospital for Sick Children, Committee on the administrative practice of hospital Edinburgh: Psychiatrist to Dr. Guthrie's Approved boards, with particular reference to psychiatric Schools, Edinburgh. hospitals. The members elected to this sub-committee Proposed by Drs. Margaret Methven, S. Kumar, were Professor I. Batchelor, Dr. James MacPherson, R. A. W. Ratcliff. Dr. H. B. Miller, Dr. J. Owens, Dr. Elizabeth COTTRELL, Leonard George, M.B., Ch.B., D.P.M., Robertson, and Dr. H. S. Ross along with the Assistant Psychiatrist Murthly Hospital, Perth. Chairman and Secretary. Proposed by Drs. H. Stalker, J. C. Scott, T. A. Child Psychiatry Section. Dr. J. Haldane gave an Wylie. informative account of the year's activities of the PRABHAKARAN, Naneo, B.Sc., M.B., B.S., Registrar, Child Psychiatry Section and also gave the Section's , Cupar, Fife. comments on the report on medical services for Child Proposed by Drs. D. M. MacGregor, D. Ross, Guidance, which were endorsed by the Division. J. D. Haldane. Sub-Committee on Alcoholism. It was reported that the SINCLAIR, William Wells, M.B., Ch.B., D.P.H., Standing Medical Advisory Committee of the D.P.M., Medical Officer, Home and Health Scottish Health Services Council had set up a sub- Department, St. Andrew's House, Edinburgh i. committee to review the provision for the treatment of Proposed by Dr. H. S. Ross, H. B. Craigie, alcoholics within the Health Services in Scotland, and E. J. C. Hewitt. that this sub-committee had asked for evidence from the R.M.P.A. It was decided that the most effective method of doing this would be for the Division to Representative on Consultants and Specialists Committee. devote time at the September Meeting to a discussion Dr. MacNiven was re-elected as representative for on alcoholism on the basis of a paper by Dr. Vallance the ensuing year. on a follow-up study of alcoholics. In this way the Mental Health Statistics. It was reported that an views of the Division as a whole would be most approach had been made to the Scottish Home and usefully gathered. The Secretary should report the Health Department for a meeting, but that the dates result of the discussion to the Standing Medical in June and July suggested by the Department were Advisory Sub-Committee. unsuitable and the Secretary was instructed to seek a Gaskell Gold Medal and Prize. The Chairman re- date in September. The deputation to consist of the ported that the Gaskell Medal and Prize had been Chairman, Secretary, Drs. Aungle, Bailey, Ratcliffe won this year by a member of the Scottish Division— and Tait. Dr. Ian Oswald of the Department of Psychological Voting Rights of Patients in Hospital. It was reported Medicine, Edinburgh. that representations had been made to the Scottish Papers. Dr. Hewitt read a paper to the Historical Home and Health Department in this connection as Section giving an interesting account of the functions the result of the appeal by two patients in of the Criminal Lunatic Department at Perth and Royal, and that an acknowledgement had been the State Hospital at Carstairs. received from the Department, but no further Dr. J. B. McWhinnie read a very interesting paper information could be given at this date. It was to the Child Psychiatry Section, "Language, Com- suggested that this was an appropriate matter for munication and Delinquency." the Mental Welfare Commission to pursue on behalf Dr. J. D. Haldane gave a stimulating account of of the patients. a series of 23 cases of attempted suicide in children Mental Deficiency Section. Arising from a report by and adolescents whom he had seen over a five year Dr. H. S. Ross on the activities of the Mental Defi- period. ciency Section, who had expressed concern about the The Division is very grateful to all the speakers for training of student nurses for the Mental Deficiency their interesting contributions. The Division also Register, it was suggested that a sub-committee be wish to thank Dr. Miller and his Board of Manage- formed to study the whole question of nurse training ment for the very excellent arrangements and hospital- in psychiatry. Drs. Harper, McGillivray, Haldane, ity which were provided at Ailsa Hospital at short Christina Hamilton, H. B. Miller were elected to the notice. sub-committee along with the Chairman and The date and place of the next Meeting was fixed Secretary. for 27 September at the , Perth, by kind invitation of Dr. Harry Stalker and his was instructed to draw up a memorandum in Board of Management. conjunction with Dr. J. W. Affleck and submit this to the Farquharson-Lang Committee. Advisory Committee on Distinction Awards. It was THE AUTUMN MEETING of the Scottish Division was reported that in response to requests from several held at the Murray Royal Hospital, Perth, on members the Secretary had had a meeting with the Friday, 27 September, 1963, under the Chairmanship Secretary of the Distinction Awards Committee, in of Professor T. F. Rodger. the course of which the procedure for the nomination of Consultants for Distinction Awards had been Election of Candidates to Ordinary Mcmbcrship. The explained. Each year the Scottish Sub-Committee, following were elected: consisting of three members whose names have been MCCRACKEN, Gordon Hughan, M.B., Ch.B., D.I.H., published, review the claims of ali Consultants in Assistant Psychiatrist, Hartfield Nerve Clinic, Scotland. Before this review is undertaken, a list is Dunbarton. prepared of ali consultants in ali specialties who do Proposed by Drs. D. Gilmour, G. E. Swinney, not have awards. This list is then sent to a number R. Davidson. of senior doctors in the various Regions, who are invited to make recommendations. These senior MORRISON, Archibald, M.B., Ch.B., D.P.M., Con- doctors include senior psychiatrists. The sub- sultant Psychiatrist, Stratheden and Associated Committee therefore have confidential information Hospitals, Fife. and recommendations from our own senior colleagues. Proposed by Drs. D. M. MacGregor, D. Ross, The Secretary reported that it had been strongly W. E. J. Wilson. emphasized that it was the responsibility of every Représentative on Consultants' and Specialists' Committee. Consultant to keep the Sub-Committee informed of It was reported that Dr. McNiven had feit that he any additional qualifications or publications which should not continue on this Committee on which he would be useful to the Sub-Committee. They should had been the Division's représentative for some do so by writing to the Secretary of the Advisory considerable time. The meeting noted Dr. McNiven's Committee on Distinction Awards, St. Andrew's résignation with regret and appointed Dr. J. W. House, Edinburgh. Affleck as the Division's Representative. The date and place of the next meeting was fixed for 6 December, 1963. Mental Nurses' Committee of the General Nursing Council. A request had been received from the Scottish Dr. M. Vallance read an interesting paper on a Home and Health Department for nominations for a follow up of 68 male alcoholics who had been admitted representative on this Committee to replace the late to the Southern General Hospital, Glasgow during Dr. James Milne. Dr. James MacPherson was i960. The paper was followed by a lively discussion nominated to fili this vacancy. in which many members who had had considerable ex- perience of treating alcoholics joined. It was clear that Mental Health Statistics. It was reported that owing many members felt they were able to treat alcoholics to changes in the Secrétariat the Department had successfully although their methods showed a asked for the proposed meeting to be delayed, considerable variation. Among the points made but they were stili anxious to meet the représentatives during the discussion were the need for physical from the Division. treatment and first aid for the acute alcoholic episode, The Farquharson-Lang Committee on the Administrative the need for a certain number of beds being put aside Practice of Hospital Boards. The sub-committee which for more intensive treatment of those who are pre- had been appointed to give evidence to this committee pared to co-operate, and the prime importance of met in the morning, and after considerable discussion detailed follow up and after-care, especially in the came to the conclusion that little useful purpose could early stages. It was suggested that various approaches be served by submitting evidence. When this was to treatment should be tried on a research basis in reported to the main meeting in the afternoon, a order to determine which would be the most successful lengthy discussion ensued in which it became apparent in différent circumstances. that many members were dissatisfied with the present The Division is very grateful to Dr. Harry Stalker system whereby Regional Hospital Boards obtained and his Board of Management for the excellent their advice on psychiatrie matters, particularly in arrangements and hospitality which were provided reference to planning for the future. The Secretary at Murray Royal Hospital for the Meeting.

»7 IRISH DIVISION

THE AUTUMN QUARTERLY Meeting of the Irish group into their various diagnoses and social condi- Division was held on Wednesday, 27 November, 1963, tions. Many were unemployed or living alone. Eleven by kind permission of the President and Fellows, at the of the group were in hospital when the attempi was Royal College of Physicians, Kildare Street, Dublin. made. Only a small number had taken alcohol. Dr. McCarthy said, in conclusion, that of his Dr. C. B. Robinson, Chairarían of the Division, wel- original group of patients, 5 had died since. comed Professor Curran, President of the Association, and asked him to take the Chair. Professor Curran The following took part in a discussion on the thanked him and handed the Chair back to Dr. paper: Professor Curran, Dr. Moore, Dr. Pringle, Robinson. Dr. Bergin, Professor Dunne, Professor Hong-Te-Lin, Dr. King, Dr. McGrath, Dr. Fennelly, Dr. Shea, Dr. Robinson then welcomed another guest, Dr. McLaughlin, Dr. Brown, Dr. K. Walsh, Dr. Professor Hong-Te-Lin from Formosa. Meenan, and Dr. Wilson. Dr. P. D. McCarthy read a paper entitled "Preliminary Review of some Attempted Dr. Robinson read a short report on the meeting of Suicides in Dublin in 1962". the Parliamentary Sub-Committee with the Com- Dr. McCarthy got his information from hospital mission of Inquiry into Mental Illness, held in July last. lecords. He stated that Ireland has the lowest suicide Dr. Moran referred to Dr. Sargant's letter to the rate in the world—3 per 100,000. In his review he had British Medical Journal re therapeutic abortion, and tried to see each patient personally. the Secretary was instructed to write to the General In all Dr. McCarthy dealt with 16 hospitals, but Secretary in the matter. in many cases even serious attempts were not admitted to hospital. Dr. McCarthy's group was divided into It was decided that the next meeting would be held 80 women and 78 men, and he further divided each at Purdysburn Hospital, Belfast.

R.M.P.A. STUDY TOUR OF IRELAND

MAY, I 963 By WILLIAM RODGER

Sailing up Belfast Lough on 14 May, 1963, the subacute unit. The rehabilitation of patients is party of R.M.P.A. members and friends on the handicapped by the shortage of maie employment Study Tour of Ireland had their first view of Ulster, facilities in the area. with the varied coast-lines of Antrim and Down. An interesting day was spent at Muckamore Abbey, In the next two crowded weeks they were going to which has been developed since 1949 as the first see something of the psychiatrie services both in residential unit for "persons requiring special care" Northern Ireland and in Eire. The first day was spent (those designated as "subnormal" in Great Britain). leisurely travelling along the magnificent Antrim At present there are around 700 patients in residence coast road, with its dazzling cliffs of black basait, in this well-equipped hospital, built on the villa white limestone and red sandstone, stopping to see system. There is particular emphasis on treatment the unique Giant's Causeway and thence on to through training both in the school, with progressive Londonderry. classes graded according to mental age, and in the The introduction there to the hospital services of Workshops. An important experiment is the forming Northern Ireland was impressive, starting with the of a training college for teachers in the field of special new Mental Hospital at Gransha ; this was commenced in care, which has been started recently at the Abbey. 1956 and the villas are still being completed in The variety of toys in the wards and the playing stages. It has a well-equipped admission unit and equipment, the mural décorations and modem also a fine récréation hall and gymnasium. The garden hut, ali illustrated the active interest and hospital is closely linked administratively with the help given to the hospital by voluntary effort. The 12-storey new general hospital at Altnagelvin, a few stränge tale was related how in the construction of miles away, and it is planned, when the latter has the hospital every effort was made by local workmen its new psychiatrie wing, to specialize more as a to avoid destroying the "Fairy Ring" in the grounds,

18 and in the subsequent gales only the tiles put on by In Eire there is no comprehensive National Health English workmen were blown off! The Glenravel Service, and the amount of money available is directly Street Special Care School in Belfast was also seen, and related to that provided by the local authority, and is this, too, reflected the enthusiasm and high degree therefore limited by the size of the area. It was interest- of care for the patients shown by the staff under ing to see the ward decorations being performed by Dr. T. W. H. Weir's leadership. Under the Northern patients, the central dining-hall, and the welfare Ireland legislation the same statutory body is respon- services which have to be pivoted on the hospital's sible for ascertainment and community care as well one Social Worker. The warm welcome given us as for residential care, and this appears to have was completed by an interesting conducted tour by a helped in securing continuity for the patient and in local archaeological authority. planning expansion of the services. Three crowded days were then spent in the pleasant At Windsor House Professor J. G. Gibson and his metropolitan atmosphere of Dublin, high-lighted by colleagues of the psychiatric department of Belfast the reception given by An Tanaiste at the Shelbourne University, gave us a full programme of papers, which Hotel. A visit was made to St. Brendan's Hospital, illustrated the range of treatment and psychological Upper Grangegorman, and Professor J. Dunne gave a studies carried out in this general hospital unit and talk about the University teaching department there. its close collaboration with the other departments. The early treatment centre being developed at This was well illustrated in the papers on "Psychiatric St. Loman's Hospital, Ballyowen, from a converted Aspects of Mitral Valvotomy" by Dr. S. J. Knox, modern sanatorium was toured, and Dr. V. G. and "Mosaic Chromosome Pattern in a Case of Crotty discussed the work there. His views reflected Transvestism" by Dr. H. Dowling. This well-staffed the progressive spirit there, including the interesting unit has many interesting equipment features, experiment of grouping patients not according to including the sound-proof recreation room, and is diagnosis, but according to the area from which playing an important role in fostering the changing they were admitted. Also, a new unit is being created attitude to psychiatric treatment. for autistic children with resident foster parents; the décor here is modelled on the lines of the Rudolf Purdysbum Hospital, near Belfast, was "host" to Steiner School at Belfast. the group for four days in its modern nurses' home, The visit to the oldest psychiatric hospital in and it was possible to see the efforts made to deal Ireland—St. Patrick's—founded by Dean Swift in with the clinical and therapeutic problems of this 1745, showed us how well this private hospital has large and scattered hospital, by the division into adapted to the needs of modern short-stay treatment. defined clinical teams each with its own accom- Its ancient history is portrayed in the development modation; also, the routine general medical care of of the buildings and was pleasingly related to us by several of the long-stay units is provided by general the Hospital Secretary. Patients come from a wide practitioners who visit daily on a half session basis. area to benefit from the active therapeutic pro- Extensive modernization of the villas is being under- gramme, which includes lectures, social therapy and taken and the patients have a recreational centre in psychodrama, allied to the expert knowledge of new their own "Singing Kettle" Café. There is a relatively drugs utilized by Dr. J. N. P. Moore and his staff high rate of admissions for alcoholism—around 20 Dr. M. O'C. Drury read a paper on "The use of per cent, on the male side, including many cases of Hypnotism in the Phobic States" at the Convalescent delirium tremens. Also, as there is no unit for Home at St. Edmondsbury, and afterwards the day Northern Ireland for the detention of violent patients was completed by an invitation to visit the Trinity needing special security, these have to be admitted College Library. into this general psychiatric hospital. Both formally, The brief but stimulating stay in Dublin had to be as guests of the Northern Ireland Hospital Authority reluctantly curtailed so that the tour could be con- and of the Hospital, and informally, the group tinued, and the journey to Carlow was broken by a received generous hospitality, including excursions visit to Moore Abbey, which was founded in the sixth to Newcastle for tea with Dr. and Mrs. C. B. century and is now rim by the Sisters of Charity of Robinson, and to the geriatric unit in its delightful Jesus and Mary as a Home for females. There is a setting on the coast at Crawfordsbum. variety of patients, including subnormals and Crossing into Eire, the first hospital to be visited epileptics, and the beautiful house is well equipped was St. Brigid's, Ardee, a relatively small hospital with a modern kitchen and pleasant dormitories. serving a compact area. There was evidence of expand- The pupils put on a special musical performance ing out-patient clinics and of upgrading of admission and much pleased the Scottish contingent with facilities, including division of wards into smaller units. reels; they ended by singing "Bless this House",

19 which was appropriate since this used to be the home beautiful lakes and hills of Killarney, the party went of Count John McCormack. on to Our Lady's Hospital, Ennis, Co. Clare, where At St. Dympna's Hospital, Carlow, there was evidence much upgrading is at present under way but there of considérable activity, including the conversion of remain many problems. The conversion of the a nearby house into a mixed geriatrie unit, and also granite steps, using asphalt and aluminium strips, the use of the hospital lodge as a home for a few was seen; also the beautifying of the hospital chapel long-stay patients. The whole aspect of the beautiful and the new occupational therapy department under front gardens has been enhanced by the réduction construction. of the large surrounding walls and the planting of The last mental hospital to be visited was St. flower beds on the top of the walls. There remains Brigid's Hospital, Ballinasloe. Dr. J. R. Shea described much to be done, but the number of admissions has the problems facing this hospital, which serves a been reduced by the recent expansion of out-patient wide area and has clinics over ninety miles away. clinics. In the larger wards, too, there has been Efforts are being made to Upgrade the older accom- conversion into smaller units, while the décoration modation and improve the standard of the side- of the side-rooms, including the size of the windows, rooms, and a visit was also paid to see the villas built has been improved. There were several interesting in 1938, their rather massive architecture providing gadgets, including lights that go on in the drug an interesting comparison with more modem cupboard when it is opened at night, and the use of accommodation. Some patients are admitted there mirrors enabling the night nurse to see ali around the from poor homes, and the hospital has the problem ward without moving from her chair. Dr. B. Blake, of being in a small town with little work to be the Medicai Superintendent, has travelled widely secured on the patients' discharge. There is little to obtain new ideas. and a full day was completed difficulty, however, in recruiting nursing staff, by his showing a film based on the previous Study particularly on the male side, and the female staff Tour in Scotland and his own recent visits to stili ha ve to retire on marriage. Nottingham and Lancaster. Eire has peculiar and difficult problems of its own, Our stay in the graceful City of Cork was a short with its very uneven distribution of the population. one. Our Lady's Hospital, situated on a hill overlooking Perhaps the greatest impact made on the tour was the City, is a large one with an impressive frontage the general impression that much was being under- of white stone. The visit showed how much has been taken to improve the facilities in the mental hospitals, done by voluntary effort, including the expansion despite the difficulties of financial limitations and of the occupational centre and also the special school as yet the lack of welfare services. The unrestricted for subnormals which is run devotedly by nuns. The friendliness and hospitality that was met throughout funds are obtained under the enthusiastic guidance the tour from our professional colleagues will be long of the Chairman, who has travelled widely to obtain remembered, and the gain from such contact is well new ideas to help in the development of the facilities. described in Dr. Isabel Wilson's Presidential Address It was stimulating to see how much some of these "It gives a new and broader orientation and new children can do with encouragement in studies and in inspiration". simple industriai tasks. The new and well-equipped unit at St. Anne's was also inspected, and here several ACKNOWLEDGMENT new concepts of "sociatry" are being applied: the nurses do not wear uniform and every effort is made My grateful thanks to Dr. E. S. Stem for his to link up with the community, patients, for instance, guidance in compiling this brief account and for his attending art classes in the local technical college. leadership of the tour, which contributed much to After a break from these psychiatrie studies in the its success.

William Rodger, M.A., M.D., D.P.M., Consultant Psychiatrist, Devon and Exeter Area

20 THE 13th ANNUAL CONFERENCE OF THE EUROPEAN LEAGUE FOR MENTAL HYGIENE

The European League for Mental Hygiene held study. The figures he had been able to obtain in its 13th Annual Conference in Amsterdam on 20th relation to the various countries were in most cases and 21 st July, immediately preceding the Annual too low because patients not included in the statistics Conference of the World Federation for Mental were in general hospitals, private hospitals, sanatoria, Health, under the presidency of Professor Paul colonies and homes for the elderly. The explanation Sivadon of France. of the national differences of the incidence of hospital- The delegates from Great Britain included Dr. J. R. ization included: more or less active prevention of Rees, lately Medical Director of the World Federation hospitalization, use of day hospitals, insufficiency of for Mental Health, Dr. Doris Odium, former Presi- hospital beds available, large number of patients dent of the European League for Mental Hygiene, not included in the statistics obtainable, e.g., private Dr. Harry Edelston of Leeds and Miss Robina Addis, hospitals, lack of provision for mental defectives, A.A.P.S.W., member of the Executive of the World leisurely methods of treatment, community reluctance Federation for Mental Health. to accept discharged patients and difference in The first subject for discussion was a review of policies regarding admissions, (especially of psycho- psychiatric services in Europe including the present neurotic patients). There might, however, be true position and needs in each country and short and national differences in incidence and prevalence which long term plans for the future. Reports were given it was difficult to assess at the present time. He said by Dr. G. Van Looy, Belgium; Mlle I. Rantanen, that the World Health programme in mental health Finland; Dr. CI. Balier, France; Dr. N. N. Dracoulides in Europe emphasized the need for education towards and Dr. G. Lyketsos, Greece; Dr. J. Leitao Baeta public health action for prevention, improved child Neves, Portugal; and Miss Robina Addis, England psychiatry and the use of quantifiable procedures to and Wales. control and plan psychiatric services. Dr. D. F. Buckle, Adviser on Mental Health for the On the whole he thought that the administrative European region of the World Health Organization, set-up was most satisfactory in the countries of the contributed a valuable report in the form of a set of U.S.S.R., especially Russia. This consisted of a tables containing available information about psychia- psychiatric hospital in association with sector poly- tric services in some 24 European countries. He poin- clinics in every town and area, which were all under ted out that national psychiatric organization was the Ministry of Health. The polyclinics, which dealt not always as coherent as might appear on paper. with all aspects of medicine, predominantly on an Where mental health care was divided between outpatient basis, each had a psychiatric dispensary. ministries of health, welfare, education and justice, These included a full community service for out- both omission and overlap, even competition, could patients, with day hospitals and a few beds, and were develop. Changing psychiatric practices were fre- also responsible for the domiciliary care of patients quently frustrated by unchangeable organizations. both before admission to hospital and after discharge. The open-door policy might open into a void. Thus there was continuity of care under the same Energetic case finding might expose treatment needs authority both in the hospital and in the community. which could not be fulfilled, and training schemes Sanatoria for old people, including those who were which separated child and adult psychiatry did not mentally frail, were provided by the Ministry of prepare for the family approach. Welfare. The care and training of the sub-normal He stated that organized out-patient services were was dealt with by the Ministry of Education. rarely completely efficient as community units. They The second subject was "Emotional Problems tended to be under-staffed and their intake of patients arising from the Linguistic difficulties in Europe". was often fortuitous especially in regard to early or This was opened by Dr. Charles Mertens de Wilmars, mild cases and children. The Soviet system based on Professor at the University of Louvain, Belgium, and community dispensaries, the French and English Dr. Edelston and Dr. Doris Odium contributed to the systems of sectorization and the Netherlands system of discussion. co-ordination of specialized mental health units The next annual conference will be held in Berne helped to counter this defect in regard to psychotic immediately preceding the conference of the World patients. The assessment of changes in psychiatric Federation for Mental Health at the beginning of practice required better statistical data than was August 1964. The principal subject will be "The usually available, especially about out-patient services Social, Familial, Medical and Genetic Problems of Reliable statistical returns of length of stay, repeat Mental Subnormality". admissions and transfers were needed for comparative 21 ist INTERNATIONAL CONGRESS OF PSYCHODRAMA

The ist International Congress of Psychodrama The Registration fee is 120 f. will be held in Paris from 31 August to 3 September, 1964. Professor J. L. Moreno is the President of This conference will essentially be an interdisci- Honour and the Chairman is Dr. Paul Sivadon. The plinary and international meeting on group theories Scientific Secretaries are Mme Zerka Moreno, Box and methods and on psychodrama as applied to the 311, Beacon, N.Y., U.S.A., and Mme Ancelin various branches of the human sciences, therapy, Schutzenberger, 14 Avenue Paul Appell, Paris XIV, padagogy, etc. Suggestions for topics for discussion France. The Technical Secretariat is at S.O.C.F.I., may be submitted to Professor Moreno, P.O. Box 311, 1 ter. Rue Chanez, Paris XVI, France. Beacon, N.Y.

22 NOTICES BY THE HONORARY LIBRARIAN

The Library is open to members between the hours Arquivos do Departamento de Assistencia a Psicopatas of 9 a.m. and 5 p.m., Saturdays, 9 a.m. and 12 noon. do Estado de Sao Paulo. Books are issued to borrowers during these hours. Brain. The Hon. Librarian will endeavour to obtain, as British Hospital and Social Service Journal. far as possible, any books on psychiatry and allied subjects required by members. British Journal of Addiction. British Journal of Criminology. Library Lending Department Régulations British Journal of Medical Psychology. 1. Books shall be lent to members within the British Journal of Psychiatric Social Work. United Kingdom and Eire who are not in arrears with their subscriptions. British Journal of Psychiatry (Journal of Mental 2. No member may borrow from the Library more Science). than three volumes at one time. British Journal of Social and Clinical Psychology. 3. Books and journals are sent carriage paid from Bulletin of the Menninger Clinic. the Library, but members are responsible for the Comprehensive Psychiatry. books from the time they leave the Library until they Digest of Neurology and Psychiatry. are received back, and for the return postage. 4. Books damaged or lost while in possession of a L'Evolution Psychiatrique. member will be repaired at his expense or must be Excerpta Medica, Neurology and Psychiatry. replaced by him. Film User. 5. A member shall be entitled to retain a book or Howard Journal. periodical borrowed from the Library for a period of twenty-eight days (or longer by spécial arrangement), II Cervello. unless the book is required by another member, in International Journal on Alcohol and Alcoholism. which case it can be recalled by the Librarian at the International Journal of Psycho-Analysis. expiration of fourteen days. International Journal of Social Psychiatry. 6. In the event of a member failing to return any Journal of Analytical Psychology. book or periodical within seven days after receiving notice from the Librarian (on the expiration of the Journal of Child Psychology and Psychiatry. period referred to in Rule 5), the Library Committee Journal of Mental Deficiency Research. shall be at liberty to purchase another copy, the cost Journal of Mental Subnormaliiy. to be charged to such member, who shall not be allowed to borrow another book until the sum thus Journal of Neurology, Neurosurgery and Psychiatry. expended shall have been paid. Journal of Nervous and Mental Disease. 7. Ail communications should be addressed to Journal of Psychology. "The Librarian, Royal Medico-Psychological Associa- Journal of Psychosomatic Research. tion, 11 Chandos Street, Cavendish Square, W. 1". Mental Health. Circulation of Journals Mental Hygiene. The following Journals are available at the Psychiatric Quarterly. Library : Psychiatry. Acta Neuro-Psiquiatrica Argentina. Psycho-analytic Quarterly. American Journal of Mental Deficiency. Psychological Abstracts. Revista de Neuro-Psiquiatria. American Journal of Orthopsychiatry. Revista Psiquiatrica Peruana. American Journal of Psychiatry. Revista de Psicologia General y Aplicada. Annales Médico-Psychologiques. Revue de Médecine Psychosomatique. Archives of General Psychiatry. Scientific Film Review. Archives of Neurology. W.H.O. Chronicle. Arquivos de Neuro-Psiquiatria. World Mental Health.

23 THE ASSOCIATIONS MEDALS AND Divisional Prizes PRIZES, 1963-64 Papers certified as eligible for this compétition Attention is specially drawn to the Medals and must be forwarded to reach the Registrar not later Prizes which are offered annually by the Association. than 30 April. The conditions of award are set out fully in the Year-Book. Gaskell Medal and Prize Bronze Medal and Prize The examination for the Gaskell Medal and Prize Dissertations for the Association's Bronze Medal is held in May. An entrance fee of £3 3s. is charged, and Prize should be forwarded to reach the Registrar returnable to bona-fide candidates. Entrance fees not later than 30 April. are due by 31 March.

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