JOURNAL OF MENTAL SCTH^CE [Published by Authority of the Royal Medico-Psychological Association] SUPPLEMENT OCTOBER, 1956

THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION SPRING QUARTERLY MEETING THE SPRING QUARTERLY MEETING of the Association was held on 17 May, 1956, at Craig Dunain , Inverness, under the Presidency of Professor John Dunne. MINUTES The Minutes of the Winter Quarterly Meeting held on 9 February, 1956, to be published in a forthcoming Supplement to the Journal of Mental Science, were taken as read, and confirmed and signed by the President. OBITUARY The President announced with regret the death of: Dr. JAMES STANLEY JOHNSON, Deputy Medical Superintendent, Winterton Hospital; an Ordinary Member since 1935. Dr. JOHN CARR OSBORNE, Director, Lindville Private Mental Hospital, Black- rock Road, Cork; an Ordinary Member since 1933. Dr. DALTON ERIC SANDS, Physician Superintendent, St. Ebba's Hospital, Epsom, Surrey; an Ordinary Member since 1935. ELECTION OF ORDINARY MEMBERS The following were unanimously elected to Ordinary Membership : ADAM, JAMES, M.B., Ch.B., Junior Medical Officer, Westgreen Hospital, Liff, by Dundee. Proposed by Drs. A. A. Bell, R. A. B. Rorie, J. D. Uytman. BANWELL, GERALD STUART, M.A., M.B., B.Ch., D.R.C.O.G., Fellow, Crichton Royal, . Proposed by Drs. P. K. McCowan, E. B. Strauss, W. J. B. Rogers. COLLINSON, JOHN BARRON, L.R.C.P.&S.Ed., L.R.F.P.S.G., Senior House Officer, Bangour Village, Bangour Hospital, Broxburn, West Lothian. Proposed by Professor A. Kennedy, Drs. A. K. M. Macrae, F. G. Lassalle. MCKINNON, ARCHIBALD LYNN, M.D.(Toronto), Medical Superintendent, Homewood Sanitarium, Guelph, Ontario. Proposed by Professor A. B. Stokes, Drs. J. L. Doust, G. J. Rich. RAE, ALISTAIR SUTHERLAND LIVINGSTON, M.D., D.P.M., Consultant Psychia- trist (Deputy Physician Superintendent), Westgreen Hospital, Liff, by Dundee. Proposed by Drs. A. A. Bell, R. A. B. Rorie, J. D. Uytman. 2 SINCLAIR, ALLAN, M.B., Ch.B., Junior Medical Officer, , Lenzie, Dunbartonshire. Proposed by Drs. W. A. Crammond, R. H. Park, D. H. Williamson. Candidature approved by Council, 8 February, 1956: JETLEY, SRI KISHEN, B.SC., M.B., B.S., D.P.M., Specialist in Psychiatry, Army Medical Corps, India. Proposed by Drs. N. G. Chakraborty, K. C. Dube, K. A. Lalkaka. REPORT OF THE COUNCIL The Report of the Council which follows, was read by the GENERAL SECRETARY and approved: At their Meeting yesterday the Council appointed Drs. Noel Harris and W. Warren to meet représentatives of the Society of Medical Officers of Health to discuss points of mutual interest to the two Associations. The Council had before them a letter from Lord Moran in which he expressed willingness to consult représentatives of the Association in the matter of the bestowal of merit awards. They appointed Drs. Tennent and Maclay, and in order that might be adequately represented, Dr. Hewitt of the General Board of Control. The Treasurer reported that the audited accounts for 1956 showed a balance of income over expenditure amounting to £3,099. Nine members had not paid their subscriptions for 1955 and their Journals were stopped from January. Seven members were still in arrears, and will be informed of Bye-Law 23. The Council approved the payment of the 400 Swiss francs annual subscription to the World Fédération of Mental Health. It was agreed that the Gaskell Medal should in future revert to gold instead of silver gilt, and that the additional prize should be the sum of £30. The Education Committee presented the report of its Mental Nursing Sub- Committee in the form of a Memorandum embodying suggestions for a reformed scheme of training for mental and mental deficiency nurses, for submission to the Nursing Councils and other public and professional bodies. It was understood that the General Nursing Council for England and Wales was already engaged in a revision of the curriculum. The Council approved the report and decided that the Memorandum should be circulated forthwith. The Council approved in principie the institution of a Higher Diploma in psychiatrie nursing, but agreed that this must be deferred until the General Nursing Council had published its proposais for a new curriculum in basic mental nursing. The Sub-Committees on Training in Eclectic Psychotherapy and on Films have made useful progress in the préparation of their respective reports. It was agreed to remove from the Association's roll of certificated Mental Nurses the name of a nurse convicted on charges of theft from her patients, but that no further action should be taken in the case of a nurse retired on pension with a good nursing record, who had been found guilty of a minor theft after retirement. The Parliamentary Committee had discussed a number of matters which had been considered in the House of Commons, including a question on Medical Superintendents' rémunération, a debate on the training of Mental Health Workers, and the favourable reception of an amendment to the Death Penalty (Abolition) Bill, designed to introduce the principie of diminished responsibility into English law. Arising out of further considération of the Guillebaud Report the Committee drew the Council's attention to a circular issued by the Ministry of Health relating to the appointment of Medical Officers of Health to the stalfs of Mental and to their being given special powers within the hospital. The Council decided to ask the Minister to give the Association an opportunity of expressing its views. The Papers Session at the November Meeting will be on the subject of "Mental Hospital Administration", and in February, 1957 the subject is to be the "Report of 3 the Royal Commission on Mental Health Legislation", which it is expected will have been published by that time. The Council agreed that an approach should be made to the College of General Practitioners on the subject of Psychiatry and the General Practitioner, as a suggestion had been received that the two Associations might work together on this matter. There was a long discussion on the training of Mental Welfare Officers, and after careful consideration, it was decided to refer this subject back to the Education Committee who would report to Council again in July. Council took note of the following meetings and conferences: 5 and 6 June. The French Society of Neurologists at Paris. 29 June. Conference on the Manchester Mental Nursing Survey at Tooting Bec Hospital. Any Medicai Officers are welcome to attend. 11 August. European League of Mental Hygiene Annual Meeting in West Berlin. Dr. Isabel Wilson is to be asked to represent the Association at this Meeting. 12-17 August. World Federation of Mental Health, 9th Annual Meeting in West Berlin. 30 Augusts September. The Society of Alienists and Neurologists of France, 54th Annual Meeting at Bordeaux. The Council considered and approved the recommendations of the Nominations Committee which will come before the Annual Meeting in July.

PAPERS The following papers were read: Morning Session: "Aspects of Psychological Medicine in the Highlands" By Dr. M. M. Whittet.

"Assessment Procedures in Psychiatry" By Professor W. M. Millar.

Afternoon Session: "Blood Pressure Changes During Interview" By Dr. Max Valentine.

"Initial Psychiatric Illness in Involutional Women" By Dr. A. C. Tait.

SEMINARS There was a good attendance at the Seminars which were held at on 16 May. The subject was, "The Problem of the Long Term Patient", and the opening speakers were Dr. Adam Milne and Dr. John D. Uytman.

HOSPITALITY AND VOTES OF THANKS All Members who attended were most grateful for the opportunity to meet in such delightful surroundings, and for the magnificent hospitality which they enjoyed throughout the Meeting. On 16 May all Members attending Meetings and Seminars were entertained to a very fine luncheon in the Hospital Hall, and greatly appreciated this most sociable occasion. 4 In the evening Members were royally entertained by the Board of Management and the Physician Superintendent to a dinner and dance. The Chairman of the Board of Management, Mr. C. B. McCombie, J.P., welcomed the guests to the Hospital, and Provost Wotherspoon extended a welcome from the town of Inverness. The Chairman of the Northern Regional Hospital Board, Mr. E. Mcintosh, proposed the "Toast of the Association", to which the President, Professor John Dunne, replied, and the "Toast to the Guests", which was proposed by the Vice-Chairman of the Board of Management, Mr. E. Smith, was answered by Mr. D. J. MacDonald, Rector of the Royal Academy, Inverness. At the conclusion of the dinner the Physician Superintendent, Dr. Martin Whittet, thanked the speakers and welcomed the guests on behalf of all the hospital staff. The beauty of the setting, the ceremonial entry of the pipers, and the friendly welcome given to the guests were but a few of the very many pleasant factors which went toward making this an unforgettable evening. On the following day the ladies of the Association took great pleasure in the tour of the surrounding countryside, including Loch Ness and Glen Doe, which had been arranged for them. They returned to the Hospital in time to join the rest of the party for another most enjoyable luncheon. At the close of the Meeting the President, on behalf of the Association, expressed the grateful thanks of the Members to the Chairman and Board of Management, and to the Physician Superintendent, Dr. Martin Whittet, and the Hospital Staff for all that had been done to make their stay so happy and pleasant.

ONE HUNDRED AND FIFTEENTH ANNUAL MEETING THE ONE HUNDRED AND FIFTEENTH ANNUAL MEETING of the Association was held on Tuesday, Wednesday, Thursday and Friday, 17, 18, 19 and 20 July, 1956, at 11 Chandos Street, Cavendish Square, London, W.l, and at Warlingham Park Hospital, Surrey, under the Presidency of Thomas Percy Rees, O.B.E., M.D., F.R.C.P., D.P.M.

TUESDAY, 17 JULY Meetings of Committees and Council were held at 11 Chandos Street. In accor- dance with the new arrangements agreed for the Annual Meeting, Seminars were also held on this day and there was a very good attendance at each Session. Subjects and Speakers were as follows: Morning "Scope and Limitations of Hypnosis" Speakers: Professor A. Kennedy, Drs. D. Stafford-Clark and A. A. Mason. Chairman: Dr. William Moodie. Afternoon "Common Marital Problems in Psychiatric Practice" Speakers: Drs. H. V. Dicks, E. F. Griffith and J. F. Lovel Barnes. Chairman: Dr. J. D. Sutherland. In the evening the President-Elect entertained Members of Council to Dinner at the Café Royal, and at the kind invitation of Mrs. T. P. Rees, wives of Council Members attended a performance of the Ballet at the Royal Festival Hall. 5

WEDNESDAY, 18 JULY, AT WARLINGHAM PARK HOSPITAL, SURREY

Morning Session Professor John Dünne, M.D., B.Ch., D.P.M., D.P.H., retiring President, in the Chair.

MINUTES The Minutes of the One Hundred and Fourteenth Annual Meeting held in Dublin in July 1955, having been published in the Supplement to the October 1955 Journal of Mental Science, were taken as read and confirmed and signed by the President.

OBITUARY The President announced with regret the loss by death of fifteen members during the past year, some of them being of outstanding repute: DR. GOVIND ANANT BHAGWAT, formerly Superintendent, Central Mental Hospital, Yeravda, Poona, India; an Ordinary Member since 1945. DR. NATHAN DEMBOVITZ, Assistant Psychiatrist, Wimbledon and St. George's Hospitals; an Ordinary Member since 1951. Dr. HANS EVENSEN, Commissioner in Legal Medicine for Norway; a Corre- sponding Member since 1930. DR. MURIEL BARTON HALL, Psychiatrist, Royal Liverpool Children's Hospital; an Ordinary Member since 1945. DR. JAMES STANLEY JOHNSON, Deputy Medical Superintendent, Winterton Hospital; an Ordinary Member since 1935. DR. ISABELLA MADDOX, formerly Medical Superintendent, Grove House, Church Stretton; an Ordinary Member since 1923. DR. J. E. MALLESON, Medical Officer, Obstetrical Unit Contraception Clinic, University College Hospital; an Ordinary Member since 1954. DR. EGAS MONIZ, Professor of Neurology, Faculty of Medicine, Lisbon, Portugal; an Honorary Member since 1947. DR. JOHN CARR OSBORNE, Director, Lindville Private Mental Hospital, Blackrock Road, Cork; an Ordinary Member since 1933. DR. F. F. PACTET, Honorary Physician, Seine Mental Hospitals; an Honorary Member since 1922. DR. JOYCE PARTRIDGE, Medical Officer, Withymead Centre; an Ordinary Member since 1954. PROFESSOR ALEXANDER PILCZ of Vienna; a Corresponding Member since 1909. DR. F. REITMAN, formerly Director of Clinical Research, Netherne Hospital; an Ordinary Member since 1939. DR. DALTON ERIC SANDS, Physician Superintendent, St. Ebba's Hospital, Epsom; an Ordinary Member since 1935. PROFESSOR V. VUJIC, Professor of Neurology and Psychiatry, Belgrade; an Ordinary Member since 1948.

ELECTION OF OFFICERS AND COUNCIL It was moved from the Chair: (a) THAT the Officers of the Association for 1956-57 be: PRESIDENT: T. P. Rees, O.B.E., M.D., F.R.C.P., D.P.M. 6

VICE-PRESIDENTS AND DIVISIONAL CHAIRMEN: Alexander Walk, M.D., D.P.M. (South-Eastern). I. Atkin, M.D., D.P.M. (South-Western). G. Mcdoull, O.B.E., V.R.D., M.D. (Northern and Midland). E. J. C. Hewitt, M.D., D.P.M. (Scottish). J. FitzGerald, B.Sc., M.D., D.P.M., D.P.H. (Irish). PRESIDENT-ELECT AND GENERAL SECRETARY: R. W. Armstrong, M.A., M.D., D.P.M. IMMEDIATE PAST-PRESIDENT: John Dunne, M.D., B.Ch., D.P.M., D.P.H. TREASURER: Thomas Tennent, M.D., F.R.C.P., D.P.H., D.P.M. REGISTRAR: William Sargant, M.A., M.D., F.R.C.P., D.P.M. EDITOR-IN-CHIEF: G. W. T. H. Fleming, M.R.C.S., L.R.C.P., D.P.M. LIBRARIAN: Alexander Walk, M.D., D.P.M. DIVISIONAL SECRETARIES: G. Somerville, M.D., D.P.M. (South-Eastern) R. G. Mclnnes, F.R.C.P.E., D.Psych. (South-Western). G. M. Woddis, M.R.C.S., L.R.C.P., D.P.M. (Northern and Midland). M. M. Whittet, M.R.C.P.E., F.R.F.P.S.G., D.P.M. (Scottish). Mary Sullivan, M.B., B.Ch., B.A.O., D.P.M. (Irish). (6) THAT the Representative Members of Council for 1956-57 be: DIVISIONS: Drs. Rosalind Bearcroft (South-Eastern), C. P. Seager (South- western), H. B. Kidd (Northern and Midland), C. B. Robinson (Irish), A. C. Tait (Scottish). SECTIONS: Professor F. L. Golla and Dr. T. J. Hennelly (Research and Clinical), Drs. T. F. Main and D. V. Martin (Psychotherapy and Social Psychiatry), Drs. K. Cameron and J. G. Howells (Child Psychiatry), Drs. R. G. Blake Marsh and A. Shapiro (Mental Deficiency). (c) THAT the Nominated Members of the Council for 1956-57 be: Drs. Doreen Firmin, W. Rees Thomas, E. B. Strauss, K. K. Drury, T. M. Cuthbert and Professor Martin Roth. (D) THAT the Parliamentary Committee be re-appointed: ADDITIONS: Professor John Dunne, Dr. A. B. Monro. RESIGNATION: Dr. Helen Boyle. (

ANNUAL REPORTS OF THE COUNCIL, OFFICERS AND STANDING COMMITTEES (A) COUNCIL THE GENERAL SECRETARY, Dr. R. W. Armstrong, read the Report of the Council as follows: The Council has to report that on 1 January, 1956, the Membership of the Association was 1,412. The figures for the past five years are: 1952 1953 1954 1955 1956 Ordinary Members 1,183 1,207 1,242 1,284 1,345 Honorary Members 23 24 26 26 27 Corresponding Members 33 36 36 37 37 Associate Members 3 3 3 3 3 Totals 1,242 1,270 1,307 1,350 1,412

The Council held its Quarterly Meetings on 10 November, 1955, and 8 February, 16 May and 17 July, 1956. At the first of the Meetings it was learned with pleasure that the Association's year had started off most auspiciously with the successful Study Tour of Holland in which forty Members took part. This was the last tour to be organized by Dr. Isabel Wilson before her retirement as Study Tours Secretary, and the Council wishes to record its sincere thanks for all that she has done to ensure the success of the Association's Study Tour scheme throughout her term of office. On 11 November a large and appreciative audience attended at the Barnes Hall to hear Sir Russell Brain deliver the 1955 Maudsley Lecture, his subject being "Perception and Imperception". As usual, the two London Meetings of the year were preceded by Two-Day Lecture Courses. These will be reported on in detail by the Registrar, but the Council is pleased to note their continuing popularity as evidenced by the large audiences attending each course. The May Meeting for 1956 was held at the most northerly Mental Hospital in the British Isles. The Board of Management of Craig Dunain Hospital, Inverness, and the hospital staff led by the Physician Superintendent, Dr. Martin Whittet, welcomed the Association with traditional Scottish hospitality, and all those who were fortunate enough to attend were most grateful for the fine social and scientific programme which had been arranged for their benefit. As usual, the Council's work throughout the year has touched on many and varied aspects of importance in the specialty of psychiatry. The beginning of the year brought the satisfactory settlement of the question of the retiring age and superannuation rights of medical Mental Health Officers. This had been the subject of long and protracted negotiations throughout the previous year, and resulted in the Medical Whitley Council (Committee B) making a recommendation which will mean in effect that medical Mental Health Officers, while retaining their special super- annuation benefits, will have the right to continue in the hospital service until 65 if they so desire, but will retain the existing right to retire on pension from the age of 55 onwards where they have sufficient qualifying service. The recommendations made by the Guillebaud Committee in their report on the cost of the Mental Health Service have been carefully studied, in the first instance by the Parliamentary Committee, and the Council has approached the Ministry of Health about various matters which require special attention in the light of the particular needs of Mental and Mental Deficiency Hospitals. After discussing principles of medical administration in the light of the Guillebaud Committee's and Bradbeer Committee's recommendations, the Council has approached the Ministry of Health to point out that under present conditions there is insufficient incentive to the younger consultant to become acquainted with medical administrative problems in Mental 8 and Mental Deficiency Hospitals. It was suggested that considération should be given to offering some practical encouragement to younger psychiatrists to gain the adminis- trative experience which would fit them for Physician Superintendents' posts. After a study of the Guillebaud Committee's recommendations on methods by which specialist advice should be available to Regional Hospital Boards, the Council has approached the Ministry with a view to securing the proper représentation of psychiatry at this level. The recommendation that the Medicai Officer of Health should be as of right a member of the Medicai Staff Committee, and should be empowered to take charge in the event of an outbreak of infection, has also been taken up with the Ministry, and in this connection the special responsibilities of Physician Superintendents of Mental and Mental Deficiency Hospitals have been pointed out. Several factors of great importance to the future Staffing of the psychiatrie services have been studied during the year. At the request of the General Medicai Council, proposais were submitted for amendments and additions to the current "Recommendations as to the Medicai Curriculum". The Association's proposais, which were in agreement with those put forward by the Association of Teachers of Psychiatry in Undergraduate Medicai Schools, were aimed at securing a more adequate coverage of psychiatry in the General Medicai Curriculum. Secondly, the Joint Committee of the British Medical Association and of this Association has studied the question of future manpower in the specialty of psychiatry and has submitted to the Medicai Manpower Committee proposais aimed at securing increases in present figures to supply current shortages and to meet the future expansion of the Mental Health Services. The particular needs of Child Psychiatric Services in the future have also been brought before the Council, and two Memoranda relating to this subject, prepared by the Child Psychiatry Section, were approved for circulation to all interested bodies. The first of these dealt with the provision of training facilities for consultant status in Child Psychiatry, and the second was on the whole subject of "The Provision of Psychiatric Services for Children and Adolescents". The Council has continued to consider the problem of the Shortage of Mental Nurses. Last year the Association's Memorandum on the subject reviewed the whole problem of the shortage, and made recommendations aimed at alleviating it. This Memorandum was widely welcomed and has played its part with other independent surveys on the work of the Mental Nurse (such as the Oppenheim, Liverpool and Manchester reports), in making the need for a reform in basic psychiatrie nursing training generally recognized. This year it was decided to amplify the Association's general recommendations on the need for reform in the training programme, and a small sub-committee of the Education Committee therefore set to work to consider what was required of the psychiatrie nurse, and to produce a model curriculum in keeping with these require- ments. The Committee produced a most valuable document on these lines, which was approved by the Council for circulation to all Nursing Councils and all those concerned with nursing training. As it is understood that the General Nursing Council for England and Wales is already engaged in the revision of the curriculum, it is hoped that a reformed scheme of training will soon be put in practice by them, and will play an effective part in overcoming present shoratages. The Council would like to express their appréciation to ali members of the sub-committee who produced the Association's proposais for a reformed scheme, and in particular to thank Dr. Walk for his work in reshaping the curriculum, both as a member of the Association's sub-committee and of the General Nursing Council. The recommendation that there should be a Higher Diploma in Mental Nursing, which was also contained in last year's Memorandum on the Nursing Shortage, has been considered by a small sub-committee, and their contacts with various outside organizations concerned have shown that there is a good deal of interest in and support for such a scheme. However, although the Council approved in principie the institution of such a Higher Diploma, it was decided not to proceed further with 9 this matter until after the General Nursing Council had published its proposais for reform in the basic training scheme. The question of the training of Mental Welfare Officers has continued to be studied by the Association's représentatives, in conjunction with the National Association for Mental Health, the Society of Mental Welfare Officers and other interested organiza- tions. It was at first hoped that a training scheme drawn up by the Joint Committee last year might be speedily implemented, but this has not been possible owing to the fact that, as the Minister of Health explained to the représentatives of this Association and the National Association for Mental Health who interviewed him, the Ministry's policy on the training of Mental Welfare Officers is not likely to be announced until the Working Party on the Social Services has published its report. In view of these altered circumstances, it is likely that a fresh approach to this problem will have to be considered. Throughout the year the Council has been mindful of the need to maintain close contact with other Associations and organizations to ensure an exchange of views on common interests and problems. Liaison with the British Psychological Society has been maintained, and in addition a Joint Committee has been set up with the Association of Psychiatric Social Workers, and it is hoped to have a similar form of contact with the Society of Medicai Officers of Health. The Association has also approached the College of General Practitioners with a view to making a combined study of a Memorandum on "Psychiatry and the General Practitioner", which reached the Royal Medico-Psychological Association via the Standing Mental Health Advisory Committee. The Council has approved the re-arrangement of the Annual Meeting programme. Seminars were arranged for the first day of the Meeting, usually confined to Committee and Council Meetings only, and the last day has been given up entirely to the Sections, for each to arrange a programme to cover the special interests of its members. The result of these innovations will be watched with interest, and it is hoped that they will make the Meeting of the maximum usefulness to ali those attending. It is a matter of satisfaction to the Council that the Association's accounts continue to show a good balance in hand, and they wish to congratulate the Treasurer whose care has ensured this sound state of affaire. The main events of the Council's year having been related, it remains to record their thanks to the Standing Committees and their Sub-Committees who as usual have put in the vital preliminary work which has greatly facilitated the formulation of final décisions by the Council. They also wish to express their appréciation of the work which is done by the Divisions and Sections and especially to thank the Chairmen and Secretaries for their hard work in ensuring the success of these activities. A brief report from each Section will be read at the end of this chronicle, and perhaps it should be stressed here that the reason the very full activities of each Division are not being detailed is that the Minutes of each Divisional Meeting are given in full in the Supple- ment to the Journal of Mental Science.

The Report of yesterday's Meeting of Council is as follows: Arising from the Guillebaud Committee Report, the Council considered a recommendation made in the Report that Medical Officers of Health should be empowered to take charge in the event of an outbreak of infection in any hospital, and that they should be given an honorary appointment on the Medical Staffs of Hospitals. The Ministry of Health has consulted the Association about this recommendation, and it was decided to put forward the opinion that, while the help and opinions of the Medical Officer of Health should be sought in the event of an epidemie at a Mental Hospital, there can be no question of his superseding the overriding authority of the Physician Superintendent. On the other point it was decided to advise the Minister that the Medical Staff Committees of Mental Hospitals were the appropriate bodies to elect the Medical Officer of Health to their membership. 10

Drs. Armstrong, Howells and Strauss were appointée! to meet représentatives of the College of General Practitioners to discuss the Memorandum on Psychiatry and the General Practitioner. The Council instructed that four Members who were in arrears with their sub- scription and had not responded to the final request which had been sent to them, should have their ñames removed from the Association's Roll of Members. The Treasurer reported that the rates payable on the offices at 11 Chandos Street had been more than doubled by the recent revaluation, and he was advised that there was little hope of an appeal against this décision unless the constitution of the Asso- ciation were to be radically altered. The Council noted with pleasure the improved position with regard to the finances of the Journal of Mental Science, and agreed to send a letter of good wishes to Dr. G. W. T. H. Fleming, the Editor-in-Chief, who is at present convalescing after an opération. The Registrar reported that there had been two entrants for the Gaskell Prize and one for the Bronze Medal, but that no award had been made in either case. The Council decided to circularize psychiatrie hospitals in order to make these awards more widely known. The Registrar also reported that he hoped to arrange a three-day Lecture Course in November, and that in September, 1957, it was hoped, jointly with the Royal Society of Medicine, to arrange a meeting at which some of the visitors to Europe for the International Conference at Zurich would be invited to speak. On the recommendation of the Education Committee the Council decided to endorse in principie the General Nursing Council's proposais for reform in the Psychiatric Nursing Curriculum and Examinations; the Sub-Committee which drew up the Association's own scheme were asked to consider the proposais in detail and submit any comments to the General Nursing Council. The Education and Parliamentary Committees had both recommended the setting up of a special committee to consider and report on the whole position of social workers in the field of Mental Health, and to submit further evidence to the Younghusband Working Party, and Drs. Harris, FitzGerald, Crawford, Skottowe, Walk and Shapiro were appointed to serve on this committee. The work of the Sub-Committee on Educational Films is continuing and it is hoped to hold a programme of films in connection with the Maudsley Bequest Lectures. The work of the Sub-Committee on Eclectic Psychotherapy has continued and their final report will be considered by the Council at the November Meeting. The Guillebaud Committee's recommendations on medical and psychiatrie membership of Regional Hospital Boards and Hospital Management Committees was considered at the request of the Ministry of Health. While it was feit that in the main the position as regards R.H.B.s was satisfactory, it was less so in the case of Hospital Management Committees, many of which did not contain 25 per cent, of Medicai members, or have on them any whole-time psychiatrists, including Physician Superintendents. The Council decided to make représentations to the effect that : (a) As regards Regional Hospital Boards, if medical membership were to be limited to 25 per cent, this should not be done at the expense of psychiatrie représentation. (,b) as regards Hospital Management Committees, that membership should be raised to 25 per cent, wherever practicable; that psychiatrie représentation on H.M.C.s of ail groups including psychiatrie hospitals is desirable, and that Medical Superintendents and other full-time officers should not be excluded from membership. The Parliamentary Committee had considered the Postmaster-General's rules and the practice of his Department in dealing with accounts operated by certified and voluntary patients. On their recommendation the Council agreed that no action could be taken at present, but that after the Royal Commission's Report had been 11 published an approach might be made to the appropriate Government Departments with a view to codifying and rationalizing the laws and régulations on patients' civil status and financial affairs. The subject of rents charged for Medical Superintendents' houses was considered and it was agreed that the greatly increased charges made by some Regional Hospital Boards should be referred for considération by the Standing Joint Committee with the B.M.A. and the Joint Consultants' Committee, and that a direct approach should be made to the Ministry of Health. The subject for the November Papers Session will be, "The Principies of Medical Administration in Mental Hospitals", and at the February Meeting both sessions will be on "The Practical Application of Psychotherapy". The Study Tours Sub-Committee is arranging for a Tour of this country by Swiss Psychiatrists in the Spring of 1957. There will be no Study Tour abroad next year, but there may be a Tour of Scotland in the following year. The Council recorded with pleasure their congratulations to the Hon. Librarían, Dr. Walk, on the continuing high Standard of the Association's Library. The Standing Joint Committee of this Association and the B.M.A. Psycho- logical Medicine Group has considered and endorsed the Association's recom- mendations on the subject of incentives to younger psychiatrists to train to become Physician Superintendents. A report was received from the Association's représentatives who had been appointed to meet the Society of Medical Officers of Health, and it stated that a wide measure of agreement had been reached as to the common interest of the two bodies in the province of Mental Health. In particular it was feit by the Council that the sub- ject of Social Work in the field of Mental Health was an appropriate one for a joint discussion between the two bodies and it was decided to propose this to the Society of Medical Officers of Health. The Council considered a resolution from the Mental Deficiency Section on the subject of the Board of Control Circular on the question of licensing of Mental Defectives from Mental Deficiency Hospitals. It was noted with satisfaction that it had been arranged for Mental Deficiency Section Représentatives to meet Dr. Rees Thomas later on in the week in order to discuss the points made in the Circular. The conditions of service for Teachers of the Mentally Handicapped were carefully considered, but it was feit that the Council was not the appropriate authority to initiate the re-opening of discussions on this subject. The Council took notice of the following Conferences : 11 August. The European League of Mental Hygiene, Annual Meeting in West Berlin. Dr. Wilson has kindly agreed to represent the Association on this occasion. 12-17 August. World Fédération of Mental Health, 9th Annual Meeting in West Berlin. The Council agreed to ask Dr. Wilson if she would kindly act as the Association's représentative. 30 August-4 September. The Society of Alienists and Neurologists of France, 54th Annual Meeting at Bordeaux. The Council would be glad to hear of members who wish to attend this meeting with a view to their being appointed the Association's delegate. The dates for the May Meeting, 1957, were fixed for 1 and 2 May.

REPORTS O F SECTIONS

Research and Clinical Section The Section Executive Committee met twice during the year, and Open Meetings were arranged by the two Section Sub-Committees; at the Clinical Psychiatry Meeting, 12 Dr. Reiss and the late Dr. Sands spoke on "Some Recent Developments in Psycho- Endocrinology", and at the meeting arranged by the Pathology Sub-Committee the papers and speakers were as follows: "Stereotaxic Ablation of Anterior and Dorso- Medial Nuclei of the Thalamus" (Drs. Brierley and Beck), "The Rhinencephalon and Emotional Behaviour" (Dr. Woods), "Conditions for Thyrogenic Actions on the Brain Metabolism" (Dr. Reiss), and "Endocrinological Aspects of the Action of Morphine" (Dr. A. McCoubrey). The Geriatric Sub-Committee has been considering the report on the Course and Outcome of Mental Disorders in Old Age. A new Sub-Committee of the Executive Committee has been set up, which will be known as the Genetics Sub-Committee. Dr. Mayer-Gross is Chairman and Dr. Eliot Slater is Secretary. The Committee has begun work on a project to consider the association between blood groups and mental disease. Mental Deficiency Section The Section held four Meetings during last year. At the July Meeting in Dublin members visited the Hospital of St. John of God at Blackrock, at the kind invitation of the Brothers of St. John of God. The paper at the November Meeting was given by Dr. K. Bobath, and was devoted to the "Neurophysiology of Cerebral Palsy". Dr. Bobath spoke with special reference to early diagnosis and treatment, and showed a film of his work. At the February Quarterly Meeting Dr. Noel Burke read a paper on "Criticisms of Mental Deficiency Practice expressed in the evidence to the Royal Commission", evaluating these and discussing improvements that could be introduced. The paper was followed by an animated discussion. The Annual General Meeting was held at Little Plumstead Hospital, by kind invitation of Dr. J. V. Morris, the Hospital Management Committee, and the East Anglian Regional Hospital Board. The members had an opportunity of seeing the very progressive designs of low-grade wards evolved at Little Plumstead, and then heard a paper by Dr. J. V. Morris on "Habit Training with Low Grade Patients". The Section was very hospitably entertained at lunch and tea. A discussion was held on the Memorandum of the Teachers of the Mentally Handicapped, a report of which was forwarded to the Council of the Association. The Section also passed a resolution expressing its concern at the recent circular of the Board of Control on the discharge of patients from licence. Psychotherapy and Social Psychiatry Section In response to several requests received from Members for an increased number of scientific meetings, the Section has arranged monthly meetings in London. These are being held in London for one year in the first instance, and if the attempt is success- ful similar activities will be extended to the provinces. The present series of papers has been given under the general title of "The Mental Hospital as a Therapeutic Community". During the past year a questionnaire was sent to mental hospitals all over the country to find out what facilities existed for the teaching and practice of psycho- therapy. From replies received, it emerged that certain Regions were anxious to have such facilities increased, and the Executive Committee is going to submit to the Council a request for appropriate action. Child Psychiatry Section The Section held four meetings during the year. In July, 1955, the Section visited St. John of God Hospital, Dublin, and the newly-opened Child Psychiatric Centre at Rathgar, Dublin. Dr. J. J. Stack, Medical Director, spoke on their plans for the child psychiatric service for Dublin. In November, 1955, Dr. K. Cameron gave the Chairman's address, entitled "Past and Present Trends in Child Psychiatry". In 13

February, 1956, Dr. C. Haffner read a paper on "The Clinical Evaluation of Chlor- promazine in Child Psychiatry". In May, 1956, the Child Psychiatry Committee of the Scottish Division made arrangements for a meeting at Craig Dunain Hospital, Inverness. Dr. Margaret Methven opened a discussion on "Parent Therapy". The Executive Committee met regularly throughout the year; memoranda entitled "The Training of the Consultant Child Psychiatrist", and "The Provision of Psychiatric Services for Children and Adolescents" were approved by the Section, published by the Council of the R.M.P.A. and forwarded to interested bodies. The Executive Committee also started to study matters relating to in-patient accom- modation for child and adolescent patients. The Report of the Council was adopted.

0B) TREASURER The TREASURER, Dr. Thos. Tennent, reported as follows: The income of the Association during the past year amounted to £9,174 and the expenditure was £6,074. This shows a decrease in expenditure compared with the preceding year of £688. The investments of the Association stand in the Accounts at £22,082—their market value on 31 December, 1955, was £20,130. The Report of the Treasurer was adopted.

(c) EDITOR-IN-CHIEF AND JOURNAL COMMITTEE Dr. Walk said that, as Members already knew, Dr. Fleming had been prevented by illness from attending the Meeting, and it had not been possible for him to prepare a formal report; he had, however, submitted a financial statement which showed a most satisfactory state of affairs. The total cost of producing the Journal had fallen by over £500 and revenue from sales and advertisements had increased by over £400, so that the net cost to the Association had been reduced from £2,127 in 1954 to £1,183 in 1955, and the net cost per copy and per page were lower than in 1938. Advertising was being placed in the hands of a new firm, G. & M. Press Ltd. The third volume of "Recent Progress in Psychiatry" was in hand and two chapters were now ready for the Printers. The Report was adopted.

(d) REGISTRAR The REGISTRAR, Dr. Sargant, reported as follows: Two Maudsley Bequest Lecture Courses were held before the November and February Quarterly Meetings. At the November Course each of the eight lectures was devoted to the diagnosis or treatment of selected mental disorders. This proved an outstandingly populär course, and over 400 applications for tickets were received. At the February Course the subject was "Legal Psychiatry" and again there was a very good attendance. We are, as always, most grateful to the speakers at these courses, and to the Royal Society of Medicine for permitting us to use the Barnes Hall. There were two entries for the Gaskell Medal and Prize examination and one for the Bronze Medal and Prize, but in both cases the examiners were unable to recom- mend that an award should be made. The Report was adopted.

(e) LIBRARIAN AND LIBRARY COMMITTEE The Report of the HON. LIBRARIAN, Dr. Walk, was as follows: Since the last Annua! Meeting there have been three meetings of the Library Committee. Issues of books show an increase compared with last year, the number THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION BALANCE SHEET, 31 DECEMBER, 1955

1954 1954 £ £ s. d. £ s. d. £ £ s. d. £ s. d. The General Fund : The General Fund: Creditors: 105 Furniture, Fixtures and Fittings as at 783 Journal Account 686 10 31 December, 1954 105 242 Sundry 100 17 Additions to 31 December, 1955 .. 18 100 Burlingame Prize Account, un- expended 123 5 6 787 7 10 Less Dépréciation 12 6 6 1,125 110 19 0 Capital Fund: The Library 146 3 4 As at 31 December, 1954 .. 23,230 12 1 Sundry Debtors: Add Excess of Income over Expen- 110 Subscriptions 58 5 diture for the Year .. .. 3,099 4 9 761 Registrar's Account 173 11 Premium on Defence Bonds 1,415 Journal Account 1,871 0 converted .. .. 3 7 0 96 11 Chandos Street 102 19 15 Income Tax Claim 9 19 26,333 3 10 278 Recent Progress in Psychiatry 248 0 Registrar's Account: 253 Handbook 78 12 II 23,231 Add Excess of Income over Expen- diture 13 0 0 2,928 2,542 9 1 -26,346 3 10 2,708 Lloyds Bank Ltd. 2,224 13 10 Special Funds: 33 Cash in Hand 27 5 9 Maudsley Bequest: Investments at Cost: Income Account as at 31 December, £12,482/14/10 3J % Conversion Loan 10,470 15 1954 661 10 lì £1,864/1/2 34% War Loan 1,919 19 Less Excess of Expenditure over £213/18/1 Manchester Corporation 3% Income 93 4 9 Guaranteed Stock 143 6 3 662 568 6 2 £329/15/9 British Transport 3% Guar- 2,086 Capital Fund 2,086 5 10 anteed Stock 239 Gaskell Memorial Fund: £255/0/0 3% Defence Bonds 1978/88 255 833 Income Account as at 31 December, £399/3/0 British Electricity 34% Stock 400 1954 833 3 £3,140/0/0 34% Defence Bonds 3,140 Add Excess of Income over Expenditure 13 10 £2,509/9/5 British Gas 4% Guaranteed 846 13 10 Stock 2,500 2,126 Capital Fund 2,125 18 3 £3,304/2/11 3% Savings Bonds 1960/70 3,013 18,582 - 22,082 0 8 Market Value at 31 December, 1955, £20,130/0/0

30,063 Carried forward 32,760 15 9 24,356 Carried forward 27,133 11 8 30,063 Brought forward 32,760 15 9 24,356 Brought forward 27,133 II 8 Special Funds: Maudsley Bequest 662 Lloyds Bank Ltd. Deposit Account.. 568 6 2 Investment—£2,112/13/11 3£% War Loan Market Value, 3Ist December, 2,086 1955 £1,624/0/0 2,086 5 10 Gaskell Memorial Fund: 816 Lloyds Bank Ltd. Deposit Account . . 842 17 Income Tax Claim Account 4 846 13 10 Investments: £370/0/0 3£ % War Loan 370 0 £356/1/8 Commonwealth of Australia 3% Stock 1955/58 356 1 £1,392/2/8 British Gas 4% Guaranteed Stock 1969/72 1,399 16 2,126 2,125 18 3 Market Value at 31 December, 1955, £1,906/0/0

£30,063 £32,760 15 9 £30,063 £32,760 15 9

We have examined the above Balance Sheet and annexed Accounts with the Books and Vouchers. In our opinion the Balance Sheet gives a true and fair view of the state of the affairs of the Association at date thereof and the Accounts properly disclose the Income and Expenditure for the period under review. We have received ail the information and explanations required by us.

REGENT HOUSE, 45 SHEEP STREET, NORTHAMPTON. A. C. PALMER & Co., 5 April, 1956. Chartered Aecountants. THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION

INCOME AND EXPENDITURE ACCOUNT, FOR THE YEAR ENDED 31 DECEMBER, 1955

EXPENDITURF. INCOME 1954 1954 £ £ s. d. £ s. d. £ £ s. d. £ s. d. 3,846 Printing, Publishing and Distribution of 709 Interest on Investments 786 19 7 Journal 3,319 14 10 Sales: 123 Expenses of Annual General and other 1,544 Journal and Year Book .. 1,746 11 8 Meetings 106 6 0 21 M.D. Manuals, etc. 12 8 0 421 Library Expenses 200 6 2 175 Advertisements 398 8 0

4,390 3,626 7 0 1,740 2,157 7 8 Expenses—11 Chandos Street: — Handbook 565 6 5 400 Rent 400 0 0 4,967 Members' Subscriptions . . 5,318 18 8 975 Salaries and National Insurance 1,062 8 5 141 Lecture Course 199 1 0 33 Telephone 25 7 11 — The Library, at valuation a s shown on 52 Printing and Stationery 57 15 9 Balance Sheet 146 3 4 18 Electric Light and Gas 16 1 4 9 Water 8 16 8 86 Rates 86 5 0 243 Postages and Sundries 279 9 4

1,816 1,936 4 5 68 Audit and Accountancy Charges 68 5 0 476 Miscellaneous Expenses 431 9 0 12 Dépréciation on Furniture, Fixtures and Fittings 12 6 6 795 Surplus to Capital Account 3,099 4 9

£9,173 16 8 £9,173 16 8 THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION MAUDSLEY BEQUEST INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 DECEMBER, 1955 EXPENDITURE INCOME 1954 1954 £ £ s. d. £ £ s. d. 88 Lecture Course and Fees 81 0 0 74 Interest on Investments 73 18 10 12 Use of Room 32 11 0 10 Bank Interest 14 5 6 26 Advertising 21 3 6 68 Balance being Excess of Expenditure over Income 93 4 9 26 Stationery and Sundry Expenses 46 14 7 £152 £181 9 1 £152 £181 9 I

GASK.ELL MEMORIAL FUND INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 DECEMBER, 1955 EXPENDITURE INCOME 1954 1954 £ £ s. d. £ £ s. d. Prizes and Medals 58 17 6 55 Interest on Investments 74 13 0 21 Examination Fees—Expenses 25 3 0 11 Bank Interest 18 4 1 62 Balance being Excess of Income over Expenditure 13 10 1 17 Income Tax Claim 4 13 6 £83 £97 10 7 £83 £97 10 7

REGISTRARE ACCOUNT EXPENDITURE INCOME 1954 1954 £ £ s. d. £ £ s. d. 396 Expenses 23 6 0 36 6 0 99 Balance being Excess of Income over Expenditure 13 0 495 Receipts £495 £36 6 0 £36 6 0 £495 18 issued being just under 700. The Librarian joined in the collective protest which was made earlier this year against the increased postal charges which constitute an addi- tional burden on scientific and literary research. New shelves have been fitted in the front library, and the available wall space is now being used to the maximum extent. During 1955, 120 books were added, and since January, 1956, about 65 more. The increased interest now being taken in psychiatric history is reflected in the keener competition for 18th- and early 19th-century works. Through the help of one of the Librarian's patients it has been possible to provide typed copies of important works of this period, including among others Monro's "Remarks on Dr. Battie's Treatise", and Thomas Arnold's "Observations on the Management of the Insane and the Importance of Humane and Kind Treatment". Among actual volumes of historical interest acquired during the year are Daquin's "Philosophie de la Folie", 1804, and Amard's "Traite Analytique de la Folie", 1807, as well as works by Voisin, Leuret, Prichard and Spurzheim. At the conclusion of 10 years in office your Librarian would like to thank the Association for the continued support and encouragement given him in this very pleasurable work. The Report was adopted.

(/) EDUCATION COMMITTEE The HON. SECRETARY, Dr. O. W. S. FitzGerald, reported as follows: A Special Meeting of the Committee in 1955 considered the present-day position of nurse training, and agreed to set up a Sub-Committee to enquire fully into the matter. At the subsequent Meeting in November, 1955, the following were appointed to serve on the Sub-Committee on nursing: Drs. J. Dunne, N. Harris, N. Burke, T. P. Rees, W. Sargant, A. Walk, L. C. Cook, C. B. Robinson, P. K. McCowan, O. W. S. FitzGerald, with J. C. Sawle Thomas as observer for the Psychological Medicine group of the British Medical Association. At the Quarterly Meeting in May, 1956, the Sub-Committee presented a report in which a number of substantial changes in the training schemes for psychiatric nurses were recommended. At the same Meeting it was made known that the General Nursing Council for England and Wales were about to publish their own revised training scheme for mental nurses. The Committee anticipated that there would be general agreement between the General Nursing Council and the Association as to the principal reforms which were desirable, but, none the less, wished to go ahead with the publication of its own recommendations, since they were addressed to all the examining bodies in addition to the General Nursing Council for England and Wales. Another Sub-Committee, comprised of Drs. N. Harris, N. Burke, A. B. Munro and W. Sargant, was appointed in November, 1955, to enquire into the practicability of creating a Higher Diploma in Mental Nursing, as was recommended in the Asso- ciation's report of November, 1954, on the Shortage of Mental Nurses. Subsequently this Sub-Committee reported that, in response to an enquiry, the following bodies had expressed themselves as being broadly in favour of the Association providing a Higher Diploma: the Royal College of Nursing, the Trustees of the King Edward's Fund, the London University, the Regional Nursing Officers of the North-West Metro- politan and South-West Metropolitan Boards and Association of Regional Nursing Officers, the Association of Chief Male Nurses, the Mental Matrons' Association and the Ministry of Health. The General Nursing Council, however, felt that the creation of a Higher Diploma at this stage might detract from the success of a new training scheme and that it would be better to ensure that the ordinary training was improved upon before we instituted a higher certificate or diploma. Having regard to the atti- tudes of the aforementioned interested bodies, the Committee recommended that the 19 Association should proceed with its intention to provide a higher certificate in mental nursing, but that no further action should be taken to implement the decision until the new training scheme proposed by the General-Nursing Council could be taken into consideration. At the Meeting in November, 1955, Dr. Jonathan Gould presented the first report of the recently formed Sub-Committee on Films. The Committee throughout the year concerned itself mainly with collecting information on scientific films and devising ways of making that information readily available to interested members. The Committee expressed its appreciation of the help given to the Sub-Committee by Dr. R. C. MacKeith, the Vice-President of the Scientific Film Association. Arrange- ments have been made for a meeting this year on the theme of "Novelty and Difficulties in the Use of Films in Psychiatric Education", At the Quarterly Meeting of February, 1956, a Sub-Committee comprised of Drs. J. Gould, E. Strauss, Mildred Creak, O. W. S. FitzGerald, R. G. Mclnnes, A. B. Monro, T. P. Rees, W. Sargant, was instituted to investigate the possibility of the Association undertaking training in Eclectic Psychotherapy as one of its educational activities. The Sub-Committee has submitted to the most recent meeting of the Educa- tion Committee a report setting out the case for training young psychiatrists in the Eclectic approach to Psychotherapy, together with suggestions as to how such train- ing might be encouraged or sponsored by the Association. This report will be con- sidered by Council at the November, 1956, Meeting. At the February Meeting the Committee recommended Council to send represen- tatives to a Conference which was being convened by Lord Feversham, Chairman of the National Association for Mental Health, to discuss a matter of mutual concern, namely, the lack of any formal training for mental welfare officers. This Conference was not convened, but Dr. Noel Harris, acting as the representative of the Association, in company with Lord Feversham, interviewed the Minister of Health to plead for some action on the part of the Minister in providing training for mental welfare officers. The Minister, however, could promise no prompt action, as he was waiting the report of a Working Party which he had recently set up to consider the possibility of having a general grade of social worker. Council then referred back for con- sideration by the Education Committee the question as to what was the case for training a mental health worker with some specialized training, as distinct from the general purpose social worker whose possible role was under consideration by the Younghusband Working Party. This question proved to be of equal interest to the Parliamentary Committee, so the officers of both Committees met, with the result that a letter of enquiry about mental health social services was addressed to the Medical Superintendents of all mental hospitals and mental deficiency hospitals in England and Wales, and other members specially concerned with the problem. The information thus obtained will, it is anticipated, provide material for much future discussion. The Report was adopted.

(g) PARLIAMENTARY COMMITTEE The HON. SECRETARY of the Parliamentary Committee, Dr. Walk, reported as follows: The Committee have held their usual four meetings during the year, and at each of these the reports on Parliamentary proceedings supplied by the Parliamentary Agent and summarized by the Secretary have been considered. The interest of Members of Parliament in mental health matters is providing an ever-increasing number of questions and adjournment debates, and this year the focus has been less on building programmes and more on such matters as mental nursing, the fate of hospital farms, food and cost of maintenance, handicapped and maladjusted children and the use of observation wards. The report of the Guillebaud Committee was considered at two of the Com- mittee's meetings and various recommendations were made to Council which were 20 accepted and are included in the Council's Report. In this connection information has been collected as to medical and psychiatric membership of R.H.B.s and H.M.C.s, and at yesterday's meeting recommendations were made to Council in reply to the Ministry's request for the Association's views. The Report of the Royal Commission on Marriage and Divorce has also been considered, and a summary has been prepared setting out the recommendations of psychiatric import and noting their implications. Any further legislation resulting from the Report will be carefully watched. Action was taken on the Ministry of Health Circular concerning accidents in hospitals, and a satisfactory solution was reached. Correspondence was also under- taken on the subject of mental patients' allowances and benefits, and an expectation was raised that the present anomalies would be removed; this, however, has since been disappointed, and it may be that a fresh approach will be necessary. Preliminary work has been undertaken in conjunction with the officers of the Education Committee in preparing evidence to be given by the Association to the Working Party on Social Workers, and the Council have accepted a joint recommen- dation that a special committee should be appointed to continue the work and submit a memorandum of evidence. At yesterday's meeting there was a very full discussion on the Board of Control's Circular concerning mental defective patients on licence. There we s a free exchange of views, and Dr. Rees Thomas gave a very informative explanation of the circum- stances which had led to the issue of the Circular. The discussion was preparatory to consideration by the Council of the resolution on the subject passed by the Mental Deficiency Section. Other matters considered at yesterday's meeting on which recommendations were made to Council have been fully referred to by the General Secretary in his report of the Council's proceedings. The Report was adopted.

(h) PAPERS AND DISCUSSIONS COMMITTEE The HON. SECRETARY, Dr. L. C. Cook, reported as follows: Four meetings of the Committee were held during the year, with an average attendance of 10 members. Arrangements for the following meetings were made: (1) November, 1955. "Clinical Applications of Electro-Encephalography in Psychiatry." (2) February, 1956. Four papers on "Tranquillizing Drugs in Psychiatry", with special reference to Chlorpromazine and Reserpine. (3) May, 1956. Arranged in conjunction with the Scottish Papers and Discussions Committee: "The Minnesota Multiphasic Personality Tests"; "A Sociological Survey of Mental Health Problems in the North of Scotland"; "Aspects of Psychiatric Illness in Women in the Involutional Age Group"; "Psychosomatic Aspects of Hypertension". (4) July, 1956. Two sessions, each of four short papers followed by discussion on the mental hospital patient's life. The morning session to be entitled "Open Doors in Mental Hospitals", and the afternoon session "The Patient's Twenty-four Hour Day". The programmes have covered a wide and varied field, and the meetings were usually crowded. The Council accepted the proposal of an Ad Hoc Committee to alter the structure of the Annual Meetings, so as to give more time to papers and discussions. 21

At this meeting two discussions were held yesterday on "The Scope and Limita- tions of Hypnosis" (morning), and "Common Marital Problems in Psychiatric Practice" (afternoon). The whole of Friday is to be devoted to sectional meetings, and a full programme, which looks very attractive, has been arranged. The Study Tours Sub-Committee has suffered a severe loss in the résignation of the Hon. Secretary, Dr. Isabel Wilson. Few who have not actually taken part in these tours can realize the enormous amount of detailed work, together with excep- tional qualities of personality that are necessary to make these tours successful, and which Dr. Wilson has supplied with apparently effortless ease. I think we are fortunate in getting Dr. E. S. Stern, who has been a regulär member of the tours, to take over from Dr. Wilson. A very successful study tour to Holland took place in September, 1955. The Report was adopted.

REPORTS OF SPECIAL COMMITTEES There was no Report to be submitted under this item.

OTHER BUSINESS The usuai grant to the President during his year of office was approved. The following dates for Quarterly Meetings were approved: 15 and 16 November, 1956 (London). 13 and 14 February, 1957 (London). 1 and 2 May, 1957 (Barrow Gurney Hospital, Bristol). The appropriate officers were authorized to fix the date for the Annual Meeting, 1957, which would be held at Littlemore Hospital, Oxford.

ELECTIONS The Candidates for Honorary, Corresponding and Ordinary Membership, whose names were set out on the Agenda, were duly elected.

HONORARY THE RT. HON. LORD ADRIAN, O.M., M.A., M.D., F.R.C.P., F.R.S., Master of Trinity College, Cambridge. Proposed by Professor John Dunne, Drs. Thos. Tennent, R. W. Armstrong, Noël Harris, T. P. Rees and A. Walk.

CORRESPONDING ROBERT H. FELIX, M.D., M.P.H., F.A.C.P., Director, National Institute of Mental Health, National Institutes of Health, United States Public Health Service, Bethesda 14, Maryland, U.S.A. Proposed by Drs. Thos. Tennent, R. W. Armstrong, T. P. Rees and Noël Harris.

R. FINLEY GAYLE, JR., M.D., Professor and Chairman of the Department of Psychiatry and Neurology, Medicai College of Virginia, Richmond, Virginia, U.S.A. Immediate Past President, American Psychiatric Association. Proposed by Drs. Thos. Tennent, R. W. Armstrong, T. P. Rees and Noël Harris. 22 University Professor of Psychiatry, DR. MED. JAROSLAV STUCHLIK, Prague 2, Legerova 8, Czechoslovakia. Proposed by Drs. Thos. Tennent, R. W. Armstrong, Noel Harris and J. R. Rees.

ORDINARY LAKE, FRANK, M.B., Ch.B., D.T.M., D.P.M., Registrar in Psychiatry, Scalebor Park Hospital, Burley-in-Wharfedale, near Leeds. Proposed by Drs. E. J. Harrison, J. Valentine and J. H. Kahn. McWALTER, HARRY SCOTT, B.SC., M.B., Ch.B., D.P.H., Registrar in Psychiatry, Cherry Knowle Hospital, Ryhope, near Sunderland. Proposed by Drs. A. Gillis, C. F. Lascelles and S. J. Frewin. NEVILLE-SMITH, CHRISTOPHER HUGH, B.M., B.Ch., D.P.M., D.C.H., Senior Registrar (Children), Department of Psychiatry, University of Leeds. Proposed by Drs. Mary Burbury, Agnes Collins and A. Walk. O'DOWDA, PAULETTE, M.B., Ch.B., Junior Medical Officer, Powick Hospital, Worcester. Proposed by Drs. R. A. Sandison, J. D. Currie and B. G. Fleming. RAYMOND, MICHAEL JAMES, M.R.C.P.E., D.P.M., Senior Registrar in Psychiatry, St. George's Hospital, S.W.I. Proposed by Drs. D. Curran, Isobel Crotty, and Sir Paul Mallinson. SARKAR, JAOADISH CHANDRA, M.Sc., M.B., B.S.(Calcutta), Specialist in Psychiatry, Army Medical Corps, 148 General Hospital, c/o 56 A.P.O., New Delhi. Proposed by Drs. D. L. N. Murti Rao, Nagendraneth De and N. G. Chakraborty. SHEPHERD, ERIC WILLIAM, M.B., B.S., M.R.C.S., L.R.C.P., D.P.M., Assistant Psychiatrist and Deputy Physician Superintendent, Leavesden Hospital, Herts.; Clinical Assistant, New End Hospital, Hampstead. Proposed by Drs. R. G. Blake Marsh, R. W. Armstrong and A. Walk. SHERRET, DAVID, M.B., Ch.B., D.P.M., Senior Medical Officer, Glengall Mental Hospital, Ayr. Proposed by Drs. P. G. McGrath, H. J. B. Miller and R. W. Armstrong. TANNER, JAMES MOURILYAN, M.B., B.S., M.D.Penna, Ph.D., D.P.M., Lecturer in Child Health, Institute of Child Health, Great Ormond Street, London, W.C.I. Proposed by Professor J. Elkes, Drs. W. Mayer-Gross and D. Richter. WALLIS, GEOFFREY GARFIT, M.B., B.S., M.R.C.S., L.R.C.P., D.P.M., Surgeon Commander, Royal Navy; Senior Specialist in Neuro-Psychiatry, Royal Naval Hospital, Haslar, Gosport. Proposed by Drs. J. McQuillan, R. Phillipson and D. C. V. Stewart. WILLIAMS, CYRIL EDDY, M.B., Ch.B., Senior Registrar, Fountain Hospital, Tooting, London, S.W. 17. Proposed by Drs. L. T. Hilliard, R. W. Armstrong and A. Walk. 23 Candidature approved by Council, 16 May, 1956: JERI, RAUL, M.D., Head of the Department of Psychiatry of the Hospital de Policia, Lima, Peru. Proposed by Drs. J. R. Rees, E. Slater and A. J. Oldham. At the conclusion of the morning session Dr. J. R. Rees gave a most interesting impromptu talk on the work of the World Fédération for Mental Health, stressing in particular its work in the preventive field, and quoting examples of work done in Holland, Thailand, Pakistan, Hong Kong, Latin America, the U.S.A. and the Philippines. The Association and guests were entertained to Luncheon at Warlingham Park at the kind invitation of the Management Committee, whose Chairman, Alderman Lock Kendell, in his speech of welcome, expressed the pleasure of the whole hospital at receiving the Association on the occasion of its One Hundred and Fifteenth Annual Meeting, and said how pleased and proud they all were that their Physician Super- intendent, Dr. T. P. Rees, had been chosen as President for the ensuing year.

Afternoon Session VOTE OF THANKS TO OFFICERS AND COUNCIL Dr. R. K. FREUDENBERG said that it was a privilege to speak on behalf of ali Members and extend their thanks to the Officers and Council for their work on behalf of the Association throughout the year which had just been completed. He could not mention the ñames of all those who had given so much of their time to help with the running of the Association's affairs, but he would like to pay tribute to the efficiency of the General Secretary and the shrewdness of the Treasurer, and ta assure them and all their colleagues of the gratitude of their fellow Members. In seconding the vote of thanks, Dr. J. D. W. PEARCE said he would like to record the gratitude of ali Members to the Hon. Librarían, Dr. A. Walk. The Association was indeed fortunate to have so learned and knowledgeable a Librarian, who, with unfailing helpfulness, was able to solve the most recondite problems. The vote of thanks was accorded with acclamation.

INDUCTION OF NEW PRESIDENT PROFESSOR DUNNE vacated the Chair in favour of the new President, Dr. T. P. Rees. He invested Dr. Rees with the Presidential Badge and wished him a happy and successful year as the Association's President. DR. REES took the chair, thanked Professor Dunne for his remarks, and invested him with the Past Presidential Badge, congratulating him on the completion of a most successful year of office. The following delegates were presented to the President : Dr. Noel Perón, representing the French Neurologica! Society, the Congrès des Médecins Aliénistes et Neurologistes de France, and the French Medico- Psychological Society. Dr. Yves Porc'her, representing the French League of Mental Hygiene. Dr. A. P. Noyes, representing the American Psychiatric Association. Dr. H. Rademaekers, representing the Belgian Neurological Society. Dr. J. Finn Larsen, representing Dansk Psykiatrisk Selskab. The following visitors from overseas were also presented: The Hon. Harry Shapiro, Minister of Health, Commonwealth of Pennsylvania. Dr. John E. Davis, Medicai Director, Commonwealth of Pennsylvania. 24 Dr. Otto Feldmann, Director of Mental Health, Ministry of Health, Israel. Dr. Westerman Holstijn, Corresponding Member from Holland. The Honorary and Corresponding Members elected in the morning found it impossible to be present personally to receive their parchments, and it was therefore agreed that these should be forwarded to them, and that the congratulations of all Members should be conveyed to them. The GENERAL SECRETARY announced that, as Members already knew, Dr. J. R. Rees would give the Maudsley Lecture in November, 1956, and that Sir Wilfrid Le Gros Clark had kindly consented to give the Lecture in November, 1957. PRESIDENTIAL ADDRESS The President then delivered his address, entitled: "Back to " VOTE OF THANKS TO THE PRESIDENT DR. NOEL HARRIS, in moving the vote of thanks for the President's most inter- esting address, paid tribute to his courage and his tolerance which had led to the very fine achievements at the hospital which the Association was now visiting. He said that on this important day he would like also to congratulate Mrs. Rees, who had been a constant help to her husband in his pioneer work. DR. T. F. MAIN said that Dr. Rees' address had shown that, whilst his work was based on the solid foundations of all that was best in past traditions of mental hospital work, he had not been content merely to follow established custom, but had made his own personal contribution by adventurously adopting the concept of the hospital as a therapeutic community—a theory whose successful translation into practice members had seen for themselves during their visit to Warlingham Park. Dr. Main then formally seconded the vote of thanks which was carried with acclama- tion. GENERAL VOTE OF THANKS The GENERAL SECRETARY said that he welcomed the new arrangement of the Annual Meeting programme, as it gave him an opportunity to express the thanks of Members for all the hospitality that they had enjoyed, at a time when a large number of Members were assembled and could endorse the thanks which he expressed on their behalf. He thanked Alderman Lock Kendell and the Hospital Management Committee for entertaining the Association to luncheon and tea on this day of the Annual Meeting, and said that he would also like to thank especially all those behind the scenes who had worked so hard to ensure the success of this very enjoyable occasion. The Members of Council wished to thank Dr. Rees for entertaining them to dinner on the previous night, and the wives of Council Members were deeply appreciative of Mrs. Rees' kindness in arranging the Theatre Party to see the Festival Ballet, which those fortunate enough to attend had greatly enjoyed. If he might look forward to events that were still to come, he would like to thank Mrs. Rees and Messrs. Harrods Ltd., for arranging the Coffee Party for the wives of all Members, an event to which they looked forward with keen anticipation. A new innovation was the Sections Day on the last day of the Meeting, and to all those who would act as hosts on that day he expressed the thanks of all Members ; that is to the Chairmen, Management Committees and Physician Superintendents of the following hospitals: Netherne (Research and Clinical Section), the Cassel (Psychotherapy and Social Psychiatry Section), and St. Lawrence's (Mental Deficiency Section). The Child Psychiatry Section would be entertained by the Board of Governors of Bethlem Royal and the Maudsley, and by the Mayor of Croydon to whom he also expressed thanks. It was a real pleasure to record the Association's gratitude to all those who had done so much to make this such a memorable Meeting, both on the scientific and social side. 25

The General Secretary's vote of thanks was endorsed by the warm acclamation of all those present, and this concluded the day's proceedings. Members were then entertained to tea. At the end of the day many Members took advantage of the invita- tion to visit Champions Place, the annexe to Warlingham Park Hospital at Limpsfield Chart, Surrey.

THURSDAY, 19 JULY

PAPERS—at 11 Chandos Street, Cavendish Square, London, W.l

MORNING SESSION "Open Doors in Mental Hospitals" Speakers : Drs. E. S. Stern, Duncan Macmillan, G. M. Bell and Joshua Carse.

AFTERNOON SESSION "The Patient's Twenty-four Hour Day" Speakers: Drs. G. Somerville, D. H. Clark, A. K. Macrae and L. C. Cook.

Düring the morning the wives of Members were entertained to a Coffee Party by Messrs. Harrods Ltd. Miss Jean Grey gave them a talk on "Beauty Belongs to You", and those who attended were very appréciative of all that was done to make this a most pleasant and friendly social occasion.

ANNUAL DINNER The Annual Dinner was held at Grosvenor House, and was followed by dancing. The President, Dr. T. P. Rees, was in the Chair. THE HON. W. S. MACLAY, proposing "The Guests", said that the Association was particularly glad to welcome Miss Patricia Hornsby-Smith, Parliamentary Secre- tary to the Ministry of Health, whose sincere interest in Mental Health was of great encouragement to those working in this field. She had devoted much time to visiting Mental Hospitals and to learning to understand the problems of those who ran them, and he wanted her to know how much Members appreciated this. To her, to the President of the Royal College of Gynaecologists and Obstetricians, to Mr. Harry Shapiro, Minister of Health for the Commonwealth of Pennsylvania, and to the rest of the Association's guests, whom he enumerated, he extended a warm welcome on behalf of all Members. MR. CHRISTOPHER MAYHEW, M.P., replying for the guests, spoke of the oppor- tunities which lay ahead of psychiatrists during the coming decades, when the increasing récognition of the importance of psychological factors would change hitherto accepted attitudes in many spheres of life, including that of international affaire. Miss PATRICIA HORNSBY-SMITH, who proposed the toast of "The Royal Medico- Psychological Association", spoke of the Association's valuable work both in treatment and prevention, which had done much to prevent the divorce of Psychiatry from General Medicine. She mentioned the Evidence given by the Association to the Royal Commission on Mental Illness and Mental Deficiency, to the Guillebaud Committee, the Piercey Committee, the Departmental Committee on Homosexuality and Pros- titution and others, and said that this work, carried out by the Association in its collective capacity, had been of inestimable value. She praised the work done by the Association's members in the face of shortage of beds and limited funds, and said that it was very largely due to their efforts that, despite ali drawbacks, Britain led the world in the humane treatment of the mentally sick. There was now a more positive 26 approach to treatment in this field, and the trend was towards early treatment resulting in early discharge. The Ministry would continue to work with the Association's members to wipe out from the public mind any thought of stigma attaching to mental illness. There still remained much to be done, but for the considerable progress which had already been made the country owed a very real debt of gratitude to members of the Royal Medico-Psychological Association. DR. REES, in his reply, thanked Miss Hornsby-Smith, and spoke of the high rise in admissions to mental hospitals during the past twenty-five years. He stressed the importance of the psychiatrist's preventive work in the community, which might eventually obviate the need for bigger and better mental hospitals.

FRIDAY, 20 JULY Under the new arrangements for the Annual Meeting the whole of this day was given over to the Sections, and programmes for their Members were arranged as follows :

RESEARCH AND CLINICAL SECTION In the morning an Open Meeting arranged by the Pathology Sub-Committee took place at 11 Chandos Street, and papers given were as follows: (a) "Biochemical Investigations in Mongolism" Dr. J. Stern. (b) "Cortical Lesions in Mental Deficiency" Dr. L. Crome. (c) "Endocrine Concomitants of Schizophrenia" Authors: Drs. T. E. Ball, W. W. Kay, M. Reiss, and the late D. Sands. In the afternoon the Section Committees held meetings at 11 Chandos Street, and these included a Discussion on "Methods of Collaboration in a Research Project into the Relation of Mental Illness and Blood Groups", arranged by the Genetics Sub-Committee. By kind invitation of the Management Committee and Physician Superintendent of Netherne Hospital, Members of the Section were invited to tea at the hospital and the following paper was given: "Psychological Disturbances in Oxford Undergraduates" By Dr. S. J. G. Spencer.

CHILD PSYCHIATRY SECTION In the morning Members visited the Adolescent Unit of Bethlem Royal Hospital, where they were given an introductory talk by Drs. K. Cameron and W. Warren. They then visited the Adolescent Wards and afterwards took part in a discussion. Members were entertained to luncheon by kind invitation of the Board of Governors of the Bethlem Royal Hospital and the Maudsley Hospital. In the afternoon the Section Meeting was held at Croydon Town Hall and papers were read as follows: Dr. S. L. Wright, Medical Officer of Health, Croydon, on "The Prevention of Mental Ill-Health". Dr. A. Zanker, Psychiatrist, Croydon Child Guidance Clinic and Warlingham Park Hospital, on "The Psychiatrist and the Health Visitor". Miss L. E. Oakley, Superintendent Health Visitor, Croydon, on "The Health Visitor and the Psychiatrist". The Section Meeting was followed by a Reception and Tea by kind invitation of the Mayor of Croydon. 27

PSYCHOTHERAPY AND SOCIAL PSYCHIATRY SECTION An all-day meeting was held at the Cassel Hospital, and during the day the follow- ing papers were read: "The Problem of Hospitalization of Neurosis" By Dr. T. F. Main. "The Nursing of Neurotic Patients" By Miss Weddell (Matron of the Cassel Hospital). "The Significance of the Hospital Setting in Group Psychotherapy" By Dr. Norman Cohen. "Migraine and Depression" By Dr. L. H. Rubinstein. Members were given an opportunity to tour the hospital, and at the kind invitation of the Hospital Management Committee and Physician Superintendent they were entertained to luncheon, tea and aperitifs.

MENTAL DEFICIENCY SECTION Members of this Section were given an opportunity of hearing the papers on Mental Deficiency which were included in the morning programme of the Research and Clinical Section, and afterwards they visited St. Lawrence's Hospital, Caterham, at the kind invitation of the Management Committee and the Physician Superintendent. After luncheon, and inspection of the hospital, the following paper was given: "Statistical Trends in Mental Deficiency Hospital Practice" By Dr. B. W. Richards, and this was followed by tea.

SCOTTISH DIVISION THE SPRING MEETING of the Scottish Division was held at Gartloch Mental Hospital, Gartcosh, on Friday, 30 March, 1956. Forty-three Members were present. 1. The Minutes of the last Meeting were confirmed. 2. Election of Office Bearers: The following Office Bearers were elected : Chairman: Dr. E. J. C. Hewitt. Hon. Divisional Secretary: Dr. G. M. Bell. Assistant Hon. Divisional Secretary: Dr. M. M. Whittet. Junior Representative on Council: Dr. Alan C. Tait. It was pointed out by the Secretary that Dr. McHarg was ineligible for re-election and the Division agreed in the special circumstances that Dr. Tait's name be approved without the normal preliminaries. Election of Committee of Management. In addition to the election of the Chairmen and Secretaries of Sub-Committees, Dr. H. B. Craigie, Dr. H. I. Clapham and Dr. James MacPherson were elected members of the Committee of Management. 3. Election of Ordinary Members. The following were unanimously elected: GRAY, SARAH KIRKPATRICK RUTH, M.B., Ch.B., Registrar, . Proposed by Drs. T. A. Munro, Elizabeth Robertson, Betty Magill. 28

RATCLIFF, RAYMOND ALFRED WILLIAM, M.R.C.P.Ed., Registrar, Royal Edinburgh Hospital. Proposed by Drs. T. A. Munro, Elizabeth Robertson, P. G. Aungle. 4. Dr. Hewitt intimated that he wished to resign from the Central Consultants and Specialists Committee and the names of Dr. Whittet and Dr. Baillie were put forward. The Meeting approved of these appointments. 5. Sub-Committees. Meetings were held by the Forensic Psychiatry, Papers and Discussions, and Research and Clinical Sub-Committees. Dr. Alan A. McDougall delivered a very interesting Paper on the "Treatment of Addiction", to the Research and Clinical Sub-Committee. 6. It was intimated that the next Divisionai Meeting would be held on Friday, 15 June, 1956 at Crichton Royal, Dumfries, by kind invitation of Dr. P. K. McCowan and Royal Board of Management. 7. Dr. H. B. Craigie opened a discussion on the White Paper "The Law Relating to Mental Illness and Mental Deficiency in Scotland. Proposais for Amendment". Many Members took part in the discussion and a number of interesting points were raised. The Meeting agreed to remit to the Committee of Management for further considération of the points involved, and gave them powers to co-opt additional Members, if necessary, for this purpose. The Committee will report back to the Division later. Members attending the Meeting will wish to record their grateful appréciation of the kind hospitality and excellent arrangements made by Dr. James W. Macpherson, Physician Superintendent, and the Board of Management.

THE SUMMER MEETING OF THE SCOTTISH DIVISION was held at Crichton Royal, Dumfries, on Friday, 15 June, 1956. Thirty-four members were present, and apologies for absence were received from 12 members. The Minutes of the last Meeting were confirmed. It was resolved that a letter of congratulation be sent to Dr. Matthew Fyfe, who had the honour of C.B.E., conferred upon him. It was announced that Dr. George M. Bell had been obliged to tender his résignation as Hon. Divisional Secretary. His résignation was accepted with regret, and the Secretary was instructed to send him a letter conveying appréciation of his services to the Division. The Meeting elected Dr. Martin M. Whittet as Secretary, and Dr. Allan C. Tait as Assistant Secretary. The following were unanimously elected members of the Association: CHAMBERS, HELEN HEGGIE, M.B., Ch.B., Psychiatrist, Lansdowne Clinic for Functional Nervous Diseases, . Proposed by Drs. D. Yellowlees, D. Gilmour, and A. MacNiven. HENDERSON, JOHN HOPE, M.B., Ch.B., Staff of British Military Hospital, Nairobi, Kenya. (National Service.) Proposed by Dr. J. G. Henderson, Prof. W. M. Miliar and Dr. J. K. W. Morrice. MATHESON, KENNETH WILLIAM, B.SC., M.B., Ch.B., D.P.H., D.C.H., Medical Officer for Mental Services, Public Health Department, City of Edinburgh. Proposed by Prof. A. Kennedy, Drs. J. O'Neill and F. J. Fish. Report from the Committee of Management. The Secretary reported that apart from matters already raised, the main issue was the considération of the Question- 29

naire on the White Paper. Completed Questionnaires were received from a number of Members, but he hoped to have a further response. It was decided to call a special Meeting of the Committee of Management to discuss the results. The Secretary said that in view of his commitments, he would ask that another représentative of the Division be appointed to the Central Consultants and Specialists Committee, and Dr. Angus McNiven was unanimously appointed. Forensic Psychiatry Sub-Committee. Dr. Shenkin opened an interesting and important discussion on the Report of the Royal Commission on Marriage and Divorce. Papers and Discussion Sub-Committee. This Section held a short business meeting. 1t was intimated that it was hoped that the next Divisional Meeting would be held at the Royal Mental Hospital, Montrose, and the date was fixed for Friday, 5 October, 1956. Dr. McAdam gave a very valuable Paper on "The Electroencephalogram, Personality and Disease". It was followed by a lively discussion. Members attendihg the Meeting will wish to record their grateful appréciation of the kind hospitality and excellent arrangements made by Dr. P. K. McCowan, Physician Superintendent, and the Crichton Royal Board of Management.

NORTHERN AND MIDLAND DIVISION

THE SPRING MEETING of the Division was held at Rainhill Hospital, near Liverpool, on Tuesday, 10 April, 1956, by kind permission of Dr. B. Finkleman, Physician Superintendent, and Management Committee. Before lunch Members toured the Hospital. The patients' Library was most impressive and the active Neuro-Psychiatric Unit was of great interest to many members. At lunch the Chairman of the Hospital Management Committee welcomed Members and the Divisional Chairman thanked him for his hospitality on behalf of the Division. At the meeting, Dr. McCoull took the chair. Thirty Members were present and apologies were received from 44 Members. Various items of business were dealt with, including the election of the Officers and Divisional Committee of Management for the ensuing year, as follows : Chairman: Dr. G. McCoull. Hon. Secretary: Dr. G. M. Woddis. Assistant Hon. Secretary: Dr. E. U. H. Pentreath. Junior Représentative on Council: Dr. H. B. Kidd. Members of Committee: Drs. T. W. Davidson, B. Finkleman, W. V. Wadsworth, J. V. Donovan. The following Candidates were elected to Ordinary Membership of the Association : HAMILTON, MAX, M.D., D.P.M., Senior Lecturer, Department of Psychiatry, University, of Leeds. Proposed by Professor G. R. Hargreaves, Drs. J. M. Roberts, Agnes D. Collins.

JOHNSON, WILLIAM, M.R.C.S., L.R.C.P., Registrar in Psychiatry, St. George's Hospital, Stafford. Proposed by Drs. T. Egan, H. M. Flanagan, C. M. Ross. 30 RUTTER, JOSEPHINE, M.B., B.S., D.P.M., Assistant Psychiatrist, St. Mary's Hospital, Stannington, Northumberland. Proposed by Drs. J. J. Justice, L. G. Kiloh, J. R. Murray. The Report of the Divisional Représentatives on Council was given by the Hon. Secretary, who drew attention to the many activities of Council, including préparation of Memoranda and Evidence for various officiai and semi-official bodies. A paper was read by Dr. H. Astley Cooper on "The Therapeutic Uses of L.S.D. 25", based on his experience with 29 patients. A full and lively discussion followed in which an unusually large number of questions were asked and comments made.

IRISH DIVISION THE SPRING QUARTERLY AND CLINICAL MEETING of the Irish Division of the Royal Medico-Psychological Association was held at Hampstead, Glasnevin, by kind invitation of Dr. Desmond Eustace, on Wednesday, 18 April, 1956. Thirty-seven Members were present. The Members were hospitably entertained to Lunch, and afterwards a vote of thanks was proposed by the President of the Association, Professor Dünne. The Minutes of the previous meeting were read, approved and signed. After ballot the following were elected to Ordinary Membership: HILL, JOHN PATRICK, L.R.C.P.&S.I., L.M., D.P.M., Resident Medical Superintendent, Mental Hospital, Port Laoighoise. Proposed by Drs. J. N. P. Moore, H. J. Eustace, Mary Sullivan. JANCAR, JOZE, M.B., B.Ch., B.A.O., D.P.M., Assistant Medical Officer, Ballinasloe Mental Hospital, Galway. Proposed by Drs. J. Dünne, Katherine Keys, Mary Sullivan. Dr. J. Fitzgerald was elected Chairman of the Division, Dr. Mary Sullivan was elected Divisional Secretary, and Dr. G. Robinson was elected Junior Representative Member of Council. The Summer Meeting was fixed for Wednesday, 4 July, the place to be arranged later by the Secretary. A vote of condolence was passed expressing the sympathy of the Members with the relatives of the late Dr. Osbourne who was an Ordinary Member since 1933. Professor John Dünne was nominated as the representative of the Division on the National Health Council. Dr. Desmond Eustace then showed two films of exceptional interest. The first "Man to Man" showed a male nurse's personal interest in the chronic depressive patient, and the gradual improvement in the patient. The second, "Working and Playing to Health" showed the specialized work done by occupational therapists. These films were produced by the National Health Film Board, 166, East 38 Street, New York. A discussion followed in which Drs. E. O'Sullivan, P. Cassin, J. Dunne and P. Moran took part. The Meeting concluded with a special vote of thanks to Dr. J. N. P. Moore for his excellent work as Secretary for the past nine years. The Members then adjourned to Shournagh where afternoon tea was served by Mrs. and Miss Eustace. 31 RESEARCH AND CLINICAL SECTION NEW GENETICS SUB-COMMITTEE The Executive Committee of the Research and Clinical Section have recently formed a Genetics Sub-Committee with Dr. W. Mayer-Gross as Chairman, Dr. Eliot Slater as Secretary and Professors E. Anderson, Alexander Kennedy, Lionel Penrose, Martin Roth, Drs. Fraser Roberts, R. Freudenberg, and A. Shapiro as members. The new Sub-Committee will, inter alia, be concerned with furthering enquiry and research into specialized problems relating to genetics and eugenics, stimulating interest in and discussion of these subjects and will be a centre for collecting material and providing information, advice and assistance for those members of the Association requiring them.

NOTICES BY THE HON. LIBRARIAN The Library is open to members between the hours of 9 a.m. and 5 p.m., Saturdays, 9 a.m. and 12 noon. Books are issued to borrowers during these hours. The Hon. Librarian will endeavour to obtain, as far as possible, any books on psychiatry and allied subjects required by members. Library Lending Department Regulations 1. Books shall be lent only to members within the United Kingdom and Eire who are not in arrears with their subscriptions. 2. No member may borrow from the Library more than three volumes at one time. 3. Books and journals are sent carriage paid from the Library, but members are responsible for the books from the time they leave the Library until they are received back. 4. Books damaged or lost while in possession of a member will be repaired at his expense or must be replaced by him. 5. A member borrowing a book or periodical from the Library shall be required to sign and return to the Librarian a form of receipt for the same, which will be regarded as an acceptance of these Regulations. 6. A member shall be entitled to retain a book or periodical borrowed from the Library for a period of twenty-eight days, unless the book is required by another member, in which case it can be recalled by the Librarian at the expiration of fourteen days. 7. In the event of a member failing to return any book or periodical within seven days after receiving notice from the Librarian (on the expiration of the period referred to in Rule 6), the Library Committee shall be at liberty to purchase another copy, the cost to be charged to such member, who shall not be allowed to borrow another book until the sum thus expended shall have been paid. 8. All communications should be addressed to "The Librarian, Royal Medico- Psychological Association, 11 Chandos Street, Cavendish Square, W.l." Circulation of Journals The following journals are available at the Library: Acta Psychiatrica et Neurologica. American Journal of Mental De ficiency. American Journal of Orthopsychiatry. American Journal of Psychiatry. 32 Annales Médico-Psychologiques. Archives of Neurology and Psychiatry. Brain. British Journal of Addiction. British Journal of Delinquency. British Journal of Medical Psychology. British Journal of Psychiatric Social Work. Bulletin of World Federation of Mental Health. Digest of Neurology and Psychiatry. Excerpta Medica, Neurology and Psychiatry. Howard Journal. International Journal of Psycho-Analysis. Journal of Abnormal and Social Psychology. Journal of Nervous and Mental Disease. Journal of Neurology, Neurosurgery and Psychiatry. Journal of Psychology. Mental Health. Mental Hygiene. Occupational Therapy {London). Psychiatric Quarterly. Psychological Abstracts.

THE ASSOCIATION'S MEDALS AND PRIZES, 1957

Attention is specially drawn to the Medals and Prizes which are offered annually by the Association: The conditions of award are set out fully in the Year-Book.

Bronze Medal and Prize Dissertations for the Association's Bronze Medal and Prize should be for- warded to reach the Registrar not later than 30 April.

Divisional Prizes Papers certified as eligible for this competition must be forwarded to reach the Registrar not later than 30 April.

Gaskell Medal and Prize The examination for the Gaskell Medal and Prize will be held in May. An entrance fee of £3 3s. is charged, returnable to bona-fide candidates. Entrance fees are due by 31 March.

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