B9XAL MEDIC0-P3YGH0L0G1CAL ASSOCIATION THE LIBRARY BRITISH JOURNAL OF PSYCHIATRY (THE JOURNAL OF MENTAL SCIENCE)

[Published by Authority of the Royal Medico-Psychological Association]

SUPPLEMENT, OCTOBER 1970

THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION

WINTER QUARTERL Y MEETING

THE WINTER QUARTERLY MEETING was held in Election of Ordinary Members London on 11 and 12 February 1970, under the The following were unanimously elected to Presidency of Dr. Martin Cuthbert. Ordinary Membership:

ABDOU, ADLY FAHMY, M.B., Ch.B., D.P.M. & N., M.R.C.P.E., Head of Psychiatric Department, Ahmed Minutes Mahei General Hospital, Cairo. The Minutes of the Quarterly Meeting held in Proposed by Drs. W. D. Boyd, J. W. Affleck, R. I. London on 20 and 21 November 1969, having been Kennedy. published in the Supplement, were approved and ALDRIDOE, MICHAEL STAPLES, B.A., M.B., B.Ch., M.R.C.S. signed. L.R.C.P., D.P.M., Consultant Psychiatrist, West Sussex Child Guidance Service; 6 Southey Road, Worthing. Obituary Proposed by Drs. D. Rice, R. Maggs, J. A. Stewart. The President announced with regret the death ARIAS, CALIXTO, L.M.S. Diploma in Psychiatry (Barcelona), Senior House Officer, Littlemore Hospital, of the following members: Littlemore, Oxford. CHAPMAN, WILLIAM NOEL JAMES, 5 Highfield Road, Proposed by Drs. F.J.J. Letemendia, P.J. A. Willems, North Berwick, East Lothian. An Ordinary F. Arroyave-Portela. Member since 1932. ARIAS, MARIA CONCEPCION, L.M.S. Diploma in Psychiatry HARVEY, PETER, Medical Superintendent, Mean- (Barcelona), Littlemore Hospital, Littlemore, Oxford. wood Park Hospital, Leeds. An Ordinary Member Proposed by Drs. F. J. J. Letemendia, P. J. A. Willems, since 1964. F. Arroyave-Portela. LOCAN, FREDERICK COLQUHOUN, Formerly Medical AUSTIN, SAMUEL ALFRED, B.Sc., M.B., B.S., D.P.M., Superintendent Horton Road and Goney Hill M.A.N.Z.C.P., Psychiatrist, Admission Centre, Total Care Unit, Rydalmere Hospital, Victoria Road, Hospitals, Gloucester. An Ordinary Member since Rydalmere, New South Wales, Australia. 1922. Proposed by Dr. A. G. Bennett, Professor L. G. Kiloh, MCDOUCALL, JOHN, 15 Muirhall Terrace, Perth. Dr. M. J. Sainsbury. An Ordinary Member since 1928. AYD, FRANK JOSEPH, M.D., L.L.D., Psychiatrist, 912 MACKENZIE, DUNCAN HUGH, Assistant Psychiatrist, West Lake Avenue, Baltimore, Maryland, U.S.A. Kingsway Hospital, Derby. An Ordinary Member Proposed by Drs. B. Blackwell, D. C. Taylor, C. since 1965. Ounsted. MACMILLAN, DUNCAN, O.B.E., Formerly Medical AYLETT, PAMELA EILEEN, M.D., Ph.D., D.C.H., Medical Superintendent, Mapperley Hospital, Nottingham. Assistant in Drug Addiction, Guy's, King's College and An ordinär)' Member since 1929. Bexley Hospitals; Langstone House, 5 Parkmead. Roehampton, S.W. 15. MARTIN, AGNES JOYCE, Assistant Psychiatrist, Proposed by Drs. J. Willis, D. M. Leiberman, Marlborough Day Hospital; 52 Welbeck Street, A. Norton. London, W.i. An Ordinary Member since 1942. BALLAS, CONSTANTINE, M.D., Registrar, The Retreat, RITCHIE, WILLIAM, Assistant Psychiatrist, High York. Royds Hospital, Ilkley, Yorkshire. An Ordinary Proposed by Drs. J. E. O'N. Gillespie, R. W. Bryson, Member since 1962. P. H. Scott.

r B.... RNES, GARY JOHN, M.B., B.S., D.P.M., Registrar, HAUGHTON, CHARLES STEELE, l..1.B. , B.S., D .P.M., Department of Psychological Medicine, King's College ~1.A.N.Z.C.P., Psychiatrist-Superintendent, Lakeside Hospital, Denmark Hill, S.E.5. Hospital, Ballarat, Victoria, Australia. Proposed by Drs. A. Hordern, H . S. Greer, M. jackson. Proposed by Drs. M . S. Spelman, G. S. Fiddler, BLACK, IAN JOSEPH, M.B., Ch.B., D.P.M., D.(Obst.) B. M. Davies. R.C.O.G., Principal in General Practice, 15 \Vaverley HILTON, ANDREW MARTIN BLYTH, M.B., B.S., M.R.C.S., Drive, Glenrothes, Fife. L.R.C.P., Registrar, Brookwood Hospital, Woking, Proposed by Drs. G. Voineskos, A. j. Cooper, D. L. F. Surrey. Dunleavy. Proposed by Drs. M. W. Browne, R. Fowke, joan Garai. BOETTCHER, BRIAN MICHAEL, M.B., B.S., Medical JOHNSON, NOEL McKINLEY, M.D., Senior Resident in Officer, Psychiatric Division, Department of Health, Psychiatry, Washington University Medical School; Sydney, 6 \\'harfRoad, Leichhardt, New South Wales. 121 I South Glenstone, Springfield, Missouri, U.S.A. Australia. Proposed by Drs. j. N. McClure, j. H. Donab, Proposed by Drs. R. Macdonald, B. C. Horwitz, G. E. Murphy. M. B. Chapman. KENNARD, DAVID WILLIAM, M.B., B.S., Ph.D., M.R.C.S., BORJA, BASILIO E., M.D., Registrar, Exe Vale Hospital, L.R.C.P., Professor of Psychiatry, Albany Medical Exeter, Devon. College, Albany, New York, U.S.A. Proposed h,J' Drs. L. Couper, G. E. Langley, A. Walk. Proposed by Professors D. Russell Davis, T. Ferguson, BROWNE, RICHARD ANTHO!'<'Y, ~f.B., B.Ch., B.A.O., Rodger, Dr. A. Walk. D.P.M., Consultant Psychiatrist and Medical Super­ L.".SIIC/IUK, KARL MICHAEL, M.B., B.S., Trainee Psychia­ intendent, Coleshill Hall Hospital, Birmingham. trist, Hillcrest Hospital, Fosters Road, Gilles Plains, Proposed by Drs. R. Payne, j. M. O'Callaghan, South Australia. B. E. Oliver. Proposed by Drs. T. Moreton, F. M. M. Mai, W. A. Cramond. C..... \lPBELL. DAVID ARTHUR FOYLE, :M.B. , Ch.B., Medical Director, Davidson Clinic for Analytical Psycho­ LINCOLN, ROSEMARIE DOROTHY, M.B., B.S., Senior therapy; 21 Hillhead Street, Glasgow, W.2. Medical Officer, Norwich Family Planning Clinic; Proposed by Drs. A. D. Forrest, j. W. Affleck, W. D. Idle House, 67 Yarmouth Road, Norwich. Boyd. Proposed bp Drs. T. F. Main, Jean Pasmore, W. J. McCulley. CHAO, RICHARD PAl \VANG, M.R.C.S., L.R.C.P., Registrar, LUND, CHARLES AMES, M.B., Ch.B., Senior House Officer, Bootham Park Hospital, York. Sefton General Hospital, Liverpool. Proposed by Drs. H. Warren, M. A. Hill,j. A. Gumbrell. Proposed h,p Drs. I. Levenson, K. White, P. Bishop. DRAPER, RONALD JOHN, M.D., Registrar, St. Patrick's MCCABE, MICHAEL SPENCER, B.A., M.D., Assistant Hospital, james's Street, Dublin. Resident in Neuro-Psychiatry, Washington University, Proposed by Drs. A. j. E. Kilpatrick, M. j. Ledwith, St. Louis, Missouri, U.S.A. A. W.Clare. Proposed by Drs. D. Goodwin, G. E. Murphy, j. N. FITZPATRICK, GERALDINE SARAH MARy, M.B., B.Ch., McClure. B.A.O ., Senior House Officer, \Vindsor House, Belfast ~lcCANCE, PAMELA FRANCES, M.B., B.S., Senior House City Hospital, Belfast. Officer, Ross Clinic, Aberdeen. Proposed by Drs. \"01. O. McCormick, Ethna O'Gorman, Proposed by Drs. j. K. W. Morrice, D. D. Chisholm, Marie T. Kennedy. j. D. Gomersall. FOWLER, RICHARD COLE, B.A., M.D., Psychiatrist MCCARTHY, JOHN ~TTHEW, M.B., B.Ch., B.A.O., Resident, Washington University, SI. Louis, l..fissouri, Medical Officer, H.M. Remand Centre, Risley, U.S.A. \Varrington, Lanes. Proposed by Drs. D. Goodwin, G. E. Murphy, j . ~. Proposed by Drs. B. Ward, W. P. Walsh, R. R. Steinert. McClure. MACFIE, ALEXANDER MILROY CRAIGIE, M.B., Ch.B., FREEMAN, MICHAEL, M.B., B.Ch., D.P.M., M.A.N.Z.C.P., M.R.C.P., Registrar, Bethlem Royal Hospital, Eden Psychiatrist, New South Wales Department of Child Park, Beckenham, Kent. \'\ielfare and Social \-Velfare; 22 Lucretia Avenue, Proposed by Drs. F. Post, j. S. Price, A. H. Fry. Longueville, New South Wales, Australia. MEHTA, SHOBHANA DINESH, M.D., M.R.C.P.E., D.P.M .. Proposed by Drs.j. Katz, E. Nuffield, B. B. Eldred. Registrar, Exe Vale Hospital, Exminster, Exeter, Devon. FRJEND, KATHERINE JOYCE FURNEAUX, M.B., B.S .. Proposed by Drs. R. P. Snaith, W. A. Weston, j. 1.. Registrar in Subnormality and Child Psychiatry, Barton. Bristol Clinical Area, Hortham Hospital, Almondsbury, MEZo, BELA ALBERT, M.D., D.P.M., M.A.N.Z.C.P., Bristol. Honoral'y Psychiatrist, Mona Vale Hospital, Sydney, Proposed by Drs. j. B. Gordon-Russell, E. S. Lower, Australia. H. S. Coulsting. Proposedby Drs. S. Bourne, R. Gosling, A. G. Thompson. GYANESHWAR, NARAYAN HATIruR, M.B., B.S., Medical MORRIS, BRENDA, L.R.C.P.E., L.R.C.S.E , L R.C.P.S.G., Assistant, Rainhill Hospital, Prescot, Lanes. Registrar, Coldeast Hospital, Southampton. Proposed by Drs. D. P. Hennessy, E. E. Clarke, Proposed by Drs. A. E. P. Swinson, J. S. 1. Skottowe, C. Chacon. M. R. Butler.

:2 OGUNREMI, OLAKAYODE OLATUNDE, M.B., B.S., Registrar, SCICLUNA, SALVINO, M.D., D.P.M., Resident Medical Royal Edinburgh Hospital, Morningside, Edinburgh. Officer, Mount Carmel Hospital, Attard, Malta. Proposed by Drs. J. W. Affleck, J. R. Smythies, Proposed by Drs. J. Pullicino, J. Pisani, P. Cassar. W. D. Boyd. SINGH, THAKUR HARI, M.B., B.S., Registrar, Pen-y-Val OXLADE, ROBERT ALLAN, MA., B.M., B.Ch., Senior Hospital, Abergavenny, Monmouthshire. House Officer, Adolescent Unit, Warneford Hospital, Proposed by Drs. W. T. Wales, A. B. Rolfe, I. M. Davies. Oxford. SINANAN, KENNETH, M.A., M.B., B.A.O., Medical Proposed by Drs. J. B. McWhinnie, S. J. G. Spencer, Officer, St. Patrick's Hospital, James's Street, Dublin. D. H. Gath. Proposed by Drs. M. N. McGuinness, A. W. Clare, PARTON, REGINALD VINCENT, B.A., M.B., B.Ch., B.A.O., P. G. S. Beckett. Senior House Officer, St. Patrick's Hospital, James's STEVENS, MARTIN JOHN, M.R.C.S., L.R.C.P., House Street, Dublin. Physician, Department of Psychological Medicine, Proposed by Drs. D. J. Doorly, A. W. Cläre, A. J. E. St. Thomas's Hospital, S.E. 1. Kilpatrick. Proposed by Drs. William Sargant, P. D. Maddocks, PELLOWE, ARTHUR JOHN, M.B., Ch.B., Registrar, Depart- E. P. Hilary-Jones. ment of Psychological Medicine, King's College SWEENEY, BARBARA ANN, M.B., B.Ch., B.A.O., Senior Hospital, Denmark Hill, S.E.5. House Officer, Stewart's Hospital, Palmerstown, Co. Proposed by Drs. I. S. Kreeger, A. Hordern, G. S. Dublin. Prince. Proposed by Drs. M. Mulcahy, L. Byrne, T.J. Fahy. PETRIE, GRAHAM MAXWELL, M.A., M.B., B.Chir., TUDWAY, ELINOR MARGARET, M.B., B.S., Registrar, M.R.C.S., L.R.C.P., D.(Obst.) R.C.O.G., Registrar, Department of Psychological Medicine, Welsh National Fulbourn Hospital, Cambridge. School of Medicine, Whitchurch Hospital, Whitchurch, Proposed by Drs. D. H. Clark, O. E. F. Hodgson, Cardiff. M. Vanja. Proposed by Professor K. Rawnsley, Drs. D. Lewis, QURESHI, IJAZ AHMAD, M.B., B.S., Government Medical A. M. P. Kellam. Officer, Chainama Hills Hospital, Lusaka, Zambia. VOSNIDES, STEPHEN PETER, L.R.C.P. & S.E., L.R.C.P.S.G., Proposed by Drs. C. M. H. Nunn, A. Haworth, Medical Assistant, Ailsa Hospital, Ayr. A. Walk. Proposed by Drs. H. J. B. Miller, M. R. Inglis, A. RAHMAN, KHALILUR, M.B., B.S., M.R.C.P.E., D.P.M., McClelland. Registrar, Birch Hill Hospital, Rochdale, Lancs. WARSI, MOHAMMED MUSTEHSAN, M.B., B.S., Registrar, Proposed by Drs. J. T. Elliott, S. Falk, P. J. M. Reddy. St. Andrew's Hospital, Thorpe, Norwich. RAMAN, ABDOOL CADER, O.B.E., M.R.C.S., L.R.C.P., Proposed by Drs. E. R. F. Mellon, D. H. Neale, D.P.M., Medical Superintendent, Brown Sequard J. D. Fraser. Hospital, Beau Bassin, Mauritius. WILLIAMS, ALAN GRANT, M.B., Ch.B., Medical Officer, Proposed by Drs. M. A. Falconer, M. V. Driver, Parkville Professorial Psychiatric Unit, P.O. Box 66, Professor W. Linford Rees. Poplar Road, Parkville, Victoria, Australia. RATNASABAPATHY, LAWRENCE GNANA-ANANTHAN, M.B., Proposed by Drs. Phyllis Lewis, M. A. Kidson, I. H. B.S., Medical Officer, Mental Hospital, Angoda, Ceylon. Jones. Proposed by Drs. M. S. Perinpanayagam, J. P. Crawford, YOUNG, MARY DAPHNE, M.B., Senior House Officer, A. C. Smith. Purdysburn Hospital, Belfast. REES, JOHN ANDREW, M.B., B.S., Senior House Officer, Proposed by Drs. W. M. Nelson, L. R. Robinson, Central Hospital, Warwick. H. A. Lyons. Proposed by Drs. E. S. Stern, C. Tetlow, V. S. Nehama. ROSTRON, WENDY, B.A., M.B., B.Ch., D.C.H., Registrar, Scalebor Park Hospital, Burley-in-Wharfedale, Ilkley, Election of Associate Members Yorkshire. The following, having been previously approved Proposed by Drs. C. P. Gore, J. Valentine, P. M. J. by Council, were unanimously elected to Associate O'Brien. Membership: ROWLEY, HAROLD ERIC, M.B., B.S., Medical Assistant, St. Matthew's Hospital, Burntwood, Walsall, BEDFORD, ALAN, B.A., D.A.P., D.P.S.A., A.B.P.S., Staffordshire. Clinical Psychologist, Salford Group of Hospitals. Proposed by Drs. J. Crause, J. J. Slater, J. F. Scott. Proposed by Drs. H. L. Freeman, D. A. W. Johnson, RUMNEY, DAVID, M.C., M.R.C.S., L.R.C.P., D.P.M., M. J. Tarsh. Consultant Child Psychiatrist, Wimbledon Child FORBES, ALAN RITCHIE, M.A. (Hons. Psychology), Guidance Clinic; 9 Swiss Close, Watford, Hertfordshire. A.B.P.S., Senior Lecturer, Department of Psychology, Proposed by Drs. L. H. Rubinstein, W. P. Brown, University of Otago, New Zealand. D. S. MacPhail. Proposed by Drs. W. Ironside, C. S. Moore, B. James. SCHUCKIT, MARC ALAN, B.S., M.D., Resident in Psychiatry, HAYWARD, ALAN EDWARD, M.Sc., Clinical Psycho- Barnes Hospital, St. Louis, Missouri, U.S.A. logist, Professorial Unit, Glenside Hospital, Bristol. Proposed by Drs. J. N. McCIure, G. E. Murphy, Proposed by Drs. D. F. Early, A. H. Ogden, K. R. Hudgens. Rahchaudhuri. 3 MUMFORD, SUSAN JANE, B.A., A.B.P.S., Senior Clinical recruits of good calibre. They referred the whole Psychologist, Springfield Hospital, London, S.W. 17. problem to the Education Committee which indicated Proposed by Drs. M. Markowe, J. Steinert, I. C. that they were likely to delegate some parts of this Lodge Patch. work to their Working Party on Manpower. The report of the Special Committee (Court of Report of Council Proceedings Electors) referred to the work of its joint Working DR. MONRO, General Secretary, read the following Party with the Education Committee. Council Report : learned with satisfaction that the set of documents Council met yesterday. relating to accreditation of posts offering general Council considered the report of the Special psychiatric training was nearly complete and would (Petition) Committee. They heard with satisfaction be circulated in the fairly near future. The part to that the final drafts by learned Counsel of the follow- be played by specialist hospitals such as those in the ing documents were now completed and it is hoped field of subnormality, child psychiatry and forensic that within the next few days a fair copy of the follow- psychiatry in relation to general psychiatric training ing documents will be ready for informal submission: would be considered at the next meeting of the the Petition, Supplemental Charter, revised Bye- joint Working Party. It was hoped that the joint laws and Regulations. Some delay has occurred as a Working Party would be able to report on the topic result of difficulties which might have affected our of a Joint Committee on higher psychiatric education charitable status, but these have now been satis- in time for the next meeting of Council. If this factorily resolved. timetable could be adhered to the question of special Council decided that if the Privy Council reply professional training might be able to be tackled to the effect that the present draft seems to be satis- at least in a preliminary way during the coming factory from their point of view, the set of four summer. documents already mentioned will be printed and The topics so far dealt with have been presented will be circulated to all members of the Association at some length as it is felt that they are matters of together with an explanatory note. After a reasonable great interest to all members of the Association. time there will be an Annual General Meeting to The rest of the meeting of Council is therefore pre- consider the documents. sented in somewhat summarized form. Council learned about progress made by the Royal Draft audited accounts for 1969 were approved College of Pathologists and felt that their success by Council. They will be published in the draft indicated that the likelihood of success by the Annual Report, together with the Gaskell Fund Association was increased. The time taken by accounts for consideration at the Annual General the R.M.P.A. was not due to any delay at the Meeting in July. The income of the Association rose Association's end but to the fact that it is a to £37,929 (£34,213 in ig68) and expenditure was much more complex legal process to transform a less at £28,460 (£32,308), leaving a surplus of Royal Association into a Royal College than it is to £9,469 (£1,905). The Journal account, covering transform a College incorporated under the Companies the Journal and other Journal publications, showed Act into a Royal College. Council recognized that some nett cost of £4,229 (£8,839) î including the cost of members might feel concern about the rate of progress the Journal distributed to the membership. This is a by the Association and they asked the President to considerable improvement. Investments stood in the send a letter to all members outlining the present account at £55,019 (£51,813) ; market value £62,069 situation and this the President agreed to do. on 31 December 1969, (£70,880). Council then considered reports from the Special The Registrar reported the completion of another Committee (Court of Electors) and its sub-committees. extremely successful series of Maudsley Bequest Council learned with interest of the activities of lectures. Over 500 members applied for the course the sub-committee of the Court of Electors which and overflow accommodation had to be used. had been set up to prepare Notes for the Guidance The Editor reported a successful financial year of R.M.P.A. representatives on Advisory Appoint- and indicated that the Special Publications were ments Committees. continuing to sell well and make a profit. Council also received a recommendation from The Education Committee reported that they had the Court of Electors to the effect that Council should received comments from Professors of Psychiatry set up a committee to keep under review problems on the raising of funds for providing adequate of recruitment into the psychiatric profession, and facilities for postgraduate education in psychiatry. Council endorsed the view that it was important Council agreed to the recommendation of the that psychiatry should have a proper number of Education Committee that an approach should be

4 made to the Department of Health and Social Seminars Security to draw attention to this fact and to attempi On iith February, the following Seminars, organ- to secure more funds. ized by the Psychotherapy and Social Psychiatry Council approved the recommendation of the Section, were presented in the morning: Education Committee to set up a joint committee 'Individuai or Group Psychotherapy. Problems with the Research and Clinical Section on Training of Choice.' Dr. Malcolm Pines. in Research. 'Family Treatment.' Dr. Emanual Lewis. Council endorsed the good response given by the In the afternoon Dr. D. StafTord-Clark took the Education Committee to the Reading List prepared Chair at a session on 'Lateral Thinking on Long by the Clinical Tutors Sub-Committee, and published Term Problems in Psychiatry' at which members in the Supplement to the Journal. It was agreed of the Department of Psychological Medicine, that these should be revised annually. Council leamed Guy's Hospital, read papers on "The Flexible Use that some members might be misled by suggestions of E.C.T. as a Therapeutic Tool in Psychiatry", in the introduction to the list into infringing copyright 'Low Back Pain in Relation to Psychiatric laws. While it is probably legal to prepare photo- Research', 'The Perennial Myth of Hypnosis copies on an individuai basis for personal use, it is and its Real and Renewed Promise'. probably against the law to create libraries of such photocopies. The attention of the Editor-in-Chief Papers has been drawn to this point and he will issue an The following Papers were read at the Meeting authoritative statement as soon as possible. In the on 12 February: meantime members should ensure that in photo- 'Some Practical Problems of Psychiatric copying they do not infringe the copyright laws. Education'. The Education Committee referred to Council Récognition of Training Posts: Professor T. the General Nursing Council's proposed syllabus Ferguson Rodger. for nurses for the mentally subnormal and also a Training Programmes: Dr. G. F. M. Russell. Report of the Joint Working Party with the Royal Manpower—The National Scene: Professor M. College of Nursing concerning the post-certificate Shepherd. training and éducation of psychiatrie nurses. Both —The Individuai Survey: Dr. C. P. B. documents were referred to the Emergency Com- Brook. mittee of Council; this committee met later yesterday 'The Psychodynamics of Phobias in their evening and approved both documents with minor Treatment by Behaviour Therapy' Dr Dennis amendments. Friedman. The Parliamentary Committee reported that it 'Psychotherapy in Phobie Anxiety States' had given considération to the problem which might Dr. H. H. Wolff. arise if general practitioners referred psychiatrie patients to non-medically qualified psychotherapists. Blake Marsh Lecture Council recommended that the problem should be TheFourthBlake Marsh Lecture, entitled 'Influence explored by the Sections concerned and in conjunc- of Sex Chromosome Aberrations on Intelligence, tion with other interested bodies. Social Adjustment and Mental Health', was delivered Council agreed that problems connected with the by Professor Hans Forssman on 10 February. A care of psychogeriatric patients should be referred vote of thanks, proposed by Dr. Alexander Shapiro, to the Tripartite Committee of the R.M.P.A., the was carried by acclamation. British Medicai Association and the Society of Medicai Officers of Health. Section Meetings Council also endorsed the recommendation of the At the meeting of the Research and Clinical Parliamentary Committee that new législation on Section the following papers were read: the question of consent for opération on informal 'Factors Influencing Prognosis in Adolescent subnormal patients should not be sought. Reliance Psychiatric Illness' by Dr. M. T. Haslam. should be placed on a second opinion in difficult 'Using the Repertory Grid to Measure cases. Changes Düring Group Psychotherapy: a The Study Tours Sub-Committee reported that Study of One Particular Group' by Drs. F. there was great interest in the projected joint meeting Fransella and M. Joyston-Bechal. with theCanadian Psychiatric Association in Montreal The Child Psychiatry Section met on 12 February in 1972. So far, over 140 members and 85 wives and Dr. D. W. Winnicott read a paper on 'The have indicated their interest. Therapeutic Consultation'.

5 2* ADJOURNED ANNUAL MEETING sidered in the light of the fact that there was every reasonable hope that the Supplemental Charter Wednesday, 6 May, 1970 might be granted either towards the end of 1970 or The Annual Meeting, which had been adjourned early in 1971. It had been unanimously decided to in July 1969, reassembled at St. John's Hospital, ask Dr. Cuthbert to continue as President, with the Lincoln, under the Presidency of Dr. Martin support of the Immediate Past President, Dr. Cuthbert. Pilkington, and this was approved by Council. The General Secretary, Dr. A. B. Monro, said Dr. Cuthbert was therefore re-elected by acclama- that the question of the Presidency had been con- tion, and the Annual Meeting was further adjourned.

SPRING QUARTERLY MEETING

THE SPRING QUARTERLY MEETING was held on BARNES, LESLEY HELEN, M.B.,B.S., D.P.M., M.A.N.Z.C.P., Lincoln on 5 and 6 May, 1970 under the Presidency Senior Specialist, Broughton Hall Psychiatric Clinic, of Dr. Martin Cuthbert, and by kind invitation of the Leichhardt, Sydney, Australia. Lincoln Heath Hospital Management Committee, Proposed by Drs. I. Pilowsky, M. J. Sainsbury, M. D. McGrath. and Drs. W. A. S. Falla and J. F. R. Goodlad. BELL, ALEXANDER FRANK JOHN, M.B., B.S., Medical Officer, Claremont Hospital, Claremont, Western Australia. Wednesday, May 5, at St. John's Hospital Proposed by Drs. J. Milne, G. Milner, R. Manners. Minutes BLASHKI, TIMOTHY GRANT, M.B., B.S., D.P.M., Clinical The Minutes of the Quarterly Meeting held on Research Fellow, Melbourne University, 4 Sylvander 11 and 12 February 1970, had not yet been published. Street, North Balwyn, Australia. Proposed by Drs. B. M. Davies, R. H. Hook, W. R. McLeod. Obituary BORAL, GORA CHAND, B.Sc., M.B., B.S., Superintendent, Harmony Nursing Home, 22 Parasar Road, Calcutta The President announced with regret the death of 29, India. the following members : Proposed by Drs. D. N. Nandi, P. K. Roy, A. K. Dutt. FLEMING, IVAN, Medical Officer, St. John of God CHAMBERS, CATHARINE ANN, M.B., Ch.B., Registrar, Hospital, Stillorgan. Co. Dublin. An Ordinary Royal Dundee Liff Hospital, Dundee. Proposed by Drs. A. S. L. Rae, J. F. McHarg, H. E. Member since 1963. Morton. MCKERRACHER, DONALD GRIFFITH, Head of the CHIU, EDMOND, M.B., B.S., Medical and Health Officer, Department of Psychiatry, University Hospital, Mental Health Service, Castle Peak Hospital, New Saskatoon, Saskatchewan, Canada. An Ordinary Territories, Hong Kong. Member since 1969. Proposed by Drs. Ou, Ta-Wei, D. P. W. Chan, K. MADGWICK, JOHN REGINALD ALEXANDER, formerly Singer. Consultant Psychiatrist, Long Grove Hospital, CHUNG, CHO MAN, M.B., L.R.C.P. & S.E., L.R.C.P.S.G., An Ordinary Member since 1925. D.P.M., Director, Hong Kong Central Hospital, STANTON, JOHN BERNARD, Neurologist, Northern Hong Kong. Proposed by Drs. J. T. Hutchinson, H. V. Dicks, General Hospital, Edinburgh. An Ordinary Professor T. F. Rodger. Member since 1952. GORDON, MARTIN WINSTON, M.B., Ch.B., D.P.M., WYNNE, COLIN, Senior Registrar in Psychiatry, 146 Bar Yochai Street, Katamon 9, Jerusalem, Israel. Royal Southern Hospital, Liverpool. An Ordinary- Proposed by Drs. J. M. White, R. P. Snaith, K. Fox. Member since 1966. GRIGOR, JOHN MCLEOD GORDON, M.B., Ch.B., D.P.M., Psychiatrist, Mental Hygiene Authority, Victoria, Australia. Election of Ordinary Members Proposed by Drs. T. L. Chatz, B. Davies, J. M. Fielding. HOWAT, JOHN GORDON MUNRO, M.B., Ch.B., Registrar The following were unanimously elected to in Psychiatry, Stobhill General Hospital, Glasgow, N.i. Ordinary Membership: Proposed by Drs. Hunter Gillies, A. H. Frame, J. C. D. ALI, AHMAD, M.B., B.S., D.P.M., Psychiatrist, C/O Booth. Shahid Cloth House, Mingora Cloth Market, Mingora, JOVEV, JORDAN, M.D., Director of Neuropsychiatry, District Swat, West Pakistan. Titov Veles, Yugoslavia. Proposed by Drs. B. H. Burns, T. W. Fenton, A. T. Proposed by Drs. W. A. Heaton-Ward, J. Jancar, Kinsella. L. Lynch.

6 MURRAY, ROBIN MACGREGOR, M.B., Ch.B., Senior Council learned from the Report of the Special House Officer, Western Infirmary, Glasgow. Committee (Court of Electors) that the machinery Proposed by Drs. G. C. Timbury, W. L. Flanagan, for the accreditation of hospitals and units for general H. C. Fowlie. professional training is in motion. O'NEILL, SHEILA MARY, M.B., B.Ch., B.A.O., Registrar, Council approved the Notes for Guidance to St. John of God Hospital, Stillorgan, Co. Dublin. Proposed by Drs. S. D. McGrath, P. D. McCarthy, members of Advisory Appointments Committees P. G. S. Beckett. and directed that copies should be given to all members of the Association serving on such com- mittees. Election of Associate Members Council also agreed to a suggestion concerning The following, having been previously approved the membership of the Special Committee (Court by Council, were unanimously elected to Associate of Electors) should the Supplemental Charter be Membership : granted. It was noted that three members of the Special Committee would have attained the age of BERRY, JENNIE MARY, Dip. Social Science, Head of Social Work Department, Harperbury Hospital, nr. 65 by the date on which the Supplemental Charter St. Albans, Hertfordshire. might be granted. It was agreed that these members Proposed by Drs. A. Shapiro, J. M. Berg, Professor should be asked to continue to serve until the granting L. S. Penrose. of the Charter and that as soon as possible after that BROWN, PAUL TYNDALE, B.S., Dip.Psych., A.B.P.S., date the three successors should be elected by postal Principal Clinical Psychologist, Central Hospital, ballot of the members of the College. At the same Warwick. time there would be a postal ballot of all members Proposed by Drs. C. Tetlow, S. C. Rogers, T. L. Dunn. to elect the three Officers who are ex officio members MURRAY, ALEXANDER, B.SC., D.C.P., A.B.P.S., Principal of the Court. Thus, one-third of the Court would be Psychologist, State Hospital, Carstairs Junction, renewed by ballot at the foundation of the College Lanarkshire. Proposed by Drs. A. K. M. Macrae, R. Neville, and the process of annual replacement by ballot L. Robertson. commenced. SHEFFIELD, BRIAN FAIRHURST, B.Sc., Dip.Applied Psych- The Education Committee reported that there ology, A.B.P.S., Senior Clinical Psychologist, Blackpool would be a one-day Conference of Clinical Tutors and Fylde Hospital Group. in November 1971. Council endorsed the full support Proposed by Drs. M. W. P. Carney, M. D. Cashman, and approval given by the Education Committee H. Thakudas. for the Programme of Training which had recently been promulgated in Dublin. Report of Council Proceedings An enquiry from a member relating to a possible DR. MONRO, General Secretary read the following request for an increase in the number of consultants Report : in psychiatry was referred to the Manpower Working Council met yesterday and were delighted to Party of the Education Committee. Council agreed learn from the Special (Petition) Committee that that all relevant documents of the Education Com- the draft documents informally submitted to the mittee should be made available to R.M.P.A. Privy Council were likely to be acceptable if sub- representatives on Regional Postgraduate Committees. mitted formally, only verbal and textual amendments Council approved the Memorandum prepared by being apparently necessary. Council unanimously the Parliamentary Committee on the Future of the approved the final report of the Petition Committee National Health Service, including two important and unanimously decided that this should be circu- amendments suggested by the Tripartite Committee. lated to all members together with copies of the Problems relating to non-medical psychotherapists draft Petition, draft Supplemental Charter and were referred to a joint working party with the Bye-laws and draft Regulations of the College. British Psychological Society. Members of the Association in this country should Council learned with regret that the Royal College receive the documents either later this week or early of Nursing would not join with the Association and next week. the Institute of Hospital Administrators to consider The second day of the Annual Meeting, i.e. problems of salaries of senior nursing officers being Wednesday, 8th July, 1970 will be devoted to con- tied to numbers of beds. Council agreed that the sideration of these documents. In due course a topic should be pursued with the Institute of Hospital Resolution to submit the Petition formally will be Administrators and the results, if any, made known included in the Agenda for the Annual General to the Royal College of Nursing. Meeting. Council approved the suggestions of the Papers

7 and Discussions Committee that there should be a Papers series of short papers on Child Psychiatry, the use of The following Papers were read at the Meeting on hospital records, and experience in Scotland of the Wednesday May 6th. integration of the social work services, on the first 'Interdisciplinary Liaison.' Dr. W. A. S. Falla, day of the Annual Meeting. On the Thursday the Mrs. E. Irvine, Miss A. Altschul. morning session would be devoted to a Teach-in 'Lincoln and Non-Restraint.' Dr. Alexander on Forensic Psychiatry and the afternoon to a session Walk. on epidemiological and attitude studies relating to 'The Mother and Baby Unit'. Dr. F. A. Bleaden. mental illness in the community. Council also noted with pleasure that large numbers of members were Section Meetings interested both in the W.P.A. meeting in Mexico and in the joint meeting with the Canadian Psychia- The Mental Deficiency Section and the Forensic tric Association in 1972 in Montreal. Psychiatry Sub-Committee held a joint meeting on Council approved the memorandum on the May 5, at which the following papers were read: Local Authorities Social Services Bill which had been 'The Place of the Security Unit in Subnormality prepared by a Special Committee of Council for Hospitals'. Dr. M. Harfst. submission to the Department. 'The Treatment of Abnormal Offenders under Security Conditions'. Dr. W. Gray. Seminars At the Open Meeting of the Child Psychiatry Section on Wednesday, May 6, Dr. G. M. J. Nicholl The following Seminars, organized by the Child read a paper on 'Taking on a Whole Family in Psychiatry Section, were presented in the morning Therapy'. of Tuesday, May 5. 'Changing Patterns of Parenthood'. Dr. John Other Events Newson, Ph.D. 'A Longitudinal Study of Normal Psychological The Lincoln Heath Hospital Management Com- Development from Birth to Maturity'. Dr. mittee entertained members and their wives at Colin Hindley, Ph.D. a reception at The Lawn Hospital on May 4, and at In the afternoon, the Research and Clinical Section dinner on May 5, and lunch on May 6, at St. presented the following seminars: John's Hospital. The President expressed mem- 'Psychiatric and Social Factors in Problem bers' appreciation of the hospitality received on these Families.' Dr. W. Lawton Tonge. occasions. 'Characteristics of Samaritan Clients who Following the reception at the Lawn, the President, subsequently commit Suicide.' Dr. B. M. accompanied by several of the Officers, laid a wreath Barraclough. on the grave of Dr. Edward Parker Charlesworth 'A Comparison of Samaritan Clients who com- in the Cathedral precincts. mit Suicide with Living Samaritan Clients.' On May 5, Canon P. B. G. Binnall kindly arranged Mrs. M. Shea. a tour of Lincoln Cathedral for members' wives.

SOUTH-EASTERN DIVISION

Spring Meeting, 1970 J. E. GLANCY, A. A. ROBIN, E. RODERIC-EVANS, M. Y. EKDAWI, J. A. STEWART, B. L. MALLETT, P. H. MITCHELL, THE SPRING MEETING of the South-Eastern Division C. I. FINN, M. S. PERINPANAYAGAM, O. E. HODGSON, was held at Hellingly Hospital, Hailsham, Sussex S. BOCKNER, M. D. EILENBERG, E. R. F. MELLON, on 23 April, 1970 by the kind invitation of the H. ROLLIN, A. MEZEY, K. M. FRÄSER, C. M. XAVIER. Hospital Management Committee and of Dr. David Rice, Physician Superintendent. The following were elected to Ordinary Membership: The report from the Committee of Management ANNEAR JOHN MARSHALL, M.B., B.S., M.R.C.S., L.R.C.P., was accepted. D.C.H., D.T.M. & H., D.Obst. R.C.O.G., Senior The following were elected as officers for 1970/71: House Officer, Goodmayes Hospital, Ilford, Essex. Proposed by Drs. M. W. Annear, J. E. M. Glancy, Chairman ...... DR. D. M. LEIBERMAN R. C. Gledhill. Honorary Secretary .. DR. R. PAYNE BLOFELD, ANTHEA, M.B., B.S., D.Obst. R.C.O.G., D.P.M., Assistant Secretary .. .. DR. P. G. WOOLF Registrar, Claybury Hospital, Woodford Green, Essex. Junior Representative on Council .. DR. B. PINKEY Proposed by Drs. E. Shoenberg, D. Prothero, R. K. Committee of Management: Drs. P. E. SYLVESTER, Brahma.

8 BROUCKOVA, VLASTA, M.D., Senior House Officer, LANE, ROSEMARY, M.A., M.R.C.S., L.R.C.P., Registrar, St. John's Hospital, Stone, Aylesbury, Bucks. Fulbourn Hospital, Cambridge. Proposed by Drs. D. C. Watt, I. Shribman, C. E. Bagg. Proposed by Drs. B. Davy, O. E. F. Hodgson, A. R. K. CANNING, WILLIAM CARBIS, M.R.C.S., L.R.C.P., D.Obst. Mitchell. R.C.O.G., D.P.M., Senior Assistant Médical Officer LEIGH, FIONA JEAN, M.B., B.S., D.Obst.R.C.O.G. of Health, County Borough of Brighton. Registrar, Maudsley Hospital, Denmark Hill, Proposed by Drs. P. Sainsbury, B. M. Barraclough, S.E.5. A. Walk. Proposed by Drs. D. M. Lewis, P. D. Maddocks, R. C. P. Bradley. CONWAY, CECIL GERALD, B.A., M.B., B.Ch., B.A.O., D.P.M., Registrar, Holloway Sanatorium, Virginia MASANI, KAIKHASHROO RUSTOMJI, M.R.C.S., L.R.C.P., D.P.M., Consultant Child Psychiatrist, West Sussex Water, Surrey. Child Guidance Service. Proposed by Drs. E. O. Goktepe, G. M. L. West, Proposed by Drs. I. G. W. Pickering, D. S. MacPhail, H. E. S. Byrnes. M. J. L. Ellis. COPELAND, JOHN RICHARD MALCOLM, B.A., M.B., MEIER, HELEN MARGARET ROSEMARY, M.B., Ch.B., M.R.C.P., D.P.M., Lecturer, Department of Psychiatry, Senior House Officer, Goodmayes Hospital, Ilford, Institute of Psychiatry, University of London. Essex. Proposed by Drs. J. Cooper, R. H. S. Mindham Proposed by Drs. T. Arie, J. Hurst, G. J. Goldberg. B. J. Gurland. MORRISH, LESLIE WILLIAM, M.B., B.S., M.R.C.S., CORDINGLY, ANTHONY JOHN, M.B., B.S., Registrar, L.R.C.P., D.P.M., Consultant Psychiatrist, Bowden Halliwick Hospital, N. 10. House Clinic, and St. Bernard's Hospital, Southall. Proposed by Drs. S. Benaim, J. M. Ridley, J. Bruce. Proposed by Drs. D. Blair, U. B. H. Baruch, R. C. P. FAULKNER, MARGARET ADA LANE, M.A., M.B., B.Ch., Bradley. M.R.G.S., L.R.G.P., Registrar, Maudsley Hospital, ONYEAMA, WARWICK PAUL JOSEPH CHUKWINIA, M.B., Denmark Hill, S.E.5. B.S., M.R.C.S., L.R.C.P., Registrar, Department of Proposed by Drs. T. C. N. Gibbens, L. A. Hersov, Psychological Medicine, Guy's Hospital, S.E.I. G. F. M. Russell. Proposed by Drs. J. J. Fleminger, M. C. Bott, M. D. GHALI, FOUAD ABDEL MESSIAH, M.B., B.Ch., Senior Aveline. Registrar, Hellingly Hospital, Hailsham, Sussex. PERKINS, RICHARD JOHN, M.B., B.S., D.P.M., Research Proposed by Drs. J. A. Stewart, D. F. Craggs, D. G. Assistant, Academic Department of Psychiatry, Middle- Pendlebury. sex Hospital, W. 1. HOLLINGWORTH, GEORGE TREVOR, M.B., B.S., M.R.C.S., Proposed by Professor J. M. Hinton, Drs. R. Levy, D.P.M., Senior Registrar, Westminster Hospital, S.W.i. J. R. Pedder. Proposed by Drs. P. Daily, G. Garmany, J. S. Lyon. QUADRI, SYED ARIF, M.B., B.S., Senior House Officer, Runwell Hospital, Wickford, Essex. HOPKINS, DENIS HOWIE GALBRAITH, M.B., B.S., L.M.C.C., D.P.M., Senior Registrar, Professorial Unit, Depart- Proposed by Drs. A. A. Robin, G. D. Fraser Steele, ment of Psychiatry, London Hospital, E.i. B. Grant. Proposed by Professor D. A. Pond, Drs. N. Shrubshall, RAY, INDRAJIT, M.B., B.S., D.P.M., Registrar, Belmont M. J. Pritchard. Hospital, Sutton, Surrey. Proposed by Drs. R. J. O'Riordan, W. Sargant, HOWARTH, ROY VICTOR, M.B., Ch.B., D.C.H., D.P.M. S. M. King. Research Fellow in Child Psychiatry, Institute of Child Health, Great Ormond Street, W.C.i. RIZVI, ZAFFAR ABBAS, M.B., B.S., Registrar, Springfield Proposed by Drs. A. Bentovim, A. J. Costello, P. J. Hospital, Beechcroft Road, Upper Tooting, S.W.17. Graham. Proposed by Drs. M. Markowe, J. Steinert, I. C. Lodge Patch. HUSAIN, AFTAB, M.B., B.S., Registrar, Holloway Sana- SIPPE, RICHARD ERNEST, M.B., B.S., Senior House Officer, torium, Virginia Water, Surrey. St. Bernard's Hospital, Southall, Middlesex. Proposed by Drs. E. O. Goktepe, J. Baden-Daintree, Proposed by Drs. R. C. P. Bradley, D. M. Lewis, M. Byrnes. P. I. M. Winn. HUSAIN, ALTAF, B.Sc., M.B., B.S., Clinical Assistant, TAWS, ELIZABETH ROXBOROUGH, M.R.C.S., L.R.C.P., Institute of Psychiatry, Denmark Hill, S.E.5. Registrar, Goodmayes Hospital, Ilford, Essex. Proposed by Drs. G. F. M. Russell, A. W. Clare, Proposed by Drs. T. Arie, J. Hurst, G. J. Goldberg. P. D. Rohde. TSIANTIS, JOHN, M.D., D.P.M., Registrar, Department HUSSAIN, KHADMIN, M.B., B.S., Registrar, St. Francis of Child Psychiatry, St. Mary's Hospital, W.2. Hospital, Haywards Heath, Sussex. Proposed by Drs. M. Ekdawi, K. M. Wartnaby, Proposed by Drs. S.Jacobson, D. J. Parr, M. Lightbody. A. Wadud. KESIIAV, DATTATRILAKSHMI, B.Sc., M.B., B.S., Registrar, WAXMAN, DAVID, M.R.C.S., L.R.C.P., 62 Queen Anne Holloway Sanatorium, Virginia Water, Surrey. Street, W.I. Proposed by Drs. J. Baden-Daintree, J. A. Irwin, Proposed by Drs. G. Beaumont, M. P. Joyston-Bechal, E. O. Goktepe. M. Skoblo.

9 WILSON, STEPHEN ROBERT, M.R.C.S., L.R.C.P., Senior Drs. Alexander Walk and A. B. Monro then House Officer, Fulbourn Hospital, Cambridge. delivered their respective Orations on 'The History Proposed by Drs. A. R. K. Mitchell, D. H. Clark, of the South Eastern Division' and 'The Future of O. E. F. Hodgson. the Royal Medico-Psychological Association', and the meeting concluded with a hearty vote of thanks, The afternoon session was devoted to a talk by proposed by the Chairman, to the two speakers Dr. R. Maggs on 'Aspects of Clinical Research whose contributions had made the meeting a truly in a Peripheral Psychiatric Hospital' and a 'special' one. talk by Dr. A. Milne on 'An Approach to Total Care of the Acute Female Schizophrenic Patient'. The History of the South Eastern Division Both these lectures stimulated interesting discus- sions. by Dr. Alexander Walk (Abstract)

Dr. Walk recalled that the Association had been Special Meeting, June, 1970 founded and held its first Annual Meeting in 1841 ; A SPECIAL MEETING of the Division was held at its original title was 'The Association of Medical Long Grove Hospital, Epsom on nth June, 1970 Officers of Asylums and Hospitals for the Insane'. by kind invitation of the Kingston and Long Grove Its early history was recorded in the speaker's article Hospital Management Committee and of Dr. A. B. 'Gloucester and the Beginnings of the R.M.P.A.' Monro, Physician Superintendent. published in the Journal in 1961, but the Association The Special Meeting was intended to mark the cannot really be said to have come to life until after probable dissolution of the Division as it has existed 1853 when the Journal first appeared, first under the for the last 70 years, and to welcome the impending name of The Asylum Journal, and from 1856 as change in the Association's name and status. Long The Journal of Mental Science. In 1865 there was a Grove was chosen in tribute to the outstanding work revision of the Rules, and on the suggestion of of the General Secretary, Dr. A. B. Monro, in the Henry Maudsley the Association changed its tide discussions and negotiations which were now nearing to 'The Medico-Psychological Association', in imita- a successful conclusion. tion of the French 'Société Medico-Psychologique', On the way to the meeting, those members who and membership was thrown open to all medical passed through Kingston-on-Thames were able to men. It was even proposed at the time that the visit the Kenley Ward at Kingston Hospital, a Association should become a 'multi-disciplinary' purpose-built prefabricated acute psychiatric unit one, open to any professional person interested in associated with Long Grove Hospital; Kingston psychology and mental treatment, but this was and Long Grove forming a single Hospital Manage- negatived. Another threat to the existence of the ment Committee Group. Association as an independent medical body occurred At Long Grove, members inspected a number of in 1869, when it was invited to amalgamate with the hospital units and departments. Perhaps the the Medico-Chirurgical Society and become a most remarkable of these was the Industrial Therapy section of a comprehensive Royal Society or Academy Unit, one of the most extensive and efficient in the of Medicine—a proposal which was renewed forty country. The ingenious special canteen facilities years later when the present Royal Society of Medi- serving this Unit aroused much interest. The cine was actually formed, but which on both occasions Adolescent Unit was seen as a most successful trans- was rejected after much discussion. plant from the nearby St. Ebba's Hospital, where it Up to 1868 only Annual Meetings were held, had been inspected by the Division on a previous but in that year it was decided to hold Quarterly occasion. Other impressive departments included Meetings in London, for scientific discussions rather the new residential nurses' hostels and the extended than for business. Almost at once the Scottish Staff Club. members decided to hold such meetings in Edinburgh At lunch, the Chairman of the Hospital Manage- or Glasgow also, and this was in effect the beginning ment Committee, Mr. F. E. Sowden, made a speech of the Scottish Division, although the meetings were of welcome, which was replied to by the President open to members from the North of England. The of the Association, Dr. Martin Cuthbert. Irish members followed suit a year or two later. In accordance with the Bye-Laws, the President By the early 1890s the existence of Scottish and opened the afternoon session and then relinquished Irish Divisions was fully recognized, although the Chair to the Divisional Chairman, Dr. David there had never been any formal resolution constitu- Leiberman. ting them. In 1894 there was another revision of

10 the Association's Rules, and while these were being It cannot be said that the declared intention of passed a proposal was made that there should be catering for the younger members was realized until Divisions within England and Wales also—two were much later. At the time of its inception there were at first suggested, but later it was agreed that there 158 members on the roll of the Division, out of should be three. The mover in this was P. W. a total membership of the Association of 550; but Macdonald of the Dorset County Asylum. In the attendances at meetings remained small, and the discussion, the main argument concerned the pro- minute book shows that most of those attending posed representation of Divisions on the Council, were Medical Superintendents or West End con- but agreement was soon reached. Macdonald lost sultants. no time in arranging successful meetings of the The pattern of the meetings—Spring and Autumn South Western Division, of which he became the at various mental hospitals has remained virtually first Secretary. unchanged, and the only meeting held at a London For the other Divisions longer preparatory work centre has been the very successful and well attended was necessary, but in 1896 it was thought that the one at the Tavistock Clinic in 1946. time was ripe, and Dr. Ernest White, of the City Many of the papers read in the earlier years were of London Asylum (Stone House), was asked to promptly published in the Journal, and some are of convene the first meeting of the South Eastern Division. special interest historically, e.g., Fletcher Beach on This took place at Cane Hill Asylum on 21st Insanity in Children (1897) and Reginald Langdon- April 1897 at the invitation of Dr. (afterwards Sir Down on Mongolism (1905), or throw light on the James) Moody. There were about 30 members administrative problems of the time, e.g., White present, and the chair was taken by the President, on Prospective Lunacy Legislation (1898), Fennell on Dr. W. L. Mickle, of Grove Hall, Bow, a man well The care of children in asylums (1907) Turner on Fitness known for his researches on cerebral anatomy and for Discharge (1912). his writings on G.P.I. Dr. (afterwards Sir Frederick) A favourite subject for papers was the history of Mott, then pathologist to the L.C.C, at Claybury the hospital at which the meeting was held, e.g., Asylum, staged a demonstration and lectured on Baily on the history of Hanwell Asylum (1910); 'Some cases of syphilitic brain disease resembling and later H. J. Norman of Camberwell House G.P.I.'—this question of the relation of syphilis contributed valuable papers on famous mentally to G.P.I, being very much under discussion at the abnormal persons, such as Swedenborg and Nietzsche. time—and the Cane Hill staff showed clinical cases. After the first World War, during the period when Dr. White was elected the first Divisional Secretary; the Association's activities were expanding, largely a Committee of Management was formed, with on the initiative of Dr. J. R. Lord, an attempt was representation of County and Private Asylums and made to organize more frequent clinical meetings Registered Hospitals, and of Assistant Medical catering for smaller areas, and in 1929 'clinical areas' Officers; and one Superintendent and one Medical were defined and Secretaries appointed for each Officer were elected to Council. Several new members of them. Meetings were held regularly for a few were elected, and among these were two women— years, but interest dwindled and they fell into abey- the first to be admitted to the Association, women ance. Similar meetings organized by independent having been made eligible in the 1894 revision of the local societies or individual hospitals have met with Rules. much greater success in recent years. Dr. White delivered an Address to mark the The new Bye-Laws which followed the granting inauguration of the Division, and to outline its of the Association's Charter in 1926 provided for objects. He emphasized that the Divisional meetings each Division to elect a Chairman, who would be were intended to benefit the younger members an ex-officio Vice-President and member of Council. especially, who found it difficult to attend the The first Chairman of our Division was the veteran General meetings, and he appealed for their support. David Bower, of Springfield House, Bedford, who, He hoped the Division would be able to organize however, died very shortly after his election. At collective investigations and research. Lastly, in an first a new Chairman was chosen each year, but irredentist mood, he laid claim on the Division's since 1946 it has been usual for the Chairman to hold behalf to several counties which had already been office for two years. The stated intention at the time allotted to the South Western Division—a claim of the first election was that the Chairmanship which was firmly rejected by Council. should be regarded as a reward to members who Finally, it is recorded that in the evening the had given good service to the Association but were members dined together at the Café Monico, and unlikely to be chosen as Presidents. However, in fact, this continued to be the custom for some years. four of our Chairmen have held the Presidency,

H namely, Daniel Rambaut in 1934, M. A. Collins priate in July. The subject is a serious one, and I in 1936, T. P. Rees in 1956, and the present speaker will try to deal with it appropriately as such, but in 1960. The oldest surviving Chairmen are Cedric seriousness does not necessarily imply solemnity. Bower, the son of David Bower (1938), and W. We are, after all, still working under our current Kimber (1946). Bye-laws, which indicate that one of the main Finally, Dr. Walk alluded to the history of Long functions of Divisions is to promote good fellowship. Grove, its renown in its first few years under Hubert A solemn paper would not serve this end; so, if I Bond and his brilliant medical staff, its later com- am anecdotal or occasionally light-hearted I plead parative obscurity, and its re-emergence under the Bye-laws in my defence. Dr. Monro who had more than revived its past glories. In all the work of discussion, drafting documents and sounding opinion that has gone on in recent The Future of the Royal Medico-Psychological years, one of the central themes has been the need Association to provide organized psychiatry with the necessary means to control professional standards in its own By Dr. A. B. Monro field. The basic reason for doing this was, like all It is a great honour to this hospital that the South good reasons, both simple and compelling. The Eastern Division of the Association should hold this argument is set out in the Draft Petition, but this special meeting here, at this very important moment afternoon we are free to talk about it in non-legal in the history of the Association. I personally am language and to consider it in rather a different also very sensible of the honour of being asked to context from the formal one appropriate to the speak on a subject to which we are all devoting a Privy Council. Put briefly, the heart of the matter great deal of thought. I would like to tender my is this. Following World War II it became clearer thanks to the Division for asking me to do this, and year by year that the ground to be covered by a to extend to them the warmest of welcomes to doctor aspiring to be a consultant in any speciality Long Grove. was so great that very few could achieve this com- As with all Scots of my generation, the Bible had a petence in more than one major branch of medicine. large place in my education. This was a decided It was, therefore, quite illogical to continue with disadvantage when it came to preparing this paper, a situation in which psychiatrists who wanted to get as the topic, the future of the R.M.P.A., seemed to to the top of their profession should have to possess call for gifts of prophecy. The New Testament a qualification granted by specialists in internal propounds the idea that only false prophets are medicine. honoured and esteemed by their contemporaries, There were, of course, some people who sought while true prophets usually come to a sticky end. to obscure this simple and crystal-clear issue. The When, however, I got down to the job of putting matter was presented as though it was really one of my thoughts on paper, the dilemma partially solved status or prestige. These were threads in the pattern, itself, since much of this talk must be a factual, and and necessary ones, but they never had the over-riding indeed historical account of the way in which many importance of the main theme, that medicine and people in the R.M.P.A. have envisaged the future psychiatry had both developed to the point where during the past decade or so. I intend, however, to only psychiatrists could determine the proper risk some prophecy, as I believe the chances of my content of training for psychiatry, and only they could being wrong are sufficiently great to protect me from say, in a given case, that an aspirant was fit to prac- the sticky end of true prophets. tice at a high level of responsibility. One's first thought about the future of the R.M.P.A. In the late 1950's there was influential support is the obvious one, which we all presumably share, within the Royal College of Physicians of London that we hope its future as a Royal Association will for the contention that an aspiring psychiatrist be short, and that it will soon be transformed into should be trained in general medicine to a higher a Royal College. If it were not for this hope this level of competence than that required for qualifica- meeting would not be taking place. All members tion, but that he did not need to be trained to the of the R.M.P.A. are without doubt giving a lot of level required for a specialist physician. This was thought to the draft documents prepared for sub- coupled with a good deal of informal discussion mission to the Privy Council. These will, of course, about the possibility of a Faculty of Psychiatrists be considered at the Annual General Meeting to of the College, rather on the lines of the Faculties be held in one month's time almost to the day; of Anaesthetists and Radiologists of the Royal College therefore I do not want, this afternoon, to deal with of Surgeons. The opinion of psychiatrists swung the subject in the formal way that will be appro- decisively against this idea when it became clear

12 that the Royal College of Physicians of London were in a Republic and fulfilling this role with distinction unlikely to agree to alter the regulations for the and success. Perhaps the main function of Royal Membership so as to give it a similar form to the Colleges at this time is to act as organizations con- Edinburgh Membership. Psychiatrists might have cerned in the most practical way with the standards accepted an examination run jointly by physicians of practice in their special fields, and therefore able and psychiatrists, leading to Membership of the to feed back to Universities and other teaching College, with the same rights and possibilities of bodies information about what should be taught. election to the Fellowship and to office as are posses- In this way Royal Colleges bring to bear on Univer- sed by all other members. The Royal College of sities pressures which make it more difficult for the Physicians of Edinburgh already offered them this latter to become or to remain, ivory tower institutions. in Scotland, and they were in no mood to accept From history, then, we get the suggestion that anything less in England. When, however, it appeared Royal Colleges have a certain pioneering function likely that they would have to, their course became in their respective fields. They are bodies concerned set to the only reasonable alternative goal, namely with standards of practice, which exert influence the achievement of a Royal College of Psychiatrists. on teachers to see that teaching and training are of a There have since those days been earnest debates kind to produce competent practitioners. The older about the method of obtaining this desired end, and Colleges are all licensing bodies, but this function also about the timing, but there has been no doubt has increasingly been taken over by the Universities, about what was desired. and the centre of gravity of the Colleges has moved At this point a brief digression into the history of steadily towards the sphere of post-graduate educa- Royal Colleges may enlarge our ideas about the tion. Here their function has been the granting of future we ourselves are seeking, and may also help higher qualifications—Fellowships, Memberships and us to put into proper focus certain questions relating Diplomas of very high standing, which all aspirants to status and prestige. to senior posts in the specialty must obtain, and also The Royal College of Physicians of London was supervision of the training to be required of would-be founded by Henry VIII for the immediate purpose specialists. It must be admitted that the latter is a of controlling quacks, who at that time were flourish- rather recent development, in which the more ing. In the Sixteenth Century, England was almost recently founded Royal Colleges have possibly alone among the leading nations of Europe in having blazed the trail. These then are the qualities and no University in its capital city, and though Edin- functions to which the R.M.P.A. will fall heir if burgh University was founded in 1583 by James VI our Supplemental Charter is granted. It is true that it had no Faculty of Medicine. Thus, functions it will not become a licensing body, but neither which in Europe have grown up as part of the has the Royal College of Pathologists. Even the University scene have in Britain been in the first Royal College of Obstetricians and Gynaecologists place functions of Royal Colleges, though some is only entitled to examine at the level of qualifying were later taken over by Universities. The Academic examinations if asked to do so by other licensing structure in Britain has therefore developed in a bodies. I believe that, as a College, they have never more complex and varied pattern than in Europe— been asked to do this, which is further evidence almost certainly to this country's advantage. In that the function of Royal Colleges at the level of Scotland, James VI, shortly before the Union of the qualification is increasingly becoming a minor one. Crowns of England and Scotland, founded the Royal Their sphere is the post-graduate one, and this must Faculty, now the Royal College, of Physicians and remain true whatever the precise fate of such current Surgeons of Glasgow. The Edinburgh Royal College proposals as those in the Todd Report or for Specialist was founded in 1680, and preceded the growth to Registration. eminence of the Faculty of Medicine of the Univer- In the light of this concept of a Royal College, sity, which became famous during the Eighteenth- I should like to tie up a few loose ends of thought Century owing to the influence of returned exiles on the topics of status and prestige. At one time it from Holland, and especially from the University was suggested that the R.M.P.A. was primarily of Leyden. The Royal Colleges have shown themselves concerned with status and prestige in its efforts to to be most versatile bodies. The Edinburgh College become a Royal College. I have shown conclusively at one time ran its own bath house, presumably in that this is incorrect, but have also said that issues the interests of the hygiene of the public. The Irish of status and prestige came into the picture in a College of Physicians for a period ran its own hospital, perfectly proper way. The matter becomes clear, and with its sister College of Surgeons forms a to me at least, if one accepts that status is something surely unique example of Royal Colleges flourishing formal that is conferred upon a person or organiza-

13 tion. Prestige, however, is something either earned Association has, of course, both learned a lot and or freely accorded by others, especially in the way achieved a lot in its total life of 130 years and its of regard and reputation. As an example of this period of 44 years under a Royal Charter. During principle, all Consultants in the Health Service have most of its existence it has had to cope with the the same status, but not all have the same prestige. situation resulting from the almost total indifference So, when the R.M.P.A. becomes a Royal College of Universities and Teaching Hospitals towards it will be granted a definite status. It is argued in the psychiatry. It is also aware how much psychiatry Petition that the R.M.P.A. requires this status in owes to religious and humanitarian movements. order to fulfil properly its function of controlling It remembers that The Retreat at York was founded the standards of the practice of psychiatry. It is by the Quakers, and that the long agitation by right that the Association should strive to have this Lord Ashley, later the Earl of Shaftesbury, led to the status; this is an entirely proper motive, but all the legislation under which all of us worked until ten more so when balanced against the thought that years ago. It would be surprising, therefore, if we prestige cannot be conferred by Authority; prestige did not bring something new, something of our own, must be earned. Granted the status, however, there into the Royal College tradition. In a meeting of cannot be the slightest doubt that the prestige will psychiatrists it is surely permissible to suggest that be earned. we, at any rate, think that what we are introducing To round off this question of status : the Association may be a breath of fresh air. have realized for a long time that the right to nomin- The first point of note is that the proposed College ate members of certain important committees and has a highly democratic structure. Any Fellow or organizations is a necessary part of the status of a Member who feels strongly on any subject and who professional organization. From the earliest days of can enlist the support of a number of his colleagues, the move towards a Royal College, the R.M.P.A. has the opportunity to make his voice heard and set itself the goal of being able to nominate its own his vote felt. representatives on the Joint Consultants' Committee, Secondly, through the power to change the Charter on the Distinction Awards Committee and on and to make Regulations, the College will have Advisory Appointments Committees, as well as greater flexibility and greater ability to change its having more say in nominating members of the future than the R.M.P.A. has had. It may be that General Medical Council. At one time we felt that the power is greater than that enjoyed by any other the first three would not come our way until we were Royal College, but I should in fairness say that I a Royal College. It is pleasing that we have not had have not studied the Charter of the Royal College to wait so long, but it is an open question whether of Pathologists. we would or would not have been granted these Thirdly, the importance of training, as opposed rights if it had not been known that we were making to examination, as a pre-condition of Membership, determined efforts to become a Royal College. is written into the Charter, and the Bye-laws relating As regards the General Medical Council, they are to examination are couched in very flexible terms. themselves now situated in the eye of a hurricane. The future is not tied up in any way. I would like It would therefore be rash to try and predict exacdy to say, however, that until training standards have how the R.M.P.A.'s desires will be achieved, but it is been raised in many parts of the country, the existence fairly certain that they will be. of an examination may be a help to those whose If at this point I may briefly recapitulate : I have training period is not spent in a well established tried to show that in becoming a Royal College teaching centre. This afternoon is not the moment the Association would be transformed into an organi- to start or even to stir up controversy, but it is surely zation of a kind that has a very distinctive historical up to those who favour the abolition of examinations tradition and has a complex and important role to to demonstrate that such a step is not unfair to those play in the professional life of the country. It would in hospitals remote from teaching centres. also have the status necessary to control professional Fourthly, the proposed Specialist Sections of the standards in psychiatry, and to act as the spokesman College represent a transformation of the Sections of the large branch of medicine which psychiatry of the Association. The constitution proposed for has now become—in all matters except the pricing Specialist Sections ensures that the large sub-special- of services of members; so long as the Association ties of psychiatry shall always have a voice on the or the College is registered as a charity, this partic- Council. There is also the power for the Council ular job must be left to others, but there are many to establish new Specialist Sections or to close down important contributions which the R.M.P.A. may obsolete ones; so if the shape of psychiatry changes the make in the new sphere to which it aspires. The College can adapt to that kind of professional advance.

14 Fifthly, after overcoming considerable difficulties, made provision for the formation of a Group for it now seems reasonably certain that Regional the purpose of studying or interesting itself in any Divisions will continue. The thinking behind the subject within the competence of the College, proposals is that obviously the Scottish and Irish upon a request being made by twenty Members. National Divisions must continue. Also, as Wales now The advice we have had is that if the College wishes has its own political office, and Welsh affairs are to have Groups, it can have them. It can, in fact, no longer dealt with by the Department of Health take what steps it thinks wise to achieve any of the and Social Security, there should obviously be a objects set out in the Draft Supplemental Charter, Welsh Division. In England, it was felt that Regional and I think that those who have read this document Divisions would have a vital part to play in maintain- with care must agree that the powers set out in it ing contact locally with Universities and Teaching are wide. The credit for this should go, in my opinion, Centres about matters of detail affecting training to our forefathers who drafted the Association's programmes. In order to avoid possible tensions, 1926 Charter, as we today hardly find it necessary or any feeling of a monopoly situation, it was thought to ask for any powers which were not granted then. wise that each Regional Division of the College While we are on this topic of matters which do should relate to two Regional Board areas and two not require to be dealt with in detail at this stage, teaching schools at least. This left seven Regional I should like to revert briefly to the point I mentioned Divisions for England, as proposed in the Draft about our present Divisions, that one of their pur- Regulations of the College. Obviously some re- poses is to promote good fellowship. This does not appraisal may be necessary if, in accordance with appear in the draft charter as applying to the new the Green Paper, new Health Board areas with Regional Divisions. It is a litde puzzling to know different boundaries take the place of the present why it should be regarded as inappropriate, but Hospital Regions, but thought along these lines perhaps a Royal College has to present a public must be mere speculation until the boundaries image of sleepless concern for professional standards, are known—and until the election is over. It is fairly so that it has no time for the lighter things of life. certain however, that the principles so far applied I understand, however, that even if a Royal College will simply be re-applied to the new conditions. should not admit to the object of promoting good An important aspect of the concept of Regional fellowship, there is no reason why it should not in Divisions is that this is an excellent device for en- fact promote it. I have been fortunate enough to suring that the Council of the College shall be repre- enjoy the hospitality of several Royal Colleges, and sentative of all parts of the country. Indeed, it is not they are no mean performers in the gastronomic impossible that one day the College might have sphere. There is nothing to stop the Royal College overseas Regional Divisions. A further point to of Psychiatrists from shining in this respect, at least, note is the proposal that all Regional Divisions, if it so wishes. except the Scottish and the Irish, shall be represented To return to a more serious note, this paper has so by one Fellow and one Member; this is to ensure far tried to give a picture of the kind of organization that the voices of the younger Consultants shall be that the various committees of the R.M.P.A. have heard on the Council. In case any outraged Scot planned. The time has now come to attempt a or Irishman feels hard done by, let me hasten to glimpse into the future. The structure proposed is add that their Divisions are intended to have reasonably flexible, and it may well need to be, as two Fellows and two Members each. we seem to be given a different account every week There are certain points which appeared in the of the shape of things to come. What will actually Draft Bye-laws that were considered and approved come about is anybody's guess, but it seems likely at the Adjourned Annual General Meeting of that whichever party is in power some form of February, 1966, but do not appear in the current Area Health Board may form the basic policy- draft Bye-laws or Regulations. This is not because making unit of the future service. If this is so, the they have been forgotten, but because we received concept, in the present Green Paper, may survive a strong hint that in presenting our petition we that one-third of the members may be nominated should confine ourselves to essentials. As we are by local authorities, one-third by the Department, likely to be given the power to make Regulations, and one-third be elected—note the word 'elected'— there will be many things we may want to get by the local professions. If this comes about, the on and do when we are a College, but there is no present somewhat privileged position of psychiatry need to spell all these things out in the Bye-laws will come to an end. Within medicine there will be or Regulations now. One of the issues in question no chance of every specialty being represented. is that of forming Groups. The 1966 Draft Bye-laws The claim will therefore be presented that the medical

15 members of Boards should be 'doctors who are capable of the inveterate interest of psychiatrists in psychology. of speaking for the profession as a whole, and not I suggested that most psychiatrists must have felt simply on behalf of sectional interests within it\ at some time that if only they could reduce their I would suggest that this argument should be looked discipline to biochemistry, or to a physiological at very closely, as it is not easy to set down in rational psychology of conditioned reflexes and the law of terms the sort of qualifications and experience effect, then their relations with medical and surgical that enable a doctor to speak on behalf of the whole colleagues would be smooth. I would modify this profession. I suspect that very oft en this argument view now by suggesting that relations can stay smooth is used slightly speciously to support the candidacies so long as the physicians and surgeons feel that in of general practitioners or members of the B.M.A. principie the psychiatrist's discipline can be reduced Whether this is fair comment or not, those psychiatrists in this way. So long as they feel this, the psychiatrist who become members of Area Boards will presumably is thought of as a reasonably sound and safe chap; only do so if they can gain the confidence and support he talks the same sort of language as his colleagues, of their colleagues in other specialties. All this will and what he says is acceptable. But let the psychiatrist have to be done at a time when psychiatry is in- really spread his psychological wings and things may creasingly being organized in close connection with be very différent. District General Hospitals. It is a matter of history All this would not matter very much if it were not that psychiatry has not always flourished when it for the uncomfortable thought that there are signs and the local medical services have been closely that in the near future psychiatrists may indeed be integrated. Those of us who have had the experience forced to spread their psychological wings. This of developing an integrated service in the general really is prophecy, and I should like to repeat that hospital setting know that the process is not free I am vividly aware of the likelihood of being wrong. from difficulty. The R.M.P.A. has, of course, urged My conclusions, however, are not based on the that there should be a Mental Health Committee of inspection of the livers of sacrificial chickens, but every Area Board, but there is as yet no indication on clinical experience with adolescents and on some that this sensible suggestion will be listened to. observations on industrial unrest. The emergence If it is not, then the new College will have an im- of various kinds of freak-out, of Student unrest, portant role to play in inter-collegiate discussions, and of a new and rather strident note in industriai and other negotiations at a similar level, to see that disputes, suggests that a change may be coming about the interests of psychiatry do not suffer. The Regional in the general temper of our society. Those who feel this Divisions of the College will also have a vital task, often think of any such change as rebellion against the for they will have the local knowledge which will puritan ethic dominant in the Victorian age. A more be extremely important when it comes to accrediting radicai view of the situation is, however, possible, hospitals, units or posts for training purposes. In namely that we are in the process of undergoing a short, the College may well fili the vacuum which movement away from the bland temper generated by could easily be created if there were to be too rapid the philosophy of Hume in the ißth Century. a réduction in the proportion of psychiatrists on Professor Marjorie Grene, in her book The Knower Area Boards. Its mode of action would be différent, and the Known, suggests that Hume was not only one but there is certainly no reason why it should not be of the founding fathers of modem British empiric- highly effective. The day will presumably come when ism but also the originator of an outlook which was hospitals which do not provide good standards of gratefully seized upon by a country and society training will find it difficult to get medicai staff, which had had enough of civil war. To illustrate and it will depend on the College whether this Hume's temper, Professor Grene quotes the following comes about quickly or slowly. passage from his Treatise on Human Nature: It is comforting to reflect on the powerful influence 'While a warm imagination is allowed to enter which a Royal College could wield to ensure that into philosophy, and hypotheses embraced merely the standard of the practice of psychiatry shall for being specious and agreeable, we can never continue to improve. This is ali the more true as have any steady principies, nor any sentiments, there is one further difficulty in relation to integra- which will suit with common practice and experience. tion within medicine which might not be overcome But were these hypotheses once removed, we might without a powerful body, such as a College, to over- hope to establish a system or set of opinions, which come it. I referred to this problem in relation to if not true (for that, perhaps, is too much to be hoped research in my lecture to the Mental Health Research for), might at least be satisfactory to the human Fund in November 1969. In brief, I suggested that mind, and might stand the test of the most criticai it might be somewhat frivolously thought of in terms examination.'

16 Professor Grene comments, 'The gist of this attitude of occupation. If this is true, we in this country are is: get rid of all the insanities, and what is left is likely to have to meet the need which America has sane'. She also refers to Hume's benignity, and I met with psychoanalysis and continental Europe quote her words 'In his experience as an historian, with existentialism. We may be lucky enough to and before and beneath this, we may guess, in his have more time for the job, and we certainly have childhood experience of the Scottish Kirk, he learned excellent resources both of science and philosophy. to associate theological speculation with fanaticism, If we rise to the challenge, quite notable advances and fanaticism with cruelty. And as, in his untroubled in medical psychology could be achieved. good nature, he hated cruelty, so he distrusted So, if these spéculations are at all correct, there militant religión and its ally, militant metaphysics . . . may be a great opportunity for our College to be Philosophically, too, he preferred the well-kept the crucible in whicb important new ideas, tech- lawns and gardens of an amiable society to wild niques and practices which lie on the frontiers of moors of mystery inhabited by prophetic brigands medicine and psychology may be forged. However, or murdering saints'. I would myself comment that ihis may be, I hope that as a College we would anyone who is much in the company of the young not forget that as an Association we combined the must feel that we today are becoming much more terms 'Medical' and 'Psychological' in our title. sympathetic towards militant metaphysics than was This was at times awkward, and provided occasions Hume. There is perhaps an increasing tendency for poking fun in a mild way, while also containing to hanker after wild moors of mystery, though today a truth, indeed almost a platitude. Psychiatry is, we would rather tend to think of them as inhabited and must remain, a medical discipline. It cannot, by guerillas. If this estímate is true, that we are however, be only a medical discipline, as it must moving away from the bland outlook of Hume, be related to psychology and sociology to a degree and also perhaps from his empiricism, then will that is unlikely ever to be necessary for general we not soon find ourselves with a pressing need for medicine or surgery. A Royal College of Psychiatrists a psychology able to cope with the more tempestuous ought, therefore, to have features which are not climate of thought and feeling that is likely to fully shared by other Royal Colleges, and these follow ? should be derived from the traditions of this Associa- Experience in America and on the continent of tion. One of the most important of these has always Europe suggests that we may indeed find ourselves been an obstetric and nurturing function in regard with this need, especially if we consider why psycho- to disciplines allied to psychiatry. Clinical Psychology, analysis has obtained its commanding position in Psychiatric Nursing and Occupational Therapy, American psychiatry, and why ontological and for example, owe a great deal to the R.M.P.A. existential schools enjoy great prestige on the continent It is to be hoped that this tradition will continue, of Europe. It would seem that these doctrines and and that one of the main activities of a College will practices fulfil a need. At the very least, they are be to identify those areas of psychiatrie activity felt by patients to do so, and they feel this strongly which may be points of departure for new disciplines, enough to part with good money for treatment. or even for new professions. The Freudian and existentialist outlooks are worlds In conclusion, then, it seems clear that the future away from Hume; by comparison they smack of of the Association, and of the College which we militant metaphysics and wild moors of mystery. hope it will become, will demand practical involve- If it is true that they fi.ll a need, it might be wise for ment in matters of detail. We may hope, however, us to try and estímate what that need is. that in addition to the day to day, and year to year, One possible explanation is that devotees of task of maintaining standards, there will be scope psychoanalysis and existentialism are trying to for adventurous new initiatives and for the breaking maintain a sense of personal significance and a of new ground. In lighter moments I sometimes practical experience of personal integrity in social think that the men and women of the Twenty-Second conditions felt to be inimical towards these desired Century will look back on us of the Twentieth Century things. Social condtions all over the world have as the great psychological unwashed, rather as we changed, and must continué to change, if only look back on the people of the Seventeenth and Eight- as the result of industrialization and technological eenth Centuries as the great physical unwashed. advance. It can be argued, however, that compared If this forecast of the future should prove to be true, with this country the general sense of social security I hope that much of the credit for the improvement has been more seriously assailed in America by the in mental hygiene will belong to this Association, Depression, by Korea and Viet Nam, and in Europe and to the Royal College of Psychiatrists into which by World War II and the accompanying periods we hope it will be transformed.

17 IRISH DIVISION

THE SPRING QUARTERLY AND CLINICAL MEETING Number of the Irish Division was held on 19 March, 1970, As this is a very important committee at this at St. Loman's Hospital, Ballyowen, Co. Dublin, time, number should be adequate. by kind invitation of Dr. T. J. Fahy and the Dublin Recommended Health Authority. Six elected members—(3 Northern Ireland 3 Eire) The Officers of the Division for 1970-71 were with a nominee from each section. elected as follows : Tenure

Chairman ...... DR. MARY SULLIVAN, Maximum 5 years. Secretary ...... DR. J. V. GLASS, One third drawn by lot to retire at 3 years 4 years. Junior Representative on Council .. DR. E. C. O'GORMAN. Parliamentary Committee Dr. Mulligan, outgoing Chairman, vacated the Shall watch legislation in Eire and Northern chair, which was then taken by Dr. Sullivan, who Ireland, existing and prospective, and Departmental, was invested with the badge of office. Dr. Mulligan Regional and Local Administrative practice; and to welcomed his successor, paying tribute to her long report to the Committee of Mangement any measures and sterling service to the Division as Honorary Secretary for over twelve years. He also thanked it recommends. the officers, and the members for their assistance Number and good wishes during the period of his office. Recommended Dr. Sullivan thanked the members for the honour Two from Eire, two from Northern Ireland. they had conferred on her by electing her to the office May co-opt not more than two. of Chairman. Election The following recommendations by the Committee Annually. of Management on the composition, election, Tenure of Office and functions of approved standing Committees As continuity is desirable, members to be elected were unanimously agreed; nominations to be invited for a period of four years, unless they earlier resign. for election at the next divisional meeting. The Officers to be members of each committee, ex officio. Papers and Discussions Committee Functions (a) To be responsible for arranging the scientific Education Committee programme, at meetings of the Division, including Functions papers, discussions, Seminars, scientific visits and In relation to Eire and Northern Ireland. similar items. (a) To study, and make representations in relation (b) In furtherance of (a) above, to keep informed to the teaching of psychological medicine at under- of research and clinical projects, and encourage the graduate, and post-graduate level. To keep informed production and presentation of informative papers. on any proposals, academic or otherwise on psychia- (c) To examine the suitability for presentation of tric training, and make recommendations thereon. any papers received by them. (b) To interest itself in all matters relating to (d) Refer papers they consider suitable to the training of mental nurses, both pre-registration Association, Papers and Discussions Committee, for and post-graduation, and make recommendations presentation at any of the Association's Quarterly thereon. or other meetings. (c) To interest itself in all matters relating to the Number training of other professional workers in the psychia- A small active committee in regular touch with tric field and make recommendations thereon. main clinical, teaching and research centres. (d) To maintain close liaison with the Association's Education Committee, to ensure that proposals Recommended etc. are in accordance with the general policy of the Two from Eire, two from Northern Ireland. Association. Election (e) All recommendations to be submitted to the Members elected annually. Management Committee for approval, before acting Maximum three years continuous. Eligible for re- on them. election after a lapse of one year.

18 Following discussion, it was agreed to include a education which might turn up before the next nominee from each of the Sections and Standing Divisional meeting. Committees on the Management Committee, the A letter was read from Dr. B. MacRamsay elected members of which were to remain at 3 Senior proposing formation of a Mental Deficiency Section and 3 Junior members. Nominations to be sought in the Irish Division. Supported by Dr. Mulcahy, the for élection at the next Divisional Meeting. proposal was unanimously agreed. A letter from the Minister for Health asking for Post-Graduate Education : the Division's nomination for the National Health Council. As a matter of urgency, the Management (a) Eire Committee had nominated Professor T. Lynch. Professors Beckett and Lynch gave détails of the The action was approved. scheme for post-graduate éducation in psychiatry A letter of reply was read from the Minister for which was now operating in Dublin, with an appeal Health to Division's representations re post-graduate to have this extended to at least one provincial Medical Education. centre, or group of centres. Details of the staff, A letter was read from the General Secretary with appointments recommended to implement it were also reference to accreditation of Teaching Hospitals, given. General satisfaction with the proposais was enclosing copies of Questionnaire, and letters to expressed, though the difficulty of availing of such hospital and clinic authorities. It was agreed to have training for severa! hospitals far from Dublin was this circulated to all hospitals in Eire and Northern expressed. Ireland. (b) Northern Ireland It was agreed to hold the Summer Meeting in Dr. Mulligan reported that preliminary discussions June, in a provincial hospital if invitation could be had been held, and the formation of a Council for obtained. A tentative offer for Killarney was put Post-Graduate Medical Education was imminent. forward. Final arrangement of date and venue were The Management Committee had forwarded the left to the Honorary Officers. ñames of Drs. Knox, McCormick and Casement to the The following papers were presented: General Secretary for submission to the proposed 'Infanticide and its Variations' By Dr. N. Council. Lukianowiez. He discussed the many variations of infant death, Considerable disquiet was expressed by junior including crib deaths; the difficulty of clearly ascer- members in relation to the present discussions at taining the cause; the relationship to maternal the Department of Health on a new Staffing and depression with aggression which may be directed career structure in the Mental Health Service. inward or outward, and the significant relationship As this could have serious implications for junior with the peak periods for suicide. Illustrative case doctors in relation to training, career prospects, histories were given. and altered status, it was agreed to form a small 'A Double Blind Control Trial of Tryptizol and committee to collect and co-ordinate the views of Valium in E.C.T.-treated Depressives'. By Dr. those affected, and to ask the Minister for Health T.J. Fahy. to receive one or two nominees of the Division to be The papers gave rise to an interested discussion joined in these discussions or to be present as by Perry, Moloney, Hayes and others. observers. The following were agreed to: Dr. Sullivan then proposed a vote of thanks to Professors Moore and Beckett, Drs. Carney, both the speakers for their interesting papers; Laverty, Lambe and Brennan. It was also agreed and to Dr. Fahy, the Hospital Authority and the that Professors Beckett and Moore and Dr. T. J. staff for the excellent facilities and hospitality Fahy should form an emergency committee to deal afforded to the Association. The vote was passed with any urgent matters in relation to post-graduate with acclamation.

SCOTTISH DIVISION

THE SPRING MEETING of the Scottish Division was Cuthbert honoured the Discussion with his presence. held at the Royal College of Physicians, Edinburgh, The Division noted with regret the deaths of Dr. on Friday, 131J1 March, 1970 John McDougall, an Ordinary Member since 1928, and Dr. W. N. J. Chapman, an Ordinary Member The President of the Association, Dr. T. Martin since 1932.

19 Dr. Timbury presented the report of the Committee FLACK, KENNETH GORDON, M.B., Ch.B., Senior House of Management of its meetings held on 26 January, Officer, Department of Psychological Medicine, 1970, and 13 March, 1970. Southern General Hospital, Glasgow. Proposed by Drs. A. M. Shenkin, H. I. Clapham, (a) It was noted that Dr. J. K. Hunter had been I. M. Ingram. appointed director of the Scottish Hospital Advisory HAINES, ANTHONY JOHN, M.A., M.B., B.Chir., Medical Service and that he would be invited to address Assistant, Bangour Village Hospital, Broxburn. the summer meeting at Ailsa Hospital. Proposed by Drs. J. H. Henderson, D. E. H. Beattie (b) Professor Batchelor was nominated as the J. B. Rae. Division's representative on the Scottish Council HYLAND, JOSEPH MICHAEL, M.B., B.Ch., B.A.O., Senior for Postgraduate Medical Education. House Officer, Royal Edinburgh Hospital. (c) It was noted that Professor Macrae was a Proposed by Drs. E. E. Robertson, G. Mitchell, member of the C.M.O.'s Joint Working Party on J. Davidson.

Functional Integration of the Health Services. MACDONALD, NORMA ANNE CRAWFORD, M.B., Ch.B., (d) Professor Macrae was nominated as the Divi- D.Obst. R.C.O.G., Senior House Officer, Royal sion's representative on the Committee planning the Edinburgh Hospital. visit of the International Hospital Federation to Proposed by Drs. G. W. Ashcroft, R. O. Cundall, Scotland in 1972. G. Mitchell. (e) It was agreed to form a sub-committee to deal MILES, MARY PATRICIA, M.B., Ch.B., D.P.M., Senior with the accreditation of psychiatric hospitals. House Officer, Royal Edinburgh Hospital. Proposed by Drs. R. A. Parry, G. B. Burnett, A. K. (f) It was agreed that Dr. Wolff should represent Zealley. the División at the annual conference of the Scottish Directors of Social Work. ROBERTSON, CHRISTINA MARQUIS, M.B., Ch.B., Senior House Officer, Department of Psychological Medicine, (g) It was agreed that a Joint Working Party with Southern General Hospital, Glasgow. Directors of Social Work should be formed if the Proposed by Drs. I. M. Ingram, R. N. Harrington, Directors agreed. H. I. Clapham. (h) A letter regarding the amalgamation of the medical administration of Strathmartine and Liff The following were elected Office Bearers for 1970-71: Hospitals was considered, and it was agreed that this Chairman .. DR.H.J. B.MILLER should be forwarded to the Eastern Regional Hospital Honorary Secretary .. DR. G. C. TIMBURY Board, to the Scottish Home and Health Department, Honorary Assistant Secretary .. .. DR. P. W. KERSHAW and to the General Secretary of the Association. Junior Representative on Council .. DR. W. D. BOYD

The following were elected as Ordinary Members: Committee of Management: MCKAY, ERIC, M.D., M.R.C.P.E., Consultant Psychiatrist, R. C. B. Aitken, G. Stirling, W. L. Flanagan, R. A. Ladysbridge Hospital, BanfF. Robinson, A. D. Forrest, J. K. Binns, E., M. G. Keddie, Proposed by Drs. H. S. Ross, M. N. Montgomerie, H. C. Fowlie, R. Davidson, J. B. Rae, J. Clark, E. Wood, A. M. Cook. J. Scott, W. J. B. Rogers.

ALEXANDER, ERIC RICHARDSON, M.B., Ch.B., D.P.M., Registrar, Crichton Royal Hospital, Dumfries. Dr. A. D. Forrest was elected to the Scottish Central Proposed by Drs. A. C. Tait, A. B. Christie, G. S. Committee for Hospital Medical Services for the year Stirling. 1970/71.

CLARK, IAIN MACDONALD, M.B., Ch.B., D.Obst., After discussion it was agreed that the Secretary R.C.O.G., Registrar, Rosslynlee Hospital, Rosslin, should write to the Social Work Services Group Midlothian. expressing concern that psychiatrists were occasionally Proposed by Drs. A. B. Hegarty, W. M. Masón, being asked for court reports by social workers P. A. Foder. without any request from officiais of the courts.

CLARK, ELIZABETH YOUNG, M.B., Ch.B., Sénior House There followed a joint discussion with the Scottish Officer, Rosslynlee Hospital, Rosslin, Midlothian. Directors of Social Work on the theme 'WHAT IS A Proposed by Drs. A. B. Hegarty, W. M. Masón, MENTAL HEALTH SERVICE?' The speakers were P. A. Foder. Dr. J. W. Affleck, Royal Edinburgh Hospital; Dr. J. D. Haidane, Department of Child and Family ELLIOT, CARMENCITA, M.B., B.Ch., Clinical Assistant in Child Psychiatry, Troon, Ayrshire. Psychiatry, Cupar; Mr. D. Crowther, Director of Proposed by Drs. H. J. B. Miller, F. H. Stone, I. S. Social Work, Dumfries; and Mr. R. Lingham, Sutherland. Deputy Director of Social Work, Aberdeen.

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21 Journal of Neuropathology and Psychiatry [Korsakov, BAUMEISTER, A. A. Mental Retardation. Russian]. BENASSY, M. La Theorie Psychanalytique. Journal of Psychology. BRAIN, LORD. Clinical Neurology—3rd ed. Journal of Psychosomatic Research. BRAIN and WILKINSON. Recent Advances in Neurology Journal of the Royal College of General Practitioners. and Neuropsychiatry—8th ed. Mental Health. BROOKE, E. M. Suicide igoi-ig6i. Mental Hygiene. BIERER and EVANS. Innovations in Social Psychiatry. Nordisk Psykiatrisk Tiddsskrift. Buss. Theories of Schizophrenia. Pavlov Journal of Higher Nervous Activity [Russian], BORING, E. G. History of Experimental Psychology— Psychiatric Qiiarterly. 2nd ed. Psychiatry. BOWLBY, J. Attachment and Loss: Vol. I. Attachment. Psycho-Analytic Quarterly. BETTELHEIM, B. The Children of the Dream. Psychological Abstracts. BUGENTAL, J. Challenges of Humanistic Psychology. Psychological Monographs. CRAMMER, J. L. Practical Treatment in Psychiatry. Psychological Record. GAINE and SMAIL. The Treatment of Mental Illness. Psychological Reports. CLARKE, A. D. B. Recent Advances in the Study of Psychosomatic Medicine. Subnormality. Psychosomatics. DALE, R. Louis Wain—The Man who drew Cats. Quarterly Journal of Studies on Alcohol. DELISLE, F. The Return of Havelock Ellis. Revista Argentina de Neurología y Psiquiatría. - Friendship's Odyssey. Revista del Hospital Psiquiátrica de la Habana \Cuba]. DE JONG and SUGAR. Tear Book of Neurology and Revista de Neuro-Psiquiatría. Neurosurgery. Revista de Psicoanálisis, Psiquiatría y Psicología. DELAY and BRION. Le Syndrome de Korsakoff. Revista de Psicología General y Aplicada. DAWSON, J. G. Psychotherapy with Schizophrenics. Revista Psiquiátrica Peruana. DALLY, P. Anorexia Nervosa. Revue de Médeciru Psychosomatique. DE REUCK and PORTER. The Mentally Abnormal Rivista di Neurología. Offender. Rivista di Patología Nervosa e Mentale. EFRON et al. Ethnopharmacologic Search for Psychoactive Scientific Film. Drugs. Social Psychiatry. EY, HENRI. La Conscience. West Indian Medical Journal. EVANS and KLINE. The Psychopharmacology of the W.H.O. Chronicle. Normal Human. World Mental Health. EMERSON, J. Phobias. FORDER, A. Penelope Hall's Social Services of England New Acquisitions 1969 and Wales. ANGST, J. Die Somatische Therapie der Schizophrenic. FRANCIS-WILLIAMS, J. Rorschach with Children. ALLEN, FORSTER and RUBIN. Readings in Law and FISH, F. An Outline of Psychiatry for Students and Psychiatry. Practitconers—2nd ed. AMERICAN PSYCHIATRIC ASSOCIATION. New Directions Foss, B. M. Determinants of Infant Behaviour. in American Psychiatry, ig44~ig68. FULLER, J. G. The Day of St. Anthony's Fire. ALTSCHUL, A. Psychiatric Nursing—3rd ed. FITZGIBBON, C. The Life of Dylan Thomas. BIGGS, J. The Guilty Mind. FROMMER, E. A. Voyage Through Childhood into the BLOOMQUIST, E. R. Marijuana. Adult World. BRIGUET-LAMARRE, M. L'Adolescent Meurtrier. FRENCH, R. K. Robert Whytt, the Soul and Medicine. BECKER, A. The General Practitioner's Role in the FREUD, ANNA. Indications for Child Analysis. Treatment of Emotional Illness. FORD and HARRIS. New Aspects of Human Genetics. BARKER, J. C. Scared to Death. FREEMAN, H. Progress in Mental Health. BROEN, W. E. Schizophrenia. FOULKES and PRINCE. Psychiatry in a Changing Society. BROME, V. Freud and his Early Circle. GRANT and KELSEY. Many Lifetimes. BATCHELOR, I. R. C. Henderson and Gillespie's Textbook GRASSET, A. L'Enfant ¿pileptique. of Psychiatry— 1 oth ed. GREGORY, I. Fundamentals of Psychiatry. BARUK, H. Annales de Thérapeutique Psychiatrique. GLASSCOTE et al. Partial Hospitalization for the Mentally BELLAK, L., and LOEB, L. The Schizophrenic Syndrome. III. BENDALL and RAYBOULD. A History of the General GOODMAN and SOURS. The Child Mental Status Examina- Nursing Council, igig-6g. tion.

22 GLASSCOTE, R. The Treatment of Alcoholism. MACALPINE and HUNTER. George III and the Mad- GROSS and JANIK. Die Nachbehandlung Psychisch Business. Kranker. MARKS, I. M. Fears and Phobias. GLASSCOTT et al. The Community Mental Health MAISCH, H. Inzest. Centre—An Interim Appraisal. MISCHEL, W. Personality and Assessment. GUNTRIP, H. Schizoid Phenomena, Object Relations MADDISON, DAY and LEABEATER. Psychiatric Nursing— and the Self. 3rd ed. GAZDA, G. M. Theories and Methods of Group Counseling MILNER, M. The Hands of the Living God. in Schools. MANNING, F. V. Consultation in Mental Health and GILBERT, J. Clinical Psychological Tests in Psychiatric Related Fields. and Medical Practice. MICHAEL, R. P. Endocrinology and Human Behaviour. GOLANN, S. E. Co-ordinate Index Reference Guide to MENNINGER, K. A Psychiatrist's World. Vols. I and II. Community Mental Health. NATIONAL ASSOCIATION FOR MENTAL HEALTH. New HAYTER, A. Opium and the Romantic Imagination. Ways with Old Problems. HANKOFF, L. D. Emergency Psychiatric Treatment. ORME, J. E. Time, Experience and Behaviour. HUBER and KRANZ. Schizophrenie und Zyklothymie. O'CONNOR and TIZARD. The Social Problem of Mental HOENIG and HAMILTON. The De-segregation of the Deficiency. Mentally III. PRYSE-PHILLIPS, W. Epilepsy. HEINRICH, H. Psychiatrie im Übergang. PETRILOWITSCH et al. Social Psychiatry. Vols. I and II. HYNEK, R. W. Kurmersreuth. PAI, M. N. Searchlight on Sleep Disorders. JONES, MAXWELL. Social Psychiatry in Practice. PETERSON, P. Psychiatrische und Psychologische Aspekte JERVIS, G. A. Expanding Concepts in Mental Retardation. der Familienplannung bei Oraler Kontrazeption. JERSILD, A. T. Child Psychology. PIAGET, J. The Child's Conception of Time. JUILLET and MOUTIN. Psychiatrie Militaire. POROT, A. Manuel Alphabétique de Psychiatrie. KATZ et al. Classification in Psychiatry and Psycho- ROSENTHAL and KETY. The Transmission of Schizo- pathology. phrenia. KELIN and DAVIS. Diagnosis and Drug Treatments of ROCK, R. S. Hospitalization and Discharge of the Psychiatric Disorders. Mentally III. Kiss, P. G. Grundlagen der Klinischen Psychologie. RICHTER and BECKMANN, Herzneurose. KNIGHT, G. Stereotactic Surgery for Suicidal and Severe ROLLIN, H. R. The Mentally Abnormal Offender and Depression. the Law. KAHN, J. H. Unwillingly to School—2nd ed. RACHMAN and TEASDALE. Aversion Therapy and KENDELL, A. E. The Classification of Depressive Illness. Behaviour Disorders. KENT, C. The Puzzled Body. RESNIK, H. L. F. Suicidal Behaviours. Livre Blanc de la Psychiatrie Française Vols. 1.2.3. ROBERTS, A. H. Brain Damage in Boxers. LANGEN, D. Psychodiagnostik, Psychotherapie. RUDOLF, G. DE M. A Conscious Immobility. Loo, P. Les Consultations Journalières en Psychiatrie. REEVES, J. W. Thinking about Thinking. LIGGETT and COCHRANE. Exercises in Social Science. RUSSELL, D. S. Observations on the Pathology of Hydro- LEWIS and STRAHL. The Complete Psychiatrist (P. Hoch). cephalus. MISHLER and WAXLER. Interaction in Families. MARTIN and REHIN. Towards Community Care. STEWART, W. A. Psychoanalysis—The First Ten Tears— MACDONALD, J. M. Homicidal Threats. 1838-1898. Moss and DAVIES. A Survey of Alcoholism in an English SIMMEL, M. L. The Reach of Mind County. SHAMSIE, S. J. Adolescent Psychiatry. MCGLEAN and WOOD. Criminal Justice and the Treat- SHAPIRO, D. S. et al. The Mental Health Counselor in the ment of Offenders. Community. MITTLER, P. J. Aspects of Autism. SMITH, A. The Science of Social Medicine. MAY, R. et al. Existential psychology—gth ed. STERNBACH, R. A. Pain. MUNRO and MCCULLOCH. Psychiatry for Social SINGH, M. M. Mental Disorder. Workers. SUTHERLAND, J. D. The Psychoanalytic Approach. MAY, P. R. A. Treatment of Schizophrenia. SLATER and ROTH. Clinical Psychiatry—3rd ed. MOOR, L. Lexique Français—Anglais—Allemand STEINER, F. Taboo. (Psychiatrie etc). SHAW, O. L. Prisons of the Mind. MITCHELL, A. R. K. Drugs. SCHWARZ, H. Suchten. MORRIS, P. Put Away. SILVERMAN, C. The Epidemiology of Depression. 23 SCHEID and GIBBELS. Therapie in der Neurologie und is held in May of each year. An entrance fee of £3 3s. Psychiatrie. is charged, returnable to bona fide candidates. SOLOMON, D. The Marijuana Papers. Entrance fees are due by 31 March. SARGANT, W. Psychiatric Treatment in General Teaching Hospitals. Bronze Medal and Prize STRÖMGREN, E. Contributions lo Psychiatric Epidem- Dissertations for the Association's Bronze Medal iologe and Genetics. and Prize should be forwarded to reach the Registrar SCHOFIELD, A. T. Nerves in Disorder. not later than 30 April in each year. TYERMAN, M. J. Truancy. TERRIS, M. Goldberger on Pellagra. Divisional Prizes TOMAN, W. Family Constellation. TALLAND, G. A. Deranged Memory. Papers certified as eligible for this compétition VETTER, H. J. Language Behaviour in Schizophrenia. must be forwarded to reach the Registrar not later VERNÙN, M. D. Human Motivation. than 30 April in each year. YVILDROE, H. J. Ego Psychologe and Psychiatric Treat- ment Planning. AMERICAN PSYCHOPATHOLOGICAL WILSON, M. The Education of Brain Injured Children ASSOCIATION in U.S.A. The next annual meeting of the American WATSON, J. Which is the Justice? Psychopathological Association will take place on WILLIS, J. H. Drug Dependence. February 4th, 5th and 6th, 1971, at the Roosevelt ZAETZ, J. L. Occupational Activities Training Manual Hotel in New York City. The topic of the symposium for Severely Retarded Adults. will be CRITICAL ISSUES IN CONTEMPORARY SEXUAL BEHAVIOR. THE ASSOCIATION'S MEDALS AND A special feature of the program will be a dinner PRIZES meeting address by Dr. William Masters and Mrs. Attention is specially drawn to the Medals and Virginia Johnson (authors of "Human Sexual Prizes which are offered annually by the Association. Inadequacy"), and an afternoon meeting at which The conditions of avvard are set out fully in the Dr. Paul D. MacLean (National Institute of Mental Year-Book. Health) will speak. Requests for information should be addressed to the Secretary: Gaskell Medal and Prize Dr. Max Fink, 5 East i02nd St. New York, N.Y. The examination for the Gaskell Medal and Prize 212 369 7900 Ext. 245

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