KUYAl MtOICO-PSYOnûLOaiCAL ASSOCIATION THE LIBRARY BRITISH JOURNAL OF PSYCHIATRY (THE JOURNAL OF MENTAL SCIENCE)

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

SUPPLEMENT, JANUARY 1966

THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION

AUTUMN QUARTERLY MEETING

THE AUTUMN QUARTERLY MEETING was held on AHMED, SAFAR UDDIN, M.B., B.S., D.T.M.&H., D.P.M., 18 and 19 November, 1965, in London, under the Kunagram, P.O. Beanibazar, Sylhet, East Pakistan. Presidency of Professor T. Ferguson Rodger. Proposed by Drs. J. F. Anderson, P. G. Aungle, M. G. Barker. BARCHHA, RAMNIK GORDHANDAS, M.B., B.S., Assistant Minutes Resident in Psychiatry, Washington University School of Medicine, St. Louis, Missouri, U.S.A. The Minutes of the Meeting held in Edinburgh on Proposed by Drs. G. E. Murphy, E. J. Anthony, D. 10—11 May, 1965, having been published in the Davis. Supplement to the British Journal of Psychiatry, were BEAUMONT, PIERRE JOSEPH VICTOR, M.B., Ch.B., Senior approved. House Officer, Department of Psychological Medicine, Obituary Southern General , Glasgow. Proposed by Drs. G. C. Timbury, I. M. Ingram, R. N. The President announced with regret the death of Herrington. the following members: BINITIE, AYODELE OMAYONE, M.B., B.S., Clinical Assis- KIDD, HUMPHRY BOHUN, Consultant and Medical tant, , Edinburgh, 10. Superintendent, The Towers Hospital, Leicester. Proposed by Drs. W. N. Taylor, A. W. Kushner, R. G. An Ordinary Member since 1953. Priest. LEWIS, EDMUND OLIVER, C.B.E., late Lord Chan- BLOMFIELD, OWEN HUGH DUNON, B.Sc., M.B., B.S., cellor's Visitor. An Ordinary Member since 1930; D.P.M., Assistant Psychiatrist, Royal Children's Honorary Member since 1955. Secretary, Mental Hospital, Melbourne, Victoria, Australia. Deficiency Committee, 1935-43; Chairman, Proposed by Drs. B. Davies, S. Gold, R. H. Hook. Mental Deficiency Section, 1947-50. BROWN, FRANCIS ROBERT BELL, M.B., B.Ch., B.A.O., MCDIARMID, NEIL BARRY, Consultant Psychiatrist, D.P.M., Senior Registrar, St. Luke's Hospital, Armagh, Hill End Hospital, St. Albans. An Ordinary N. Ireland. Member since i960. Proposed by Drs. J. A. S. Mulligan, W. A. G. MacCallum, Mary Sullivan. NOBLE, RALPH ATHELSTANE, formerly Senior Con- sultant Psychiatrist, United Cambridge . CHEYNE, ALEXANDER IAN, M.B., Ch.B., Registrar, An Ordinary Member since 1922. Crichton Royal, Dumfries. PARASURAM, GOVINDARAJPURAN RAMPATTAR. An Proposed by Drs. A. C. Tait, G. S. Stirling, I. Fleming. Ordinary Member since 1927. CUTHILL, JUDITH JENNIFER, M.A., M.B., Ch.B., B.A.O., D.P.M., Senior Registrar, St. Audry's Hospital, Melton, RUSCOE, MARIAN WILSON, I Bars ton Towers, near Woodbridge, Suffolk. London, S.E.27. An Ordinary Member since i960. Proposed by Drs. I. J. Davies, J. K. Marshall, P. McCauley. Election of Ordinary Members DENSON, RAYMOND, B.Sc., M.D., Research Psychiatrist, Saskatchewan Department of Public Health; Clinical The following were unanimously elected to Teacher, University of Saskatchewan, Canada. Ordinary Membership: Proposed by Drs. C. M. Smith, K. I. Pearce, A. Walk. DON, .'\UXA.."IDER MAURICE, M.B., RCh., D.P.M., P.O. MOHARRERI, MOHAYMAD REZA, M.D., Clinical Assistant, Box 17195, Hillbrow, Johannesburg, S. Africa. , Broxburn, . Proposed by Drs. J. C. Holden, J. Simeon, R. R. Proposed by Drs. A. K. M. Macrea, Betty Magill, Knowles. Pamela Home. DoUYoN, LA!'{''>ROK, ~.D., Director, Centre of Psychiatry; MOLLER, THORDUR, Cand.Med., Dipl. Psych., Physician Professor of Psychiatry, University of Haiti; Centre de in Charge, Kleppsspitalinn, Reykjavik, Iceland. l'sychiatrie, Port-au-Prince, Haiti. Proposed by Professor E. W. Anderson, Drs. J . Hoenig, Proposed by Drs. W. Sargant, A. ' .... alk, W. Linford G. Hopkinson. Rees. O'GORMAN, MARGARET ELIZABETH NELSON, M.B., Ch.B., EVANS, JACK LEWIS, M.B., B.S., D.P.M., Psychiatrist Registrar, Department of Psychological Medicine, Superintendent, Mental Hospital and Training Centre, Southern General Hospital, Glasgow. SWlbury, Victoria, Australia. Proposed by Professor T. Ferguson Rodger, Drs. G. C. Proposed by Drs. J. B. Gordon-Russell, A. Kessell, Timbury, A. M. Shenkin. D. M. Somerville. PRICE, JOHN SCOTT, B.M., B.Ch., D.P.M., Registrar, GORDON, WILLIAM FLEMING, M.B., Ch.R, F.R.C.S., Bethlem Royal Hospital, Eden Park, Beckenham, Kent. D.P.M., Psychiatrist, Royal Park Psychiatric Hospital, Proposed by Drs. J. G. Hamilton, A. C. Kaesar, L. Melbourne, Victoria, Australia. Hemsi. Proposed by Drs. A. L. Nicholson, P. D. Rohde, F. Bell. SUTHERLAND, MACKENZIE STEWART, M.B., Ch.B., GRAY, A"INE .\1ARGARET, M.B., Ch.B., Registrar, Gart­ Registrar, Kingseat Hospital, Newmachar, . navel Royal Hospital, Glasgow. Proposed by Drs. G. E. Faulkner, S. S. Sutherland, Proposed by Drs. A. MacNiven, W. T . McCletchey, J. G. Henderson. H. C. Fowlie. WHITESIDE, ELIZABETH MONICA, M.B., Ch.B., D.P.H., HANNIFFY, WM KrERA.N, M.B., B.Ch., B.A.O., D.P.M., Senior Medical Officer for Mental Health, Surrey Assistant Medical Officer, St. Brigid's Hospital, County Council; "Gilmorehill", Ashley Road, Fam­ Ballinasloe, Co. Galway, Eire. borough, Hants. Proposed by Drs. J. Shea, K. O'Doherty, Mary Proposed by Drs. J. Gibson, P. E. Sylvester, A. Walk. Sarsfield. HANNIFFY, PATRICIA JOSEPHINE, M.B., B.Ch., B.A.O., Election of Associate Mem.bers Assistant Medical Officer, St. Brigid's Hospital, The following, approved by Council on 13 July, Ballinasloe, Co. Galway, Eire. were unanimously elected to Associate Membership: Proposed by Drs. J. Shea, K . O'Doherty, Mary Sarsfield. CLARIDGE, G. S., B.A., Ph.D., Lecturer in Clinical Psychology, University of Glasgow, Southern General KANE, FRANCIS JOSEPH, M.D., Assistant Professor of Hospital, Glasgow. Psychiatry, University of North Carolina School of Proposed by Professor T. Ferguson Rodger, Drs. G. C. Medicine, North Carolina, U.S.A. Timbury, R. N. Herrington. Proposed by Drs. Mary Sullivan, A. Walk, E. Slater. JONES, A. L., B.A., LL.D., Ph.D., Principal Psychologist, LiVINGSTONE, DOUGLAS NICOL, M.B., Ch.B., Senior House Powick Hospital, Worcester. Officer, Southern General Hospital, Glasgow. Proposed by Drs. A. M. Spencer, M. Harper, J. W. Proposed by Drs. G. C. Timbury, E. M. McTavish, 'Yarburton. P. W. Kershaw. LEZARD, F., B.A. (Hons. Psychology), Senior Clinical LIVINGSTONE, HENRY DAVID, M.B., Ch.B., President, Psychologist, York Clinic, Guy's Hospital, S.E.1. Canterbury Mental Health Association; 110 Park Proposed by Drs. D. Stafford-Clark, P. A. Murray, Terrace, Christchurch, New Zealand. D. Brough. Proposed by Drs. T. E . Hall,J. R . Rees, A Walk. SARKER, P., RA.(Hons.), M.A.(Psy.), D.M.P.(India), MCCARTHY, PAUL WIGMORE, M.B., B.Ch., D.C.H., Clinical Psychologist, Department of Psychiatry, Registrar, Royal Edinburgh Hospital, Edinburgh, 10. Walton Hospital, Liverpool. Proposed by Professor G. M. Carstairs, Drs. H. J. Proposed by Drs. C. M. Vaillant, J. T. Rose, Dewi Walton, D. W. Hall. Jones. McKECHNIE, ALAsDAIR ALNER, M.B., Ch.B., Registrar, Royal Cornhill and Associated Hospitals, Aberdeen. Report of Council Proceedings Proposed by Drs. R. A. Y. Stewart, C. E. Faulkner, The General Secretary read the following report: J . H. Henderson. At the meeting of Council yesterday afternoon MERORY, PAUL HEINZ, M.D., M.R.C.S., L.R.C.P., consideration was given to the reports of the Special D.O.M.S., Medical Officer, Callan Park Mental Hospital, Sydney, Australia. Conunittee on the Presentation of the Petition and on Proposed by Drs. G. C. Heller, T. H. Kaplan, D. P. the Revision of the Bye-Laws and a Higher Qualifica­ Cronin. tion. Various queries and anomalies which had come

2 to light since the special meeting of Council were programme approved. The Tour appeared to be considered and decisions taken. These will be dealt very popular. with at the Adjourned Annual General Meeting here Arising out of the report of the Public Relations tomorrow. Committee there was discussion on the question of The Report of the Treasurer indicated that the publicizing the debates at the Adjourned Annual move to Chandos House and the change to monthly Meeting to be held tomorrow. It was agreed that publication of the Journal was causing some financial regard should be given to the advice of our Privy pressure. Council agreed that the position was not Council Agent and of Learned Counsel in deciding sufficiently urgent to require any immediate action, on the form of such publicity. This would primarily but would continue to be watched carefully. be a matter for Council and its Emergency Committee Council agreed to the recommendation of the ,,"ho would ask the help of the Public Relations Library Committee that lists of new acquisitions to Committee as might seem appropriate to them. the Library should in future be published in the The Nfemorandum on the Medical Functions and Supplement to the British Journal of Psychiatry. Staffing of Child Welfare Centres was approved. Council were informed that it was hoped that the The Memorandum on Educational Psychologists Library at Chandos House would be suitably prepared by a Sub-Committee of the Child Psychiatry furnished in the new year. Section was approved subject to its acceptance by the The Education Committee recommended that Section as a whole. there should be collaboration between the R.M.P.A. and the Association of Teachers of Psychiatry in PAPERS Undergraduate Medical Schools in preparing evi­ The following papers were read: dence for the Royal Commission on Medical Education. This was agreed by Council. The Edu­ SyrnposiuID on the Effect of Early cation Committee recommended that there should BereaveIl1.ent on Later Mental Illness be no change in the upper age limit for entrance for Speakers: Dr. FELIX BROWN the Gaskell Gold Medal and Prize. Council agreed Dr. CONSTANCE DENNEHY that the upper age limit should remain at 35 years. Opener of Discussion: Dr. ALISTAIR MUNRO Council supported the Parliamentary Committee's decision to write to Medical Staff Committees of psychiatric hospitals for information and views on MAUDSLEY LECTURE the question of amalgamation of Management The Fortieth Maudsley Lecture was delivered by Committees of general and psychiatric hospitals. The Professor L. S. PENROSE, M.A., M.D., D.Sc., F.R.C.P., Parliamentary Committee also reported that they F.R.S., on the "Contribution of Nfental Deficiency supported the memorandum on the White Paper on Research to Psychiatry". the Child, the Family and the Young Offender Dr. A. SHAPIRO proposed the vote of thanks to the prepared by a Working Party of the Child Psychiatry Lecturer. He said that at a time when workers were Section. Council agreed to approve this document being forced into ever narrower specialties, they were subject to its acceptance by the Child Psychiatry fortunate in having in Professor Penrose a man who Section. had attained equal eminence in so many biological The Papers and Discussions Committee reported sciences as well as in general psychiatry and the that, following discussion at the Annual Meeting, special field of mental deficiency. The clinical study they recommended that the whole membership of the of mental deficiency was of long standing and had Association should be invited to submit papers for been given impetus by the labours of Tredgold, consideration for presentation at Quarterly "Meetings. Turner and Stewart, but the broader biological At the February Meeting the morning session would approach was due to Professor Penrose, and he had be devoted to the subject of "Frigidity" and the shown how the biological study of mental defect afternoon session to the topic of "Impotence". could be utilized to further knowledge of human Seminars had been arranged at the Maudsley variation and growth. He was best known as a Hospital. The May Meeting at Nottingham would geneticist and as one who had added further lustre be devoted to topics relating to Forensic Psychiatry, to the famous Galton Chair at University College; and Seminars would be arranged by the Papers and but his earliest work had been at the Royal Eastern Discussions Committee. The Study Tours Sub­ Counties Hospital at Colchester, and now, on his Committee reported that the invitation of the Dutch retirement from the Galton Laboratory he had Psychiatric Association for a Study Tour in Holland returned to his first love by giving all his time to in April 1966 had been gratefully accepted and the research work at the Kennedy-Galton Centre at

3 Harperbury Hospital. That was a source of great The Integrated Teaching of Psychiatry satisfaction to all engaged in the field of mental and Medicine on Patients in a General deficiency. Medical Ward The \·ote was carried by acclamation. DR. K. L. GRANVILLE-GROSSMAN

SDHNARS FILMS SHo\,\' The following seminars were held at St. The Films Sub-Committee presented the following Bartholomew's Hospital on Thursday, 18 November, programme of new films on psychiatry: 196y "ANOTHER KIND OF SCHOOL." Introduced by Dr. The Drug Treatment of Depression R. J. Donaldson, Medical Officer of Health for DR. C. M. B. PARE Rotherham. The Place of Convulsive Therapy and "PEINTVRES LIBRES EN PSYCHIATRIE DE L'ENFANT" Newer Physical Methods of Treatment (English version). in Depression "LA PERCEPTION ET L'IMAGIKAIRE" (English version). DR. Lons ROSE Principles of Psychotherapy SECTION MEETINGS DR. ANNE DARQnER .-'\t the meeting of the Mental Deficiency Section, Psychosomatic Aspects of Asthma Professor D. Hill and Dr. A. Shapiro presented papers and Allergy on "The Place of Mental Deficiency in Under­ DR. 'V. LI:"FORD REES graduate Training". Psychosomatic Aspects of Disturbances Dr. J. W. B. Douglas presented a paper on "The of Eating Behaviour School Progress of Nervous and Troublesome DR. TREVOR SILVERSTO:"E Children" to the Child Psychiatry Section.

ADJOURNED ANNUAL MEETING

The Adjourned Annual Meeting was held on Saturday, 20 November, 1965, at the Royal Society of Medicine. A report will appear in a later issue of the Supplement.

SOUTH-WESTERN DIVISION, SPRING MEETING, 1965

THE SPRING MEETING of the South-Western The proposed amalgamation of the Hospital Division was held at Mendip Hospital, Wells, Management Committees of a general and a psy­ Somerset, on Thursday, I April, 1965, by kind chiatric Hospital in the Division had been brought invitation of the Hospital Management Committee to the notice of the Committee. In view of the prin­ and Dr. W. E. W. Bridger, Physician Superintendent. ciples involved, it was decided to request Council to During the forenoon, members were shown round ascertain if this had now become Ministerial policy the Hospital. At lunch, members and guests were The Committee felt that this should receive the full welcomed by ~1r. 1. Hamilton Moore, Chairman consideration of Council. of the Hospital Management Committee. The It was decided to accept the invitation of Colonel Divisional Chairman, Dr. A. J. Galbraith, gave Desmond Murphy to hold the Autumn Meeting at the thanks in reply. Royal Victoria Hospital, Nedey, on Thursday, 28 October, 1965. The Divisional Secretary reported that the The following Candidates were elected to Ordinary Committee of Management had met before lunch. Membership: Arrangements were proceeding for the proposed meeting in the Division of the Psychotherapy and ARNETT, LETITIA ROZANNE, M.B., Ch.B., Registrar, Social Psychiatry Section, Professor Russell Davis St. James's Hospital, Portsmouth. had agreed to accommodate this meeting at Bristol Proposed by Drs. P. E. Sundi, E. G. W. Cross, University next Spring. P. Goddard.

4 BELSHAM, AUDREY JOYCE, M.B., B.S., D.C.H., drawbacks, particularly in relation to post-E.C.T. Registrar, Warneford Hospital, Oxford. confusional states and in producing memory defects Proposed by Drs. F. E. Kenyon, G. F. German, with their consequent impairment on the learning B. A. Lowe. process. He stressed that the recovery from E.C.T. and from brain injury was very similar, and that FERGUSON, HUGH CAMERON, M.B., Ch.B., D.P.M., memory for recent events was, as with brain injury Senior Specialist in Psychiatry, Royal Victoria and senile dementia, the most affected. He com- Hospital, Netley. mented that the current in the bilateral technique Proposed by Drs. W. Cullen, R. J. Wawman, passed through the dominant temporal lobe in which N. Lis. was sited an important co-ordinating centre for FRANKLIN, LLOYD MILNER, M.R.C.S., L.R.C.P., memory. D.P.H., Junior Medical Officer, Powick Hospital, He then mentioned the work of Lancaster st al. Worcester. (J. ment. Sci. (1958), 104,221 -227),who inducedE.C.T. Proposed by Drs. P. Hall, I. Williams, J. W. by passing the current through the non-dominant Warburton. hemisphere and found the results were just as good as NAM, SIDNEY, M.B., B.Ch., D.P.M., Registrar, St. with the bilateral technique and that there was much David's Hospital, Carmarthen. less confusion and memory defect. Dr. Cannicott him- Proposed by Drs. J. Farr, A. R. Kemp, E. J. E. self had tried this method on 40 patients, who received Jones. 250 treatments, and he considered that the results OLDHAM, WILLIAM, M.B., Ch.B., D.M.J., Medical supported Lancaster's findings. The nursing staff Officer, H.M. Prison, Cardiff. felt that it made for much easier nursing after the Proposed by Drs. I. G. W. Pickering, P. M. Coats, treatment. He therefore proceeded to do a double- A. Capstick. blind trial in which 20 patients were given bilateral E.C.T. and 30 unilateral. Only affective disorders STRANGE, DAVID MACPHERSON, M.A., L.M.S.S.A., Senior Medical Officer, Royal Western Counties were included in the trial. He found that therapeuti- cally there was no significant difference in the Hospital, Starcross, Devon. response to the two treatments, but that there was a Proposed by Drs. W. Johnston, D. Prentice, D. highly significant difference in that there was less Sime. post-E.C.T. confusion and memory defect with the TURNER, BERNARD LIONAL MARCUS, M.R.C.S., unilateral technique. Patients complained very much L.R.C.P., D.P.M., Barrister-at-Law, Medical less with the latter treatment and he considered it Officer, H.M. Prison, Winchester. especially valuable in those with a high I.Q,. Proposed by Drs. S. MacKeith, J. K. Hewatt, R. Sandison. Dr. RICHARD ARMIN then described the technique of unilateral E.C.T. in detail and gave a demonstra- URQUHART, ALEXANDER, M.B., Ch.B., Junior tion of how the electrodes were applied. He said that Medical Officer, Mendip Hospital, Wells. he now had almost three years' experience of the Proposed by Drs. W. E. W. Bridger, S. M. unilateral method and had carried out more than Cannicott, R. H. Armin. 2,500 treatments. He had found no significant The following were elected: difference in the treatment response, but considered it markedly superior to bilateral E.C.T. in that it Chair man Dr. A. J. Galbraith produced significantly less post-ictal confusion and Divisional Secretary Dr. R. Wallace Simpson memory defect as well as less other side-effects such Assistant Secretary Dr. E. B. McDowall as headache and sickness. Junior Représentative on Council Dr. C. P. Hellon The length and intensity of the discussion showed how much the papers had stimulated and interested the members. A valuable contribution was made by a PAPERS clergyman who had suffered from recurrent attacks E.C.T.—A Re-appraisal with Particular of endogenous depression for 15 years. As a patient Reference to Unilateral Technique he had had experience of both methods of E.C.T. Dr. STANLEY CANNICOTT discussed the respective and he gave a most concise and lucid account of his merits of E.C.T. and the antidepressive drugs. He reasons for preferring the unilateral treatment. considered that E.C.T. was the more effective and A vote of thanks to Dr. Bridger and his Hospital reliable treatment in the treatment of depressive Management Committee was carried on the proposal illnesses but that the standard bilateral E.C.T. had its of Dr. K. C. Bailey.

5 NORTHERN AND MIDLAND DIVISION, SPRING MEETING, 1965

THE SPRING MEETING of the Northern and Regions; (c) the Central Division, comprising the Midland División was held at Saxondale Hospital, Sheffield and Birmingham Regions. Radcliffe-on-Trent, Nottingham, on Thursday, It was agreed that this recommendation be sub- 8 April, 1965, by kind invitation of the Hospital mitted to Council for consideration. Management Committee. In the morning there was a tour of inspection of The following were elected to Ordinary Member- the hospital, after which the business meeting was ship: held. AITKENHEAD, IAN MCNEILL, M.B., Ch.B., Junior Medical The Divisional Committee of Management re- Officer, Cherry Knowle Hospital, Ryhope, Co. Durham. ported correspondence with the General Secretary Proposed by Drs. Joan Currah, S. J. Frewin, M. D. regarding the method by which Regional Advisers Cashman. to the Distinction Awards Committee kept fully conversant with the work and progress of individual BHATNAGAR, SATYAVATI DEVI, M.B., B.S., Registrar, consultants within Regions. Dr. Monro had replied Manchester Royal Infirmary, that each consultant submitted details of himself to Proposed by Professor E. W. Anderson, Drs. B. H. the Awards Committee directly. Regional Advisers Burns, J. Hoenig. were responsible for keeping themselves aware of the CARR, ROBERT BARRINGTON, M.B., B.S., D.P.M., Senior local situation and, if it appeared that an adviser Assistant Psychiatrist, Rauceby Hospital, Sleaford, was not taking the trouble to fully acquaint himself Lincolnshire. with this, then he would be replaced. The Divisional Proposed by Drs. H. A. Cole, D. Glendinning, A. H. Committee were making further enquiries. Lorimer. The General Secretary had also been asked about ELLIS, GEORGE GRAHAM, M.A., B.M., B.Ch., Junior Bye-Laws 33 and 34 in which there was no guidance Medical Officer, Towers Hospital, Humberstone, regarding election of members of the Divisional Leicester. Committee of Management. Dr. Monro advised that Proposed by Drs. C. E. H. Turner, K. A. Comish. it would be best to adopt the same procedure for D. C. Wall. members as that obtaining for Officers. This was agreed. JAMES, DAVTD SHEARD, M.B., Ch.B., D.C.H., Registrar. Mapperley Hospital, Nottingham. The Divisional Representatives on Council re- Proposed by Professor E. Stengel, Drs. C. Rose, D. ported on its Meeting of February, 1965, and the Macmillan. progress in presenting the Association's Petition to the Privy Council. Professor Stengel reported that, MCHUGH, JOHN HENRY, M.A., M.B., B.Ch., B.A.O., arising from the work of the Sub-Committees con- Junior Medical Officer, Rainhill Hospital, Liverpool. sidering the Petition and Bye-Laws, was the question Proposed by Drs. B. Finkelman, R. B. Taylor, R. H. of Divisional boundaries and the Divisions' repre- Martlew. sentation on Council. The Northern and Midland SPARK, ANN CHRISTINE, M.B., B.S., D.C.H., Senior División had long been a problem in this regard. The House Officer, Birmingham Children's Hospital, memorándum drawn up by Professor Stengel was Birmingham, 16. then considered as it applied to the Northern and Proposed by Drs. J. E. Varley, R. W. Tibbetts. D. W. Midland División. The position of the North Wales Millard. area was discussed and Professor Stengel reported receipt of a letter from Dr. T. Gwynne Williams, SPENCER, DAVID JOHN, M.B., Ch.B., Registrar, Middle- Physician Superintendent, North Wales Hospital, wood Hospital, Sheffield. Proposed by Drs. R. J. Kerry, A. Kelly, Professor E. Denbigh, informing him that it was the unanimous Stengel. wish of the North Wales psychiatrists for a Welsh

División, but that the North Wales psychiatrists STRACHAN, MICHAEL, M.A., M.R.C.S., L.R.C.P., would wish to be associated also with clinical Registrar, Parkside Hospital, Macclesfield, Cheshire. meetings of the proposed North-Western División. Proposed by Drs. K. G. Pimley, N. Berlyne, Professor E. Stengel. The Meeting agreed that the Northern and Midland División should be sub-divided, as follows: STRANG, GLADYS ELSA MCARTHUR, M.B., Ch.B., D.P.M., (a) The North-Eastern División, comprising the Clinical Assistant, Rubery Hill Hospital, Birmingham. Newcastle and Leeds Regions; (b) the North-Western Proposed by Drs. C. Entwistle, J. R. Mathers, J. División, comprising the Manchester and Liverpool W ardell-Yer burgh. 6 WESTHEAD, THOMAS TWISSE, M.B., Ch.B., Registrar, The total number considered by the Sheffield Walton Hospital, Liverpool, 9. Region up to 31 December, 1963, was 509, of which Proposed by Drs. J. T. Rose, C. M. Vaillant, R. 45, or almost 9 per cent., were discharged. Of the Kellner. 45, 41 were from Rampton Hospital. Classified by the form of Mental Disorder, they The following Officers and Members were elected to the Divisional Committee of Management for the Mental Illness year 1965-66: Psychopathic Disorder 11 Subnormality 25 Officers : Severe Subnormality 7 Chairman Professor E. Stengel The average length of stay in hospital before Dr. Brian Ward Secretary discharge was 12-9 years, with a minimum of 9 Assistant Secretary Dr. D. B. Fowler months, and a maximum of 38 years. The age of Junior Représentative on Council Dr. D. C. Bland these cases at the time of first admission was in one case 8 years, but the majority were in their teens. Of the 45 discharged, 3 have died in rather tragic Members : circumstances—one in childbirth, one as a result of a Drs. J. A. R. Bickford, W. A. L. Bowen, G. P. road accident and one by drowning. This last case Egan, H. L. Freeman, C. P. Gore, Professor Max was an epileptic, and it is assumed that while fishing Hamilton, Drs. J. S. Madden, H. Merskey, A. Pool, by the side of a canal he had a major fit and fell in. C. Tetlow, Professor W. H. Trethowan, Drs. J. Five cases refused follow-up. Fourteen cases are con- Valentine, R. Vereker, W. V. Wadsworth. sidered to be 100 per cent, successful; 1 case returned to Rampton, 4 were admitted to hospitals for the subnormal and 9 had been before the Courts on various charges. PAPER Looking in more detail at some of the follow-ups, he would consider a few of the failures in the first The Functioning of instance. Mental Health Review Tribunals A subnormal male, admitted to hospital at the age

by DR. A. H. D. HUNTER of 14 on account of difficult behaviour, had been aggressive and violent in hospital towards staff and Medical Superintendent, Kingsway Hospital, Derby other patients. He was discharged from Rampton at the age of 30. During the first three months he was Dr. Hunter first reviewed the recommendations of overwhelmed by freedom, quickly lost interest in his the provisions of the Mental Health Act and of the job of assisting in his father's public house; he became Rules relating to Tribunals made under that Act. lazy and indolent, was not allowed out except with It was even now too early to say what were likely members of his family and rebelled against this. He to be the ultimate number of applications per year. stole money from the till and cigarettes from the In some Regions the number of hearings during counter and considered that life was wonderful. He the year 1963 had been quite small; East Anglia gradually became more and more of a problem, —12 cases, and the North-East Metropolitan— lying profusely and creating a reign of terror at home. 8 cases. Four other Regions, the South-East Metro- He was turned out by his father and the Police were politan, the South-West Metropolitan, Oxford and called to remove him. The Mental Welfare Officer Wessex, had figures of around 30. On the other hand found him accommodation, but on the first night all in those Regions where Special Hospitals were his possessions were stolen. After six months he was located, the numbers are, quite understandably, high. found work as an orderly in a Salvation Army hostel Broadmoor must be largely responsible for the figures but lasted two weeks only on account of bad of the North-West Metropolitan Region—99 applica- behaviour. He slept rough for one week and pestered the National Assistance Board and the Mental tions during the year, with in addition 103 cases Welfare Officer for money. He was conditionally considered on referral by the Home Secretary. The discharged on a charge of shoplifting, was found a Liverpool Region, which included Moss Side, heard job as a porter at a Rowton House and for a short 203 cases on application and 11 cases on referral by time was smart, presentable and happy to feel that the Home Secretary. 7 he stood on his own feet. This phase did not last entering, and wilful damage to property and larceny, long, however, and he was soon charged with stealing had settled down very well. He was doing simple from a fellow lodger. After io months he returned to domestic tasks and his parents hoped that they Rampton. would find suitable occupation outside the home for A severely subnormal female, epileptic from the him. age of io, and admitted to hospital at the age of 15, A number of the successes had found the initial with a history of violence and extremely difficult stages of their freedom very heavy going and had behaviour, was discharged at the age of 37. Initially taken a considérable time to settle down, but once everything went satisfactorily, but by six months there they had found their feet and gained confidence they was some friction with her parents. By g months she had become useful citizens. was being considered for sheltered employment, but He would now review the work of the Tribunals because of her sister's refusai to implement a promise as a whole, basing his remarks on comments received made at the Tribunal of an offer of accommodation, from the medicai members of the Tribunal for the she became depressed. She settled for a short time at Sheffield Région. the Training Centre but soon considered such Almost everyone commented on the necessity of activity childish and refused to attend further. having a good Chairman, and these comments were, Possibly because of a continuation of her major he thought, in the nature of a compliment to Colonel epileptic fits, ali relatives except her mother refused Freer. There was considérable criticism about the contact and support. Her mother died, there was no "ali or none" principle of the Tribunals. The one to care for her and she was admitted to a hospital patient either continues to be detained, or is dis- for the subnormal 13 months after her discharge. charged forthwith, with possibly little préparation The patient who was killed as a resuit of a road for his return to the community. accident in July 1964, two years after discharge, was The lay members came in for some criticism, but certainly making heavy weather of his freedom. He one colleague reported that though they were often was a psychopath and had been admitted to hospital of the emotional matriarchal type, at least they had at the age of 11 with a history of an assault on a had sufficient intelligence to keep their anti- woman, wilful damage to property, burglary and authoritarian bias under control. It appeared to be aggressiveness. He was discharged after 12 years in the practice in at least one other Région that a hospital, and from the outset showed typical psycho- representative from the Locai Health Authority was pathic irresponsibility. He had a very good home and present at any hearing, and this, of course, was useful his parents' attitude was sensible. The Mental with regard to follow-up of cases. The large number Welfare Officer obtained a post for him, but he walked of cases at Rampton called for particular comment, out after half an hour. Within six months he had left especially in view of the great amount of additional home, stating that he was not getting on with his work which must be thrown on the staff. father. He took away a motor-cycle and drove it One colleague felt that valuable therapeutic time without a licence, L-plates or insurance. Within could be lost while waiting for the hearing to be held, 9 months he was refusing follow-up, was then living and that any treatment which might interfere with at the house of the girl he intended to marry and the patient's memory and his ability to express within 10 months he was in prison, having been himself clearly would have to be delayed. sentenced at Quarter Sessions to 12 months imprison- On the whole, however, it was felt that justice ment on 3 charges of house-breaking and larceny; was done and was seen to be done, and certainly he asked for 51 similar offences to be taken into no one came up with a constructive, alternative account. suggestion. The successes included two male psychopathic One refreshing comment ran as follows: patients from Rampton, who had been admitted at the age of 16, one with a history of violence, the "In these days when G.P.s are dissatisfied with other with a history of house-breaking, grievous their working conditions, and surgeons are in fear bodily harm and threats to murder; the former that their operating theatres will collapse around being discharged at the age of 26, the latter at the them, it is heartening to know that at least one age of 40. Both had been doing quite well up to 18 small section of the Health Service seems to be months after discharge, though one considered that working satisfactorily." his home is "not up to the standard of Rampton"! Another male, this time severely subnormal, discharged from Rampton at the age of 33, after 15 Dr. Hunter's paper was followed by a keen and years in hospital, following a history of breaking and lively discussion. 8 The afternoon session comprised two further and the second by Mr. G. Burnand, Senior Psycho- papers, the first by Dr. A. D. M. Douglas, Consultant logist, Saxondale Hospital, entitled "A Study of Psychiatrist, Saxondale Hospital, entitled "A Admission of Chronic Patients to a Factory Personal Survey of Industrial Therapy in Unit". Following each paper there was füll dis- Psychiatric Hospitals in the Sheffield Region", cussion and comment.

SCOTTISH DIVISION

SPRING MEETING, 1965 The following office bearers were elected for 1965-66: THE SPRING MEETING of the Scottish Division was held in the Royal College of Physicians, Edinburgh, Chairman ...... Dr. M. M. Whittet on Friday, 12 March, 1965. Secretary ...... Dr. A. K. M. Macrae The Chairman (Dr. M. Whittet) referred to the Assistant Secretary . . Dr. J. W. MacPherson deaths of Dr. Ronald Fairbairn and Dr. Michael Sheridan, and the Division paid tribute in the usual Junior Représentative on way. Council ...... Dr. G. S. Timbury The Chairman, on behalf of the Division, con- gratulated Dr. Craigie on having been awarded the Committee of Management C.B.E. on the New Year Honours List. Drs. Philip Barker, W. D. Boyd, M. S. Jones, H. Ross, R. A. Y. Stewart, Professors I. R. C. Election of Ordinary Members Batchelor, T. F. Rodger, and G. M. Carstairs.

The following were elected as Ordinary Members : Office Bearers of Sections BRAHAMA, RUPENDRA KUMAR, M.B., B.S. (Calcutta University), Senior House Officer, Eastern District Research and Clinical: Chairman, Dr. A. D. Hospital, Glasgow. Forrest; Secretary, Dr. P. G. Fawcett.

Proposed by Drs. A. B. Sclare, Kennedy and Mental Deficiency: Chairman, Dr. J. Campbell; Hamilton. Secretary, Dr. J. Sinclair.

COOPER, ALEXANDER FRASER, M.B., CH.B., Senior Child Psychiatry: Chairman, Dr. J. B. Rogers; House Officer, Dundee Psychiatrie Services. Secretary, Dr. I. Sutherland. Proposed by Professor Batchelor, Drs. McHarg Forensic Psychiatry: Chairman, Dr. J. K. W. and Aungle. Morrice; Secretary, Dr. Peter Whatmore. MENZIES, MAUD PERRY, M.B., Ch.B., Assistant Historical: Chairman, Dr. J. Harper; Secretary, Principal School Médical Officer, Corporation of Dr. A. A. Bell. Glasgow. Proposed by Drs. Hewitt, Ann Brittain, Freeman. Dr. J. W. Affleck was re-elected as Représentative on the Central Consultants and Specialists Com- MONTGOMERIE, MARGARET MCNAUGHT, M.A. (Glas.) mittee. L.R.C.P., L.R.C.S.(Ed.), L.R.F.P.&S. (Glas.), Dr. Mallon was nominated as Scottish Représenta- Junior Médical Officer, Lennox Castle Hospital. tive on the British Committee for Scientific Study Proposed by Drs. MacGillivray, Sinclaid, Green. of Mental Deficiency in place of Dr. Yorke-Moore who has now left the Division. WELCH, JOHN DAVID, M.B., Ch.B., D.Obst.R.C.O.G., The Chairman reported on a meeting with the Senior House Officer, Department of Psychological Chief Médical Officer of the Scottish Home and Medicine, Southern General Hospital, Glasgow. Health Department which had taken place on Proposed by Drs. Timbury, Rodger, Ingram. Monday, 1 March, 1965. The Représentatives of the

9 Division had been Dr. J. W. Affleck, Professor T. The date and place of the next meeting was fixed Ferguson Rodger, Dr. Isobel Sutherland, the for 18 and 19 June, at Aberdeen. Chairman and Secretary. The meeting was an informal one, but valuable discussion took place on In the morning, members heard a stimulating and the administrative consequences of the proposed interesting paper on "Mode of Action of Anti- formation of a College and on the Child Psychiatry depressant Drugs" by Dr. G. W. Ashcroft. Section's Memorandum on Psychiatric Services for Members were appreciative of the detail in Dr. Children and Adolescents in . This latter Ashcroft's Paper as was demonstrated by the number item had occupied most of the time of the of questions and comments raised in the following meeting and had been very thoroughly ventilated discussion. with the Chief Medical Officer and his advisors. After the business meeting the Memorandum by The R.M.P.A. Representatives had also raised the Forensic Psychiatry Section on "The Working the question of the composition of the National of Part V of the Mental Health (Scotland) Act, Panel of Specialists and drew particular attention to 1960" was discussed by the Division after brief the lack of child psychiatrists and experts in mental opening comments by Dr. J. K. W. Morrice and deficiency on this Panel. A brief discussion took place Dr. Harold Ross. The Division decided to adopt the on geriatric services and on auxiliary staff. It was felt memorandum and request that it be forwarded to that these two matters could form part of a further the Department. meeting with the Chief Medical Officer who had The Division wish to express their gratitude to the expressed his appreciation of the Division's initiative Royal College of Physicians, Edinburgh, for allowing in suggesting the meeting and hoped that such them to have the use of their premises for the informal discussions might become a regular feature. meeting. It was reported that the Scottish Postgraduate Medical Association was proposing to set up a Commission under the Chairmanship of Dr. J. H. SUMMER MEETING, 1965 Wright to enquire into the needs of Postgraduate Medical Education in Scotland as far as the National THE SUMMER MEETING of the Scottish Division was Health Service is concerned and that they had held at Kingseat Hospital, Aberdeen on 18-19 June, invited the R.M.P.A. to nominate a Representative 1965- on this Commission. The Division nominated The Chairman made reference to the death of Sir Professor I. R. C. Batchelor as their Representative. David Henderson, and the Members of the Division At the same time, assuming that the Division might present paid tribute in the usual manner. be asked for evidence by the Commission, a Sub- committee was appointed to deal with such a The following was elected an Ordinary Member request if and when it arose. The members of the of the Association: Sub-Committee are: Professor G. M. Carstairs, ALABASTER, ANN CATHERINE, M.B., Ch.B., Junior Professor W. H. Millar, Professor T. Ferguson Medical Officer, Stobhill General Hospital, Rodger, Dr. A. C. Tait, Dr. T. Freeman, Dr. R. Glasgow. MacGillivray and Dr. Fred H. Stone, along with the Proposed by Drs. A. F. McLean, G. P. McGovern, Chairman and Secretary. Hunter Gillies. It was intimated that Brigadier T. L. Binney, Honorary Secretary of the Mental Health Research It was reported that Dr. J. H. F. Brotherston of Fund, had written to say that the Committee of the the Scottish Home and Health Department had Scottish Division of the Mental Health Research written to say that he had read with much interest Fund were interested in receiving applications for the Division's Memorandum on the Working of grants for research. Anyone wishing to apply for a Part V of the Mental Health (Scotland) Act, i960, grant should submit their application stating the and proposed that it be discussed at the next informal amount required and accompanied by details as to meeting between the Division and the Department. the use to which they would put any grant made. Dr. Brotherston's letter was welcomed. Applications should be addressed to: The Hon. A letter was submitted from the Secretary of the Secretary, Research Committee, Mental Health Standing Medical Advisory Committee's Sub- Research Fund, 38 Wigmore Street, London, W. 1 ; Committee on Forensic Psychiatry requesting evi- or to The Hon. Secretary, Scottish Division, Mental dence on the provision and development of Health Research Fund, 141 Bath Street, Glasgow, psychiatric services in relation to Forensic Psychiatry. C.2. It was agreed that members should be asked for

10 their comments and suggestions and that the matter Dr. James G. Henderson gave a paper on be further discussed at the Autumn Meeting. "Psychiatric Symptomatology and Vitamin It was pointed out that membership lists of B12" including the result of a pilot study and the Sections were vague and incomplete, and it was design of a more elaborate assessment of admissions suggested that all Scottish Members be given an for a period of one year. Dr. Henderson's paper opportunity of restating their desires re membership provoked considerable discussion and stimulated of various Sections in order to bring membership much interest in the question of Vitamin B12 rolls up to date. deficiency states. The Committee of Management had considered a Dr. Cecil B. Kidd read a paper on "Old People memorandum on the Kilbrandon Report which had in Mental Hospitals in the North-East Region", been prepared by a special Sub-Committee, and in which he gave an analysis of the patients over 65 in decided that this should be circulated to all members all the mental hospitals in the area, together with in time for discussion at the Autumn Meeting. information about their background and detailed The date of the next meeting was fixed for Friday, information about their physical and mental states. i October, 1965 at Lochgilphead. Dr. John H. Evans, B.Sc., gave a very stimu- lating paper on "Computer Techniques in On Friday, 18 June, Members were given an Psychiatry". opportunity of visiting the Psychiatric Units in and around Aberdeen—Kingseat Hospital, Ross Clinic, , the Children's Hospital, The Division will wish to thank the Board of and Wellwood Unit, Woodlands Home. In the Management for the Aberdeen Hospitals and Dr. evening a most successful dinner was held in the Ronald A. Y. Stewart for the excellent arrangements Recreation Hall at Kingseat. On the morning of and generous hospitality which had been shown to Saturday, 19 June, three papers were given. the Division.

IRISH DIVISION

THE SUMMER QUARTERLY MEETING of the Irish Dr. Berrington reported on progress of the hostel Division was held on Saturday, 29 May, 1965, on system in Northern Ireland. The first hostel had 10 kind invitation of Dr. N. B. O'Higgins, at St. beds, and there were now 9 hostels with 70 beds in Joseph's Hospital, Limerick. Northern Ireland. The members were most hospitably received to The paper was discussed by Drs. Moore, Hayes, lunch at the Royal George Hotel, Limerick, on the McCarthy, O'Connor, Hill, Moran, O'Higgins, kind invitation of Dr. and Mrs. O'Higgins. Power and Blake. Dr. Berrington read a Paper entitled "Re- A motion was proposed by Dr. O'Higgins and Socialization and Repairing the Damage". seconded by Dr. Moore, that the Secretary should Dr. Berrington traced the history of industrial write to Dr. Peter Irwin thanking him for his good therapy in mental hospitals in England, and said that wishes, and expressing the members' appreciation it was a very slow process. He recommended a for the work he had done for the Irish Division. sheltered life outside hospital for long term patients, This was carried unanimously. with remunerative work. There were three stages in The next meeting was fixed for The Royal re-socialization: (1) Structural; (2) Sociological; College of Physicians, at a date to be arranged (3) Extension into Community. Hostels were the later. ideal solution, where patients resided and went out After the meeting the members were entertained working in various industries. to tea by Mrs. O'Higgins, at "Elmhurst".

MENTAL DEFICIENCY SECTION

The Annual General Meeting of the Mental Members were taken on a conducted tour of the Deficiency Section was held at Rampton Hospital hospital and much interest was shown in the wide on Thursday, 29 April, 1965, by kind permission of range of skills taught. After lunch the business the Ministry of Health and Dr. D. R. K. Street, meeting was held under the Chairmanship of Dr. G. Medical Superintendent. McCoull, who announced the resignation of the Secretary of the Section, Dr. Alexander Shapiro. In his idea of the situation. In almost all cases such thanking Dr. Shapiro for his fourteen years' service décisions were reached after much hésitation—there in this post, Dr. McCoull congratulated him on his had never been in his recollection a clear and élection as Chairman of the International Com- obvious case for discharge—and were due to différent mittee on the Scientific Study of Mental Deficiency degrees of importance attaching to the same set of and his Presidency-elect of the International Associ- facts. There were occasions when the doctor might ation for the Scientific Study of Mental Deficiency. wish, in the patient's interests, to complete and It was announced that the next International perfect his work, whereas the Tribunal might feel Conference would be at Easter 1967, probably in that this factor was outweighed by other considéra- the South of France. tions. The main business of the meeting concerned the In the 15 Regions, up to the end of 1964, there had report by the Sub-Committee on the Training of been 4,031 cases heard, and 431 patients had been Specialists in Mental Deficiency, which was accepted discharged—a little over 10 per cent. The figures for and referred to Council. Rampton were as shown in the Table. Of the 48 discharges, 20 could be regarded as successes; reports from Mental Welfare Officers PAPER showed that they had settled down and were giving no trouble. Of the remainder, 3 had died, about Review Tribunals, with Special Reference half-a-dozen were "unsatisfactory" for one reason or to Rampton Hospital another; in 10 cases no report was available. Eight by LT.-COL. C. E. J. FREER, D.L., J.P. patients had found their way back to Rampton or to Chairman of Review Tribunals, Sheffield Regional some other mental or mental subnormality hospital; Hospital Board these were clearly the Tribunal's failures. Members of Tribunals always welcomed the Colonel Freer pointed out that those selected to presence of relatives and friends, though at times it become Chairmen and members of Tribunals were was essential to limit the numbers actually attending. given little previous instruction in their duties. In about 20 per cent, of the cases heard at Rampton Nevertheless, in the Sheffield Region the hundreds there had been some form of représentation on the of appeals heard at Rampton and the much smaller patient's behalf: sometimes by a solicitor or member number at other hospitals had passed off smoothly of the Bar, more often by members of the Council for and almost without untoward incident. This was Civil Liberties. On the whole Tribunals encouraged partly because of the constant help and co-operation représentation; however, in the past there had been of the doctors concerned. It might be thought by some one or two Council for Civil Liberties représentatives that every time a patient was ordered to be dis- who did not appear to have appreciated either their charged the Tribunal was telling the Responsible own job or that of the Tribunal. Authority that it had erred; this, however, was not He supposed that every hospital, of whatever type

TABLE

Percentage Classification Appeals of Total Discharged Discharges Severely Psycho- Mentally M F (approx.) Subnormal Subnormal paths Ili

1961 .... 120 19 139 7 5 2 i 4

1962 .... 108 33 141 9 7 5 2 2

1963 .... 163 55 218 15 7 8 2 4 i

I964 .... 157 34 17 9 9 4 3

Total .. .. 548 141 689 48* - 24 9 13 2

* Including 39 men and 9 women.

12 had a brush with the Press from time to time, and could have objected to the subséquent published Rampton was no exception; but on the whole the reports. relationship between Press and Tribunal has settled down to an amiable armed neutrality, and the This paper gave rise to a lively discussion, and Tribunals were usually left in peace. When the Press brought home to members from other hospitals the had attended hearings, they had been given every great amount of time which had to be devoted by courtesy and help by the Hospital Authorities here; médical staff at Rampton to the préparation of they had observed his own request not to publish the reports for, and giving evidence to the numerous names of the members of the Tribunal, and no one Mental Health Review Tribunals held at the hospital. NOTICES BY THE HONORARY LIBRARIAN The Library is open to members between the hours Arquivos do Departamento de Assistencia a Psicopatas of g a.m. and 5 p.m. Mondays to Fridays. Books are do Estado de Sao Paulo. issued to borrowers during these hours. Brain. The Hon. Librarian will endeavour to obtain, as far as possible, any books on psychiatry and allied British Hospital and Social Service Journal. subjects required by members. British Journal of Addiction. British Journal of Criminology. Library Lending Department Regulations British Journal of Medical Psychology. 1. Books shall be lent to members within the United Kingdom and Eire who are not in arrears British Journal of Psychiatric Social Work. with their subscriptions. British Journal of Psychiatry (Journal of Mental 2. No member may borrow from the Library more Science). than three volumes at one time. British Journal of Social and Clinical Psychology. 3. Books and journals are sent carriage paid from Bulletin of the Menninger Clinic. the Library, but members are responsible for the Comprehensive Psychiatry. books from the time they leave the Library until they are received back, and for the return postage. Digest of Neurology and Psychiatry. 4. Books damaged or lost while in possession of a L'Evolution Psychiatrique. member will be repaired at his expense or must be Excerpta Medica, Neurology and Psychiatry. replaced by him. Film User. 5. A member shall be entitled to retain a book or Howard Journal. periodical borrowed from the Library for a period of twenty-eight days (or longer by special arrangement), Indian Journal of Psychiatry. unless the book is required by another member, in International Journal of Psycho-Analysis. which case it can be recalled by the Librarian at the International Journal of Social Psychiatry. expiration of fourteen days. Israel Annals of Psychiatry. 6. In the event of a member failing to return any book or periodical within seven days after receiving Journal of Analytical Psychology. notice from the Librarian (on the expiration of the Journal of Child Psychology and Psychiatry. period referred to in Rule 5), the Library Committee Journal of Mental Deficiency Research. shall be at liberty to purchase another copy, the cost to be charged to such member, who shall not be Journal of Mental Subnormality. allowed to borrow another book until the sum thus Journal of Nervous and Mental Disease. expended shall have been paid. Journal of Neurology, Neurosurgery and Psychiatry. 7. All communications should be addressed to Journal of Psychology. "The Librarian, R.M.P.A., Chandos House, 2 Queen Journal of Psychosomatic Research. Anne Street, London, W.i". Mental Health. Mental Hygiene. Circulation of Journals Psychiatric Quarterly. The following Journals are available at the Library : Psychiatry. Psycho-analytic Quarterly. Acta Psychiatrica Scandinavica. Psychological Abstracts. American Journal of Mental Deficiency. Quarterly Journal of Studies on Alcohol. American Journal of Orthopsychiatry. Revista de Psicologia General y Aplicada. American Journal of Psychiatry. Revis ta Psiquiatrica Peruana. Annales Médico-Psychologiques. Revue de Médecine Psychosomatique. Archives of General Psychiatry. Scientific Film. Archives of Neurology. W.H.O. Chronicle. Arquivos de Neuro-Psiquiatria. World Mental Health.

H New Acquisitions, 1965 Hays, P., New Horizons in Psychiatry (1964). Ackerman, N. W., The Psychodynamics of Family Life Hinsie, L. E., and Campbell, R. J., Psychiatric (I958)- Dictionary (i960). Abrahamsen, D., The Psychology of Crime (i960). Hetherington, Miller and Neville, Introduction to Abdellah, F. G. et al., Patient-Centered. Approaches to Psychology for Medical Students (1964). Nursing (i960). Harris, I. D., The Promised Seed (1964). Brooke, Eileen, A Cohort Study of Patients First Ad- Hopkins and Wolf, Principles of Treatments of Psycho- mitted to Mental Hospitals in 1954 and 1955 (1963). somatic Disorders (1965). Bresler, J., Heil-Und Pflegeanstalten fur Psychischkranke Howells, J. G. (Ed.), Modern Perspectives in Child in Wort Und Bild. Vols. I and II (1914). Psychiatry (1965). Bettelheim, B., Truants From Life (1964). Halpern, L., Problems of Dynamic Neurology (1963). Blackwood, Dodds and Somerville, Atlas of Neuro- Hécaen, H., and Ajuriaguerra, Left-Handedness (1964). pathology (1964). Hitschmann, E., Great Men (1956). Balint, M., Primary Love and Psychoanalytic Technique Holland, H., Medical Notes and Reflections (1840). Hilliard and Kirman, Mental Deficiency. 2nd Edition (1965)- Ballet, G., Traité de Pathologie Mentale (1903). (1965)- Binet-Sangle, La Folie de Jésus, Vols. I and II (1908 International Bibliography on Crime and Delinquency. Vol. and 1910). 2 (1965)- Brächet, T. L., Traité Complet de VHypochondrie (1844). Jersild, A. T., The Psychology of Adolescence (1957). Bersot, E., Mesmer: Le Magnétisme Animal (1884). Johnson, Savitz and Wolfgang, The Sociology of Booth, M., Rudolf Hess—Prisoner of Peace (1954). Punishment and Correction (1962). Chien, Gerard, Lee and Rosenfelde, Narcotics, Kahn and Nursten, Unwillingly to School (1964). Delinquency and Social Policy (1964). Klivansky, Saxl and Panofsky, Saturn and Melancholy Cleckley, H., The Mask of Sanity—4th Edition (1964). (1964). Cleckley, H., Current Projects in Prevention, Control and Kirchhoff and Gross, Geschichte der Psychiatrie: Treatment of Crime and Delinquency, Vol. V (1964). Allgemeine Therapie der Psychosen (1912). Casson, F. R. C., Introduction to Psychology (1965). Kiev, A., Magic, Faith and Healing (1964). Clark, L., Murder of the Prime Minister (1965). Kaufman, M. R., Evolution of Psychosomatic Concepts Collis, M., Stanley Spencer (1962). (1965)- Cohen, J., Readings in Psychology (1964). Kringlen, E., Schizophrenia in Male Monozygotic Twins Dain, N., Concepts of Insanity in the United States, (1964). 1789-1865 (1964). Kraepelin, E., Psychiatrische Klinik (1916). Dublin, L. I., Suicide—A Sociological and Statistical Leeds Symposium on Behavioural Disorders ( 1965). Study (1963). Letchworth, W. P., The Insane in Foreign Countries Davies, E. Beresford, Suicide (1964). (1889). Dybwad, G., Challenges in Mental Retardation (1964). Levinson and Gallagher, Patienthood in the Mental Dale, P. M., Medical Biographies (1952). Hospital (1964). De Beauvoir, S., The Marquis de Sade (1962). Lègue et Gilles, Soeur Jeanne des Anges (1886). Eysenck, H. J., Experiments in Behaviour Therapy (1964). Leavy, S. A., The Freud Journal of Lou Andreas-Salome Eysenck, H. J., Crime and Personality (1964). (1965)- Eysenck, H. J., Causes and Cures of Neurosis (1965). Maddison, Day and Leabeater, Psychiatric Nursing Elliott, F. A., Clinical Neurology (1964). (1963)- Ellis, W. C., Traité de L'Aliénation Mentale. Translation McAlpine, Lumsden and Acheson, Multiple Sclerosis— with notes by Esquirol (1840). A Reappraisal (1965). Fournel, M., Du Somnambulisme Magnétique (1785). Malan, D. H., A Study of Brief Psychotherapy (1963). Foulkes, S. H., Therapeutic Group Analysis (1964). Maddison and Duncan, Aspects of Depressive Illness Freud, S., Delusion and Dream (1917). Foulds, G. A., Personality and Personal Illness (1965). Mackay, Wortis and Sugar, Year Book of Neurology, Group for the Advancement of Psychiatry, Symposium Psychiatry and Neurosurgery (1965). No. 10. Urban America and the Planning of MacKeith, R., and Sandler, J., Psychosomatic Aspects Mental Health Services (1964). Guntrip, H., Healing the Sick Mind (1964). of Paediatrics (1961). Gerhardt, C., Handbuch der Kinderkrankheiten (1887). Moodie, W., Hypnosis in Treatment (1959). Hare, E. H., and Shaw, G. K., Mental Health on a New Morse, M., The Unattached (1965). Housing Estate (1965). Murphy, W. F., The Tactics of Psychotherapy (1965). 15 Nuffield Provincial Hospitals Trust. Problems and FOURTH WORLD CONGRESS Progress in Medical Care (1965). OF PSYCHIATRY Onuaguluchi, G., Parkinsonism (1964). MADRID, 1966 Peck, H. B. et al., A New Pattern for Mental Health The Fourth World Congress of Psychiatry will be Services in a Children's Court (1958). held in Madrid on 5 to 11 September, 1966. Pollitt, J., Depression and Its Treatment (1965). The Basic Reports will be on the following Post, F., The Clinical Psychiatry of Late Life (1965). subjects : Rappoport, A. S., The Curse of the Romanovs (1907). (*) Prognosis of infantile neuroses and psychoses. Retterstol, N., and Sund, A., Drug Addiction and (:ii) The problem of sleep and insomnia. Habituation (1965). (m) Transcultural psychiatrie epidemiology. Regnard, P., Sorcellerie, Magnétisme (1887). (iv) New trends in Psychopharmacology. Rosenfeld, H. A., Psychotic States (1965). (v) Short-term psychotherapy. Searles, H. F., Collected Papers on Schizophrenia and (•vi) Community psychiatry. Related Subjects (1965). There will also be Symposia and open communica- Strauss, A. et al., Psychiatric Ideologies and Institutions tions. The latter must be submitted by 31 January, (1964). 1966. Early registration at a reduced rate will be Schilder, P., Contributions to Developmental Neuro- received up to 31 March, 1966. psychiatry (1964). Full particulars and registration and participation Sutherland, J. D. (Ed.), Evolution of Psychosomatic forms can be obtained from: Concepts (1965). THE SECRETARY, IV World Congress of Psychiatry, Woodworth, A. S., Contemporary Schools of Psychology Atocha 106, Madrid 12, Spain. (1964). Winnicott, D. W., The Family and Individual Develop- CANADIAN PSYCHIATRIC ASSOCIATION ment (1965). Corresponding Membership Wolpe, Salter and Reyna, The Conditioning Therapies— The Canadian Psychiatrie Association wishes to Challenge in Psychotherapy (1964). draw the attention of members of the R.M.P.A. to Wilkins, L. T., Social Deviance (1964). the facilities offered for Corresponding Membership Williams, Moyra, Mental Testing in Clinical Practice of that Association. (1965). The C.P.A. extend a cordial invitation to Winnicott, D. W., The Maturational Processes and the physicians who are qualified in psychiatry and Facilitating Environment (1965). permanently resident outside Canada to apply for Wepman and Heine, Concepts of Personality (1964). Corresponding Membership. Ziehen, T., Die Geisteskrankheiten (1926). The annual fee for a Corresponding Member is $15.00, which includes the bi-monthly Canadian THE ASSOCIATION'S MEDALS AND Psychiatrie Association Journal, the C.P.A. Monthly PRIZES, 1965-66 Newsletter, and any other général mailings to the Attention is specially drawn to the Medals and membership. Prizes which are offered annually by the Association. Application for membership forms are available The conditions of award are set out fully in the from : Year-Book. THE SECRETARY, Canadian Psychiatrie Associ- ation, Suite 103, 225 Lisgar Street, Ottawa 4, Canada. Bronze Medal and Prize Dissertations for the Association's Bronze Medal AMERICAN PSYCHIATRIC ASSOCIATION and Prize should be forwarded to reach the Registrar Mental Hospital Service not later than 30 April. The A.P.A. wishes to draw the attention of the Divisional Prizes R.M.P.A. to the facilities offered by this Service. Papers certified as eligible for this competition Subscribers receive the Service publication "Mental must be forwarded to reach the Registrar not later Hospitals", together with supplementary mailings than 30 April. and access to free materials, such as bibliographies and reprints. Gaskell Medal and Prize Achievement Awards are presented annually for The examination for the Gaskell Medal and Prize treatment, research and administrative programmes. is held in May. An entrance fee of £3 3s. is charged, Full particulars can be obtained from the Central returnable to bonafide candidates. Entrance fees Office, A.P.A. Mental Hospital Service, 1700 are due by 31 March. Eighteenth Street, N.W., Washington 9, D.C., U.S.A.

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