British Journal of Psychiatry (The Journal of Mental Science)

THE BRITISH JOURNAL OF PSYCHIATRY (THE JOURNAL OF MENTAL SCIENCE)

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

SUPPLEMENT, APRIL 1969

THE ROYAL MEDICO-PSYCHOLOGICAL ASSOCIATION AUTUMN QUARTERLY MEETING

THE AUTUMN QUARTERLY MEETING was held in KITCHINO, EDWIN HOWARD, Consultant Psychiatrist, London on 14 and 15 November, 1968, under the Stockport Infirmary and Manchester Royal Presidency of Dr. Francis Pilkington. Infirmary. Ordinary Member since 1936. PANTON, NYDLA ELINOR, 4 West Park Lane, Worthing, Minutes Sussex. Ordinary Member since 1943. TUOHY, THOMAS, Assistant Medical Officer, District The Minutes of the Spring Quarterly Meeting Mental Hospital, Waterford, Eire. Ordinary held at Tone Vale Hospital, Taunton, on 3 April Member since 1956. and i May 1968, having been published in the WERNER, THEODOR ALFONS, Consultant Psycho- Supplement, were approved. therapist, St. Bernard's Hospital; 18 Wimpole Street, London, W.i. Ordinary Member since Obituary 1944- The President announced with regret the death of the following members : Election of Ordinary Members BARKER, JOHN CHARLES, Consultant Psychiatrist and The following were unanimously elected to Ordin- Deputy Medical Superintendent, Shelton Hospital, ary Membership : Shrewsbury. Ordinary Member since 1957. BARLOW, LAURA MARY, 123 Central Hill, Upper AMIN, MOHAMMED MIYANOORWALA, M.B., B.S., D.P.M., Norwood, S.E.19. Ordinary Member since 1947. Dip. Psychiat., Staff Psychiatrist, Bergen Pines County Hospital, Paramus, New Jersey, U.S.A. COBB, STANLEY, Bullard Professor of Neuropathology Proposed by Drs. J. G. Edwards, G. M. Simpson, Emeritus, Harvard Medical School. Honorary J. W. S. Angus. Member since 1957. BANIK, SATYA RANJAN, B.Sc., M.B., B.S., M.R.C.P.G., ERSKINE, WILLIAM J. ADAMS, formerly Medical Registrar, Leverndale Hospital, Glasgow. Superintendent, County Mental Hospital, Newport, Proposed by Drs. J. K. Binns, B. G. Daly, J. M. W. Isle of Wight. Ordinary Member since 1901. Bolt. GONZALEZ-MELIAN, PEDRO V., Apartado 12607, BASIT, MOHAMMAD ABDUL, M.B., B.S., Medical Officer, Sabana Grande, Caracas, Venezuela. Ordinary Army Medical Corps, M. H. Secundrabad, A.P., India. Member since 1968. Proposed by Drs. S. K. Jetley, N. R. Banerjee, V. K. HARDWICK, SYDNEY WALPOLE, Physician in Psycho- Pande. logical Medicine, Royal Free Hospital. Secretary, BEN-ARIE, OVED, M.B., Ch.B., D.P.M., Registrar in South Eastern Division 1958-1964; Chairman, Psychiatry, Groote Schuur Hospital, Cape Town. South Eastern Division 1964-1966. Ordinary Proposed by Drs. I. Sakinofsky, A. M. Obholzer, R. E. Member since 1934. Hemphill. JAMES, GEORGE WILLIAM BLOMFIELD, C.B.E., Honor- BERG, MICHAEL CLEMENT, M.B., Ch.B., D.P.M., Con- ary Consultant in Psychiatry, St. Mary's Hospital; sultant Psychiatrist, St. Vincent's Hospital and Medical 57 Wykeham Road, Hastings, Sussex. Secretary, Center of the City of New York. Parliamentary Committee 1926-1929. Ordinary Proposed by Drs. A. B. Monro, O. E. F. Hodgson, Member since 1914. L. D. Gardner. BOK, WILLEM EDUARD, M.B., Ch.B., Psychiatric Resident, GLUCKMAN, LAURIE KALMAN, M.D., M.A.N.Z.C.P., Ohio State University Medical School, Columbus, F.R.A.C.P., Psychiatrist, Auckland Hospital, New Ohio, U.S.A. Zealand. Proposed by Drs. R. M. Patterson, I. Gregory, G. Proposed by Drs. H. D. N. Livingstone, J. R. E. Dobson, Koz. M. R. Sagar. CAMPDEN-MAIN, BRIAN CAMPDEN, M.R.C.S., L.R.C.P., GOODWIN, DONALD WILLIAM, M.D., Instructor, Depart- Private Practice, 824 S. Arlington Mill Drive, Arlington, ment of Psychiatry, Washington University, St. Louis, Virginia, U.S.A. Missouri, U.S.A. Proposed by Drs. W. A. S. Falla, W. A. Norris, C. B. Proposed by Drs. G. E. Murphy, R. W. Hudgens, Robinson. J. N. McClure. CEBALLOS, NELSON, M.D., Supervising Psychiatrist, GRANT, NAOMI INGRID RAE, M.B., B.S., D.P.M., Assistant Children's and Adolescent Units, Malcolm Bliss Director, Division of Child Psychiatry, Psychiatric Mental Health Center, St. Louis, U.S.A. Institute, University of Maryland, U.S.A. Proposed by Drs. R. Munoz, J. H. Dorzab, E. Dick. Proposed by Dr. C. P. B. Brook, Professor E. Stengel, CHARATAN, FREDERICK BERNARD, M.D., M.R.C.P., Dr. J. P. Watson. D.P.M., F.A.P.A., Director, Community Mental Health Services, Nassau County, New York., U.S.A. GREENE, VINCENT TERENCE, M.B., M.R.C.P.I., D.P.H., D.C.H., D.P.M., Assistant Medical Officer, St. Proposed by Professors E. Stengel, T. Ferguson Brigid's Hospital, Ardee, Co. Louth. Rodger, Dr. A. Walk. Proposed by Drs. J. J. Wilson, W. P. Berrington, M. A. CHATTERJEE, MAJOR S. B., M.B., B.S., M.D., Specialist Rahill. in Psychiatry, Military Hospital, Jullundur Cant, Punjab, India. HARDING, T. W., M.B., B.S., M.R.C.S., L.R.C.P., Proposed by Drs. N. G. Chakraborty, L. P. Varma, Lecturer, Department of Medicine, University of N. R. Banerjee. Ibadan, Nigeria. CHAUDRY, HABIBULLAH, M.B., B.S., D.P.M., Registrar in Proposed by Drs. D. P. Goldberg, D. C. Taylor, M. R. Psychiatry, Roundway Hospital, Devizes, Wiltshire. Eastwood. Proposed by Drs. M. A. Waters, H. J. Conway, T. HARMAR, DENYS MACDONALD IRVING, M.B., Ch.B., D'Arcy. D.P.H., L.R.C.S., L.R.C.P., L.R.F.P. & S.G., Psychia- CROKE, WINIFRED MARY, M.B., Ch.B., Psychiatric trist, Sunmount State School, New York, U.S.A. Registrar, Queen Mary's Hospital for Children, Proposed by Drs. M. Sim, O. E. F. Hodgson, H. V. Carshalton, Surrey. Dicks. Proposed by Drs. L. Goldie, B. Kirman, E. Donoghue. HATFIELD, BRONISLAWA, M.D., Medical Officer, New DAVIES, JOHN CHARLES ALLAN, M.R.C.S., L.R.C.P., South Wales Division of Psychiatric Services, Sydney, D.P.M., Visiting Psychiatrist, Callen Park Mental Australia. Hospital, Sydney, Australia. Proposed by Drs. J. M. Collins, R. Migodzinski, E. B. Proposed by Drs. J. D. Russell, W. S. Rowe, E. Fischer. Tompkins. DEWSBURY, ANTON ROY, M.B., B.S., M.R.C.S., L.R.C.P., IMAM, MUHAMMAD WALI, M.B., B.S., Registrar, Bangour Registrar, St. Francis Hospital, Haywards Heath, Village Hospital, Broxburn, West Lothian. Sussex. Proposed by Drs. B. E. A. Magill, P. M. Hörne, M. Proposed by Drs. K. Bergmann, A. Folkson, F. T. Ashraf. Shadforth. KATARIA, MOHAN S., M.R.C.S., L.R.C.P., D.P.H., DIAMOND, JOHN DAVID, M.B., B.S., D.P.M., Honorary Consultant Physician in Geriatrics, King's College Assistant Psychiatrist, Royal Melbourne Hospital, Hospital and Honorary Consultant, Cane Hill Hospital, Australia. Coulsdon, Surrey. Proposed by Drs. O. H. D. Blomfield, A. Walk, Proposed by Drs. J. T. Hutchinson, E. Roderic-Evans, Professor E. Stengel. D. Smedberg. DUNCAN, MARGARET, M.B., Ch.B., D.P.H., D.P.M., LOWER, EDMUND STANLEY, M.R.C.S., L.R.C.P., D.P.M., Psychiatrist, Broughton Hall Psychiatric Clinic, Consultant Psychiatrist, Bristol Clinical Area. Leichhardt, Sydney, Australia. Proposed by Drs. M. Tun Win, J. B. Gordon-Russell, Proposed by Drs. M. D. McGrath, J. R. Strum, I. A. H. Bakker. Pilowsky. MCFARLANE, ROBERT DUNCAN, M.B., Ch.B., Psychiatric ELY, ERNEST WARD, B.S., M.S., M.D., Resident Physician Registrar, Cherry Farm Hospital, Dunedin, New in Psychiatry, Mendocino State Hospital, Talmage, Zealand. California, U.S.A. Proposed by Drs. C. S. Moore, L. M. Franklin, B. Proposed by Dr. W. G. Burrows, Professor T. Ferguson James. Rodger, Dr. H. V. Dicks. MCFARTHING, ANTHONY MARTIN, M.B., B.S., Trainee FIELDING, JOHN MATHEW, M.B., B.S., D.P.M., Psychiatrist, Specialist in Neuro-Psychiatry, R.A.F. Hospital, Mental Health Authority of Victoria, Parkville Unit, Wroughton, Swindon, Wiltshire. Victoria, Australia. Proposed by Drs. P. O'Connor, A. W. Black, D. N. Proposed by Drs. B. Davies, I. H. Jones, R. H. Hook. Johnstone.

2 MCKERRACHER, DONALD GRIFFITH, M.D., F.R.C.P.C., WICKENDEN, PETER DOUGLAS, M.B., B.Ch., D.R.C.O.G., Head of Department of Psychiatry, University of D.P.M., Area Psychiatrist, British Military Hospital, Saskatchewan, Saskatoon, Canada. Hong Kong. Proposed by Professors M. Roth, L. G. Kiloh, Dr. A. Proposed by Drs. R. G. Davies, C. H. Kelland, R. A. D. Walk. Miller. MARTIN, RONALD HENRY, B.A., B.M., B.Ch., M.R.C.S., WIJESINGHE, WALIMUNI CHANDRA PADMANATHA DE L.R.C.P., Senior Médical Officer, Mental Health and SILVA, M.B., B.S., M.D., M.R.C.P., M.R.C.P.E., Geriatrie Services, County Borough of Northampton. D.P.M., Consultant Psychiatrist, General Hospitals, Proposed by Drs. J. De Bastarrechea, R. F. Shackleton, Kalutara and Galle, Ceylon. R. R. Tilleard-Cole. Proposed by Professor E. Stengel, Drs. H. V. Dicks. MAURICE, WILLIAM LAWRENCE, B.A., M.D., Resident in P. G. McGrath. Psychiatry, Washington University, U.S.A. Proposed by Drs. J. N. McClure, G. E. Murphy, E. Election of Associate Members Dick. MILSON, ANTHONY HOWARD, M.B., B.S., Psychiatrist, The following candidates for Associate Member- Repatriation Department, Sydney, Australia. ship, having been approved by Council, were elected : Proposed by Drs. J. D. Russell, W. S. G. Rowe, E. FORREST, DEREK WILLIAM, M.A., Ph.D., F.B.Ps.S., Fischer. Professor of Psychology, Trinity College, Dublin. MITCHELL, GEOFFREY, M.B., Ch.B., D.C.H., Registrar, Proposed by Drs. D. J. Bradley, R. D. Stevenson, E. L. Royal Edinburgh Hospital, Edinburgh 10. Mateu-Lopez. Proposed by Drs. J. W. Affleck, A. D. Forrest, E. B. ROBINSON, JOHN ALLAN, M.A., B.A., M.Sc. (Psychology), Ritson. Research Student, Trinity College, Dublin. MORTON, STUART THOMAS, M.B., Ch.B., D.P.M., D.C.H., Proposed by Dr. E. Tylden, G. D. Morgan, J. J. Registrar in Psychiatry, Bangour Village Hospital, Meenan. Broxburn, West Lothian. Proposed by Drs. B. E. A. Magill, F. G. Lassalle, J. B. Proceedings of Council Rae. MUNSADIA, ISHWARLAL DAHYABHAI, M.B., Ch.B., The General Secretary read the following report: Registrar, The Ross Clinic, Cornhill Road, Aberdeen. "Council met yesterday afternoon. As this meeting Proposed by Drs. R. A. Y. Stewart, G. E. Faulkner, will no doubt be interested in the report of the Special J. G. Henderson. Meeting of Council held on the 31 October this PRESHAW, COLIN TAYLOR, M.B., Ch.B., Senior House report of yesterday's meeting will be extremely short Officer, The Ross Clinic, Cornhill Road, Aberdeen. although the agenda was very long, and very import- Proposed by Drs. J. G. Henderson, R. J. Mcllwaine, ant. J. P. Gomersall. The main actions taken were : RAHMAN, MOBINUR, M.B., B.S., Registrar, Ravenscraig Hospital, Greenock, Renfrewshire. 1. Approvai of the Association's memorandum in Proposed by Drs. J. Moffat, D. Ross, E. S. Ross. reply to the Ministry's request for answers to questions RAMLER, SIEGFRIED SZARFSTEIN, M.D., Landau-Piccadilly about the Royal Commission on Medical Education. Mansion, Apt. B 12, 4 Po Shan Road, Hong Kong. 2. Approvai of the memorandum, prepared by the Proposed by Drs. D. M. Leiberman, M. Radzan, A. Parliamentary Committee, on the Green Paper on Norton. the Administrative Structure of the Medical Services RHEE, YOUNG WUNG, M.D., Psychiatric Residency, in England and Wales. School of Medicine, Washington University, St. Louis, 3. Approvai of the Report on the Questionnaire on U.S.A. Postgraduate Expérience and Training of Consul- Proposed by Drs. E. Dick, J. H. Dorzab, J. N. McClure. tants in Adult Psychiatry. SCHLICHT, THEODORE, M.B., B.S., M.R.C.P., D.P.M., Physician Superintendent and Consultant Psychiatrist, Council also decid ed that a Special Committee West Park Hospital, Epsom, Surrey. should prepare a memorandum on the Seebohm Proposed by Drs. D. Richter, A. B. Monro, A. A. Black. Committee's Report on the Social Sessions. SILVERMAN, GERALD, M.A., M.B., B.Chir., Registrar, In addition to these very important décisions Friern Hospital, London, N. 11. Council transacted a great deal of more routine Proposed by Drs. I. Sutton, B. G. Adams, J. T. Bruce. business which will in due course be described in the SWEENEY, EDWARD, M.D., D.P.M., Registrar, Sunnyside Annual Report of Council. Royal Hospital, Montrose. Council held a Special Meeting on 31 October, Proposed by Drs. W. M. Lyon, H. J. Tomingas, A. N. Munro. 1968 to consider a request signed by some 650 members, and to transact any other business relevant TURNBULL, UNA WATT, M.B., Ch.B., Registrar, Stratheden Hospital, Cupar, Fife. to the Association's Petition to the Privy Council to Proposed by Drs. A. Morrison, I. R. Sherret, D. M. establish a Royal College of Psychiatrists. The MacGregor. request from the 650 members was for changes in the 3 proposed new bye-laws governing admission to Dr. Birley, seconding the motion, said there was Membership of the College. It was signed by psychi- considerable disquiet about the present situation. He atrists of all grades, but the majority were towards expressed doubt whether it would prove easy to the junior end of the spectrum. change the bye-laws once they were authorized by the Council considered the request carefully and at Privy Council, and suggested that if the pace of length. They recognized that its submission bore change was to be set by the existing Royal Colleges, witness to a state of concern on the part of a number of it would be slow indeed. members, but also felt that their over-riding duty In the course of a long discussion the above points was to the 3,000 members who had not signed the were both reinforced and disputed. The question of request. Council therefore re-affirmed their author- a referendum was gone into, with views both pro and ization to the Petition Committee of the Association con being expressed. Royal College status was seen to continue with the processes necessary to lead to by some as being unnecessary and reactionary at the formation of a Royal College, with all possible the present time, while others indicated that to delay speed. now meant in effect to hand political power back to Council also expressed the sincere hope that the Royal College of Physicians. the differences between those who had presented In the later stages of the discussion a number of the request and the majority of the members of the people indicated that some years ago they had been Association would be reconciled. To this end they rebels in advocating a Royal College. The point was authorized the Association's legal advisers to offer also made that the proposed Royal College of to meet some of those who had submitted the re- Psychiatrists was much more democratic and open quest, for the purpose of exchanging information. If to voting pressures than any existing Royal College. such a meeting led to the conclusion that it would The sentiments were challenged by one speaker who be useful for representatives of the Petition Committee did not know anyone who wanted a College, but of the R.M.P.A. to meet members of the group who several speakers remedied this deficiency. Aftei a had submitted the request, Council authorized such a courteous exchange between Dr. Low-Beer and the meeting or meetings to take place. Piesident, the meeting ended in the knowledge that a Council naturally regarded it as important that the meeting between the Association's legal advisers and membership of the Association should be as well members of the group supporting the motion had informed as possible. They therefore authorized the been arranged for the following week. preparation of this report for the Quarterly Meeting, and suggested that the President might write a letter to all members, so that those unable to come to this Seminars Quarterly Meeting should nevertheless be kept in The following Seminars were presented on 14 touch with events." November : A motion as follows was proposed by Dr. Low- "Aspects of Behaviour Therapy." Dr. V. Meyer. Beer and seconded by Dr. Birley: "The Psychological Assessment of Individuals." "This meeting takes note of the receipt by the Dr. J. Miller Mair. Council of the R.M.P.A. of a petition, signed by more "Adolescence and Some Attendant Problems." than 500 members, regarding the bye-laws of the pro- Dr. P. Boyd. posed Royal College of Psychiatry, and request that "A Psychoanalytic Approach to Depression." the Council state what action has been or is being Dr. J. Sandler. taken on this matter." "Aspects of the Neurophysiology of Dementia." Dr. Low-Beer indicated that disquiet had been Dr. R. Levy. crystallized by the Report of the Royal Commission "Psychogenic Abdominal Symptoms." Dr. O. W. on Medical Education. Many people felt that the Hill. time had come for a pause in the progress towards formation of a Royal College. The requirements before becoming a College would be unjust to many non-consultants. It would be difficult to achieve a Papers fundamental change of emphasis from examination The following papers were read, following the to training, as the College would have to conform to Quarterly Meeting, on 15 November: existing patterns. There was therefore a strong "The Distribution of Alcoholism in an doubt whether the present proposals for the structure English County." Dr. Milton Moss. of the College were acceptable for the good of psy- "Physical Effects of Alcoholism." Dr. Anthony chiatry. Dawson.

4 Maudsley Lecture he had taught and inspired others to do. Dr. Slater The Forty-third Maudsley Lecture entitled took advantage of the opportunity to say something "Physiology of Faith" was delivered by Dr.WILLIAM of the life work and of the mind of the man who had SARGANT. See Journal p. 505. done more perhaps than anyone else to transform In introducing the Lecturer, the President said: British psychiatry from what it was when Will had "It is a very real and personal pleasure for me to first come to the Maudsley in 1935 to what it was a be able to introduce Dr. William Sargant to you third of a Century later. this afternoon. It is a personal pleasure because Dr. This was rather an occasion for the Maudsley Sargant was one of the first friends I made when we Hospital. The President, Dr. Sargant and the both joined the staff of the Maudsley Hospital in the speaker were all its graduates. How, one wondered, early thirties—more than thirty years ago. We were did the Maudsley Hospital help to mould Will both very green and rather scared and before Sargant, and what had been his influence on its long became quite criticai but we soon developed work and teaching? One could derive insights from feelings of profound respect and deep affection for a comparison and a contrast for the spirit of the the Medicai Superintendent, Dr. Edward Mapother, Maudsley Hospital, as it had been over the past who was later to become the first Professor of Psy- generation and the spirit of Will Sargant had been chiatry at the University of London. Yet it must be in many ways antithetical. Henry Maudsley would admitted that at one time we were frankly rebellious, himself have wondered to see such différent children or we both suffered from the "itch to cure"—that of his spirit. The Maudsley and Will Sargant repre- very irritating itch—and there was really so little sented two aspects of science, each of them essential we could do to help our patients. to its progress. One could represent them as the As the years went by my own energies were intellectual and the emotional components, caution absorbed in various ways, but Dr. Sargant was and scepticism on the one hand, fire and enthusiasm determined to discover and perfect various forms of on the other. On the one hand there was the slow, physical treatments of which there were then practi- safe, but plodding crawl provided by method and cally none in the whole field of psychiatry. He is now system, on the other a delirious fox-hunt of gallops and of course known far and wide for this work, and how checks. It was not really any wonder that the two he would have pleased our beloved teacher. could not easily live together, that shortly after the It was because of his search for new treatments reconstitution of the Maudsley after the war anta- that William Sargant began to read the writings on gonisms grew and eventually, very sadly, the place conditioned refiexes. This led to travels in various became too cold to hold him. This was a tragedy on parts of the world, especially where there were both sides, since Will left the community of intel- primitive cultures, and that was how he gradually lectual peers, of informed debate and critique, and came to evolve his ideas about religious conversion the school lost the tremendous stimulation it might and the physiology of faith. have had, the optimism and enthusiasm and drive It is this latter subject that he has chosen as his of an intuitive therapeutic genius. subject for the Forty-third Maudsley Lecture." This was not hyperbole. In treating the individuai patient Will did not use (though he may have thought In proposing the vote of thanks, Dr. ELIOT SLATER he did) or at least did not use only well thought out said it gave him extraordinary pleasure to have the classifications and step by step reasoning. Dr. Slater privilege of addressing the audience on the occasion had watched him in conférence, catechizing the of his old friend, Will Sargant's, delivery of the patient, putting one leading question after another, Maudsley Lecture for 1968. He did not need to say until at last he had the answers which fitted the how much the Registrar had done for the Associ- patient into a pattern of past experience where a line ation in the many years of his service, though many of treatment was suggested. By such methods one people might not be aware how he had constantly could of course deceive oneself; one could indeed fought, sometimes in a minority of one, for what he often be wrong, but one could sometimes be right in believed to be right, above ali for new Organization, a way which, like a flash of lightning on a black new ideas, and a larger say for the younger members. night, showed you not only what was at your feet, But it was hardly for this that our Association had but also a glimpse of the entire landscape. Will could awarded him the highest academic honour in its see ways of treatment where others often could see gift. This was surely for his services to British and to only a blank wall. World psychiatry, and to the countless patients who Perhaps if these methods had come on the scene have been helped, who have often been rescued from earlier in his career, Will might have fitted himself enduring miseries, by his own efforts and by what into the Procrustean beds of controlied experiments

5 and logically designed therapeutic trials. If he had, The Vote of Thanks was carried by acclamation. Dr. Slater doubted whether he could have done more than he had. The double-blind trial was not Section Meetings the way to make discoveries, only the way to confirm them. For discoveries one needed something once At the meeting of the Mental Deficiency Section prized in our medicai schools, now thought of less Dr. Richard Mein read a paper "The role of the and less account, the flair that came from personal Clinical Psychologist in the Mental Sub- powers of empathy, a wish to understand the patient, normality Hospital". a willingness to listen very carefully to what he said, The follojving papers were read at the meeting because you knew he was trying to teli the truth as of the Research and Clinical Section: nearly as he could find words for it, and carne also "A Service for the Psychiatric and Social from the experience of many years of looking at and Management of Repeated Acts of Self- listening to hundreds ofjus t such patients, the capacity Poisoning or Self-Injury" by Dr. R. C. Hicks. to sense almost invisible leads, to collate, magically "A Comparison of Patient Populations in it might seem to the outsider some subtle way in Out-Patient, In-Patient and Day Patient which this particular patient resembled another or Services" by Dr. N. H. Rathod. others in the past, the capacity to form unconsciously "The Use of Statistics in the Evaluation of those seminal ideas which seeped up into the pre- Comprehensive Psychiatric Services" by conscious and then emerged when the circumstances Drs. E. R. Bransby and J. Brothwood. were there to which they could give the key. "Evaluation of the Therapeutic Community" Will Sargant had been endowed by heredity not by Dr. F. Letemendia. only with the temperament of the artist, but also with the qualifies of the missionary and reformer. The Child Psychiatry Section met at the Elizabeth His warmth and enthusiasm had been of a mettle to Garrett Anderson Hospital and Dr. J. H. Kahn withstand the érosion of the years. No one who knew delivered the Chairman's Address entitled "A him but was aware of his tender-heartedness to his Suitable Treatment for Cases". The meeting was patients, and knew also how this was tempered by a followed by the Section's Annua] Dinner. keen sense of what was possible. With this force of At a meeting organized by the Librarían on the charactei the greatness of his achievement could be History of Psychiatry Dr. M. W. Annear read a paper understood, achievement that would have deserved entitled "Madness and Healing in Ancient and the highest insignia of success. But what is success in Classical Greece". this worldly sense? "Success", John Masefield said, The Chairman's Address to the Psychotherapy and "is the brand on the brow for aiming low." Social Psychiatry Section was delivered by Dr. T. F. Dr. Slater closed by saying that the lecture had Main and entitled "Psychiatrists, Psychotherap- been as stimulating and controversial as ever. ies and Psychiatric Settings".

ANNUAL MEETING 1968 It is regretted that the following Committee and Estimâtes of the House of Commons on the Special Section Reports were accidentally omitted in the Hospitals and the Advisory Council on the Penal October, 1968, Supplement. System review of the Operation of Détention Centres Report of Parliamentary Committee (both the latter jointly with the Forensic Psychiatry The Parliamentary Committee met five times Sub-Committee). In many cases the written evidence during the year and the General Purposes Sub-Com- has been supported by orai evidence on behalf of the mittee twice. Working Parties were set up and have Association. Délégations have called on the sponsors prepared memoranda on behalf of the Association of the Divorce Reform Bill at the House of Commons, on a wide variety of topics of current public policy. The Abortion Bill 1967 at the House of Commons, These have included evidence to the Committee and at the Home Office, and a variety of centrai on the Functions of the District General Hospital, the departments as well as the British Medical Association Royal Commission on Assize and Quarter Sessions and the National Association for Mental Health. (jointly with the Forensic Psychiatry Sub-Committee), The Abortion Act 1967 received the Royal Assent the Ministry of Health Joint Sub-Committee re- on 27 October and is now in opération although the viewing the Health and Welfare Service for Epileptic social clause is stili causing some concern. The Sexual People ( jointly with the Sections of Child Psychiatry Offences (No. 2) Act 1967 provides that homosexual and Mental Deficiency), the Select Committee on acts between consenting adults shall no longer be a 6 crime, increased penalties for the séduction of a Hospitals and the need for pilot projects in the minor by an adult, and ensures that male prosti- Regions for medium security units. tution will be dealt with in similar lines to the present The recent announcement by the Minister in law on female prostitution. connection with prescription charges was considered, Voting rights of psychiatrie in-patients have been and the conspicuous absence of psychiatrie states in urged on the Home Office for some years in view of the list of exempted conditions was noted. Special the fact that the present law excludes from the représentations have been made to the Minister to franchise psychiatrie in-patients who are otherwise include chronic schizophrenia, protracted depression, legally capable. A recent improvement in the overall chronic anxiety states and brain damaged children situation has now been gained in the case of informai in the list of exempted patients. patients who stili have a home address. It will be Parliamentary proceedings are closely followed by possible for such patients to be included in the the Committee with the help of Dr. Alexander annual return as to residents, now being provided Walk's careful digest of Hansard. Overall scrutiny of for use at the canvass this coming Autumn for in- legislative and administrative trends has been clusion in the Electoral Register to be published in maintained in spite of increasing complexity of this February, 1969. A pilot survey is being carried out field of social administration. by the National Association for Mental Health to ascertain what proportion of informai patients is likely to benefit from this recommendation. Report of the Aspects of the problem raised by psychiatrie Papers and Discussions Committee patients of no fixed abode in relation to hostel The Committee met on four occasions during the provision and financial support have been reviewed, year. especially those arising through conflicts with local A Sub-Committee was formed under the chair- authorities. These problems are being raised directly manship of Dr. A. K. M. Macrae to organize, with with the central Ministries concerned. our American colleagues, the joint A.P.A./R.M.P.A. The special Committee appointed by Council to Meeting in May, 1968 in Boston. review the Working Party Report on the Organiza- At the Annual Meeting in July, 1967, a most tion of Medicai Work in Hospitals has expressed interesting sériés of Papers were presented on the general support for the document as a safeguard for contribution of sociology and psychoanalysis to the place of clinical administration in District psychiatry. Geneial Hospitals and in Teaching Hospitals. The The November papers were concerned with particular problems raised in the single Psychiatric objective measurements in anxiety and depression, Hospital are being closely watched and représentations subjects which were again included in the February are being made to the Ministry Working Party. Meeting, together with drug addiction. The absence of a psychiatrist on the Working Party This May meeting was again largely with objective and the need of psychiatrie guidance have been measurement, this time in relation to Psychosomatic emphasized as well as the need for the Chairman of disorders and psychiatrie aspects of Student health. the Psychiatric Division to be elected and his posi- The standard of these papers was high, and showed tion subsequently ratified. Flexibility should be that scientific measurement can be applied to ail maintained in order to meet particular local situ- aspects of psychiatrie disorders. ations. A recent letter from the Ministry of Health drawing attention to the liability in négligence of Report of the Public Relations Committee consultants in relation to the security of detained The Committee held two meetings during the patients has been noted and its implications explored. year. After consultation with the legal advisers to the The principal matters under discussion, apart from Defence Societies, this letter has been accepted as a routine interventions by members of the Committee correct appréciation of the law of négligence appli- to correct misleading statements in the press about cable to detained patients. In this connection the (to quote one single example), "Eurovision pop song addition of a Restriction Order by the Criminal written by Harley Street psychoanalyst as solution to Courts when a Responsible Médical Officer has only own problems", were concerned with the future agreed to accepting the patient on a Section 60 functions of the Committee should the Association Hospital Order has been discussed and misgivings achieve the object of becoming a College within the have been ventilated. This topic has drawn attention reasonably near future. This amounted in essence to to the overall lack of high security beds in the Special the need for a professional Public Relations Officer

7 who would be a journalist with a salaried part-time There were six meetings of the Section during the appointment; and the establishment of effective year. machinery for consultation between the College and The series of papers entitled "Towards Community Psychiatrie Hospitals and Departments of General Mental Health" presented under the Chairmanship Hospitals over général matters of policy involving of Dr. J. D. Sutherland, were completed in June and the improvement of public relations, and particularly July, 1967, by Geoffrey Gorer speaking on "The a deserved increase of public confidence in the Congruent Society" and Professor Norman Cohn on identification of the College with enlightened "The Myth of the Jewish World Conspiracy. A case standards of individual patient care. Both these study in collective psychopathology". matters were minuted and extensively discussed at the Four meetings have taken place under the Chair- last (7 February, 1968) meeting of the Committee. manship of Dr. G. S. Prince. In November and The Secretary of the Committee accepted the rôle December, 1967, Dr. H. H. Wolff and Dr. I. S. of liaison officer between this Committee and the Kreeger read papers on "The Training of Psychia- Bulletin of the World Psychiatrie Association. Active trists in Psychotherapy. Practice, Problems and communication is in progress on this front. The Principles". In February, 1968, Dr. T. F. Main with Secretary has also undertaken to act as convener for a Seminar Group of doctors from the Family the 7th International Congress on Mental Health, Planning Association conducted a demonstration to be held in August this year, his specific contri- of a Seminar on Psychosexual Problems. In April, bution in this respect being the rôle of public infor- Dr. R. F. Hobson read a paper on "Psychodynamic mation and communication in matters of mental Principles in the Diagnostic Interview". health and sickness. The Executive Committee has met on six occasions. It has considered a number of issues concerning the future of the Section in the proposed new College, Report of the Psychotherapy and Social the policy of the British Journal of Psychiatry and the Psychiatry Section adequacy of the Section's representation on the At the Annual Business Meeting of the Section on Standing Committees of Council. 10 April, 1968, the following élection results were The Committee has, at the request of Council, confirmed: Chairman, 1968-69, Dr. T. F. Main; nominated representatives of the Section to serve Hon. Secretary, Dr. I. S. Kreeger. Vacancies on the on Special Committees preparing evidence for the Executive Committee were filled by Drs. R. W. Ministry of Health on the Functions of a District Crocket, D. H. Heard, M. Pines, W. L. Tonge. General Hospital, and on the Health and Welfare Dr. K. Weeks has agreed to serve as a co-opted Services for Epileptic People. It is also organizing member of the Committee. a Special Interest Meeting on the Training of Medical Dr. T. F. Main and Dr. I. S. Kreeger were elected Undergraduates in connection with the forth- représentatives of the Section on Council and Dr. coming International Congress on Mental Health. I. S. Kreeger the représentative of the Section on On i January, 1968, there were 1,804 members of the Education Committee. the Section.

SOUTH-WES1 RN DIVISION THE SPRING MEETING of the South-Western Divi- view of the likelihood that a Welsh Branch would be sion was held at Whitchurch Hospital, Cardiff, on formed in the near future. Thursday, 4 April 1968, by kind invitation of the Hospital Management Committee and Dr. J. P. Divisional Committee of Management Spillane, Physician Superintendent. The Divisional Secretary reported that the Commit- Members visited the hospital, and were parti- tee had met during the forenoon. cularly interested in the Alcoholic Unit, the Professo- The Committee were informed that it had been rial Unit, the Industrial Unit and the Geriatric agreed by Council that a sum of £50 per year would Unit. Members were welcomed by Mr. Arthur be available to Divisions and Sections towards meet- Manley,J.P., the Chairman of the Hospital Manage- ing the travelling expenses of speakers at their ment Committee; and after a pleasant lunch the meetings. It was decided that the host hospital at Divisional Chairman, Dr. R. W. Simpson, expressed future meetings should be informed that this pro- the appreciation of the Division for the excellent vision had now been made. arrangements for the visit, especially as it might well A full discussion had then taken place on Medical be the last official visit of the Division to Wales, in Organization in Hospitals, in the light of the recent 8 so-called "Cogwheel" Report and that of the King's structure and activities of the W.P.A.; the sub- Fund. It was clear from the discussion that the sub- scription is £5 for the first year and thereafter £3 ject was of considerable urgent importance to all per annum; and forms are obtainable from Dr. members of the Association. A special Committee Simpson at the Old Manor Hospital, Salisbury or of the Parliamentary Committee was considering the from Dr. J. V. J. Bancroft, the Individual Secretary, matter and would appreciate the views of the Divi- at the Maudsley Hospital, London. sions. The Secretary had been asked to approach Dr. Papers and Discussions E. B. O. Smith to inquire whether the Autumn (a) Psychosomatic Aspects of Obesity Meeting might be held at the Seymour Clinic at PROFESSOR K. RAWNSLEY delivered a paper on the Swindon. It had also been agreed provisionally to psychosomatic aspects of obesity. accept the invitation which the Division had re- Obesity is a topic which was regularly considered ceived from Dr. Alan Heaton Ward to hold the next in the early texts of psychosomatic medicine. Special Spring Meeting at Stoke Park Hospital, Bristol, to emphasis was placed on the psychodynamic aspects mark the Diamond Jubilee of the Hospital. of the problem, e.g. disturbances during the oral The Committee had been informed that the library phase of psychosexual development; specific con- facilities in certain hospitals were gravely inadequate. figurations of personality. It was suggested that in such cases the setting up of a Studies of the eating response during or following Library Committee would be valuable, which could an emotionally disturbing situation indicate wide press for the needs to be met. If difficulties persisted, variation between individuals. Many inquiries into the matter could be referred to the Chairman of the association between weight and personality the Education Committee of Council, who would may be criticized on grounds of inadequate or be able to make suitable recommendations. biased sampling. Furthermore, interpretation of the meaning of correlations between obesity and aspects The following candidates were elected unani- of personality from cross-sectional studies presents mously to Ordinary Membership: many difficulties. The need for longitudinal studies, beginning in early childhood, and extending to adult BLACK, ANGUS WILLIAM, M.B., Ch.B., D.P.M., Consultant years, is apparent. in Neuropsychiatry, Princess Alexandra's R.A.F. Obesity furnishes an example of the way in which Hospital, Wroughton, Wiltshire. modes of thinking in psychosomatic medicine have Proposed by Drs. P. J. O'Connor, J. Harper, J. M. shifted away from theoretically based psychodynamic Penman. formulations to an interest in psychophysiological HEBDITCH, JOHN GRAHAM, M.A., M.B., B.Chir., D.R.C.O.G., Senior House Officer, St. Lawrence's and metabolic mechanisms. There is also a growing Hospital, Bodmin, Cornwall. awareness of the value in this field of using modern Proposed by Drs. D. D. Ellis, L. F. W. Rowe, J. M. epidemiological techniques. The approach is be- Pencheon. coming more empirical both in the research section WESOLKOWSKI, JACEK MARIA, M.D., Registrar, Mor- and in therapeutics. gannwg Hospital, Bridgend, Glamorgan. Many members took part in the brisk discussion Proposed by Drs. M. W. Annear, H. Rosenberg, which followed, in which obesity in many contexts K. S.Jones. was considered—stopping smoking, phenothiazine ZAMAN, MD. ASADUZ, M.B., B.S., Registrar, Morgannwg therapy, mongolism, and certain anomalous cases of Hospital, Bridgend, Glamorgan. Proposed by Drs. W. E. Fine, S. P. Banerjee, P. K. anorexia nervosa who become obese and anxious Bhattacharya. after treatment. The need for longitudinal studies and further research became very evident in the The following Office-Bearers were elected: course of this discussion. Chairman .. Dr. R. Wallace Simpson Divisional Secretary . . Dr. E. B. McDowall (b) Chronic Schizophrenia in Cardiff and District Assistant Secretary .. Dr. H. J. Crow DR. I. G. PRYCE presented a paper prepared in Junior Representative on Council Dr. T. C. Waters collaboration with DR. A. C. BROWN. In a review of the rehabilitation of hospital patients Dr. Wallace Simpson informed the Meeting of the with chronic handicaps over the past two years, current drive to encourage individual membership Dr. Pryce considered the pool of patients suffering of the World Psychiatric Association with the aim of from schizophrenia in the population of some involving the psychiatrist more personally with the 370,000 in the catchment area. He described the work of the Association. He outlined the purpose, collection of data from various sources, and showed 9 how the point prevalence rate for schizophrenics schizophrenics between the three areas of care. under hospital and Local Authority care is I - 8 per Little information is available, but there appears to i ,000. The review was incomplete since there was no be a short-stay group of 50-60 patients, younger and knowledge of those under the care of the general less handicapped, who are discharged to the care practitioners—a number which other studies have of the general practitioner or the Local Authority. suggested is about 2 -8 per thousand not known to A follow-up study of those under the Local Authority specialist services. would provide useful data in this group. In hospital the elderly group (over 65) is dispro- In the subsequent discussion, Dr. Pryce and Dr. portionately large and two-thirds of these are women. Brown developed their views on the nature of com- Prognostic assessment of those under 65 involved munity care, and considered the administration of primary handicaps resulting from the disease itself drugs, the keeping of records, the passage of infor- and secondary handicaps arising from prolonged mation from one service to another, the readmission residence in hospital. The chronic in-patient schizo- rate, and points arising from the Census procedure phrenic tended to form a static group, numbering and the collection of statistical data. some 250 patients of whom 150 were under 65 and thus suitable for long-term rehabilitation methods. Dr. J. P. Riordan, in proposing a vote of thanks, The Whitchurch Day Centre provides sheltered referred to Professor Rawnsley's penetrating examina- employment for some 57 men and 27 women, who tion of obesity, although he clearly had no vested also form a fairly static group. Motor underactivity interest in the subject. Studies such as Drs. Pryce and is the main handicap, and discharge from the Brown had presented were of outstanding value, and Centre is limited. It provides for those who can should be an automatic feature of every-day work. live at home or in hostels and travel on public The idea of a central register was, in fact, being studied transport, but are too handicapped for outside in Camberwell. Dr. Riordan congratulated both employment. speakers on their able and useful papers which had Finally Dr. Pryce discussed the exchange of led to a most interesting afternoon's discussion.

NORTHERN AND MIDLAND DIVISION

THE SPRING MEETING of the Northern and Midland The Secretary was asked to request that the matter División was held at St. Luke's Hospital, Hudders- be raised with Council. field, and Storthes Hall Hospital, Kirkburton, on The following were elected to Ordinary Member- Thursday, 11 April 1968, by kind permission of the ship: Hospital Management Committee. AINSWORTH, PATRICIA, M.B., Ch.B., D.Obst.R.C.O.G., The meeting began with a tour of inspection of the D.C.H., Trainee Registrar in Psychiatry, United Psychiatric Unit, St. Luke's Hospital. Manchester Hospitals. It was reported that Council had agreed to allow Proposed by Drs. J. Hoenig, B. H. Burns, M. W. each División and Section £50 per year towards the Atkinson. travelling expenses of speakers at Divisional and AL-NAJJAR, MUFID, M.B., Ch.B., Senior House Officer, Section Meetings. This did not include any fees. Birch Hill Hospital, Rochdale. Proposed by Drs. S. Falk, J. T. Elliott, A. West. The Divisional Committee of Management reported BARTRAM, GRAHAM FRANK, M.B., B.S., Registrar, Central Hospital, Hatton, near Warwick. that the Autumn Meeting would take place at Carlton Proposed by Drs. C. Tetlow, T. L. Dunn, V. S. Nehama. Hayes Hospital, Narborough, near Leicester. BEDI, MYLAPORE SHUNMUKHASUNDARAM VASANTHA, M.B., A discussion took place on the further progress B.S., D.R.C.O.G., Psychiatric Registrar, Deva Hospital, towards the formation of the Royal College. The Chester. Chairman counselled the Meeting that, at this Proposed by Drs. K. S. R. Bedi, R. H. Boardman, stage, any publicity on this issue could be harmful R. Viswanathan. to the granting of a Royal Charter. Dissatisfaction BHATTACHARYYA, SAMBHU NATH, M.B.,B.S.,M.R.C.P.E., was expressed regarding certain Bye-Laws approved D.P.M., Senior Registrar in Psychiatry, Oldham and District General Hospital. by the Adjourned Annual General Meeting of the Proposed by Drs. S. Levine, J. G. Maden, N. Berlyne. Association in February, 1968 and it was resolved: BLACK, DOROTHY, F.M., M.B., Ch.B., D.C.H., Clinical "That this Meeting regrets that there was not Assistant, Psychiatric Unit, Walton and Scarsdale sufficient time for consideration and discussion of Hospitals, Chesterfield, Derbyshire. the proposed Bye-Laws by the membership prior Proposed by Drs. A. R. Jones, W. L. Tonge, J. D. to the Adjourned Annual General Meeting." Stirland.

10 BOARD, HEDLEY REX, M.B., B.S., D.P.M., Registrar, The following Office-Bearers and members of the St. Nicholas Hospital, Gosforth, Newcastle on Tyne. Divisionai Committee of Management were elected: Proposed by Drs. J. R. Roy, H. A. McClelland, F. S. Lawson. Divisional Chairman . . Dr. W. V. Wadsworth BRENNAN, CONOR MICHAEL, M.B., B.Ch., B.A.O., D.P.H., Secretary ...... Dr. Brian Ward D.C.H., D.P.M., Medical Director, Calderstones Hos- Assistant Secretary .. .. Dr. D. B. Fowler pital, Whalley, Blackburn. Junior Représentative on Council Dr. I. G. Bronks Proposed by Drs. Eileen Scanlan, R. C. Cunningham, A. M. Gregory. FRAZER, ELEANOR KAY, M.B., Ch.B., Registrar, Balla- Members: Drs. D. M. Carter; R. C. Cunningham; T. M. mona Hospital, Braddan, Isle of Man. Cuthbert; Professor F. J. Fish; Drs. J.E. O. Gillespie; J. S. Proposed by Drs. W. R. Costain, P. Sainsbury, A. R. Hughes; D. W. Kay; Professor W. I. N. Kessel; Drs. C. F. Jones. Lascelles; R. McDonald; R. Middlefell; M. Sim; Pro- MCALEER, DOMINIC JAMES, B.A., M.B., Ch.B., Registrar fessor E. Stengel; Drs. F. H. Taylor; C. Tetlow; W. L. in Psychiatry, Walton and Scarsdale Hospitals, Chester- Tonge. field, Derbyshire. Proposed by Drs. J. D. Stirland, A. R. Jones, F. G. Thorpe. Papers MCGREGOR, CHARLES MALCOLM, M.B., B.Chir., D.P.H., D.P.M., Senior Registrar, Towers Hospital, Leicester. DR. BRIAN WARD read an introductory paper Proposed by Drs. W. H. Reid, R. W. Lennon, D. M. entitled "Establishing a Psychiatric Unit at St. Carter. Luke's Hospital, Huddersfield", which was followed MULLEN, NORMAN ARTHUR JOHN, M.B., B.Ch., B.A.O., by a paper by DR. J. S. HUGHES on "The Commission- D.P.M., Medical Officer, H.M. Prison, Leicester. ing and Functioning of St. Luke's Psychiatric Unit". Proposed by Drs. I. G. W. Pickering, W. H. Reid, The Meeting then adjourned to Storthes Hall R. W. Lennon. NAIR, NEELAKANTA PILLAI VASAVAN, M.B., B.S., Hospital for lunch. M.R.C.P.G., D.P.M., Consultant Psychiatrist, Gar- The afternoon session comprised two further lands Hospital, Carlisle. papers; the first entitled "Classification of Depression: Proposed by Drs. J. R. Stuart, W. V. A. Erskine, A. A Clinician's View of New Ideas" by PROFESSOR MAX Stevenson. HAMILTON; the second "The Clinical Findings from SCARTH, LESLIE GEORGE, M.B., B.S., Registrar, Depart- 142 in-patient Depressives analysed in relationship to ment of Psychological Medicine, Newcastle General a Biochemical Criterion and also factorially" by Hospital. DR. W. M. ANDERSON. Proposed by Professor M. Roth, Drs. D. W. K. Kay, All these papers stimulated a keen and full discus- K. A. Day. SUFFLING, NORFORD JOHN, M.B., B.S., Registrar in sion. Psychiatry, Central Hospital, Hatton, Warwick. The Meeting ended with a tour of Storthes Hall Proposed by Drs. S. W. Gillman, E. S. Stern, C. Tetlow. Hospital, followed by tea. SCOTTISH DIVISION THE SUMMER MEETING of the Scottish Division was On the subject of prescription charges it was agreed held at Dingleton Hospital, Melrose, on Friday, 21 that the Division should make representation to the June, 1968. Council, the Scottish Home and Health Department The Division noted with regret the deaths of and the Mental Welfare Commission on behalf of Dr. David M. Kissen and Professor Frank Fish. psychiatric patients requiring long-term medication. The Report from the Committee of Management It was agreed that the Division's Observer, of its meetings on 6th June, 1968 and 2ist June, Professor I. R. C. Batchelor, be asked to enquire 1968 was read and accepted. whether representatives of the Division could have The following nominations were made for member- continuing discussions with the Scottish Postgraduate ship of regional boards: Medical Association on psychiatric education and North DR. M. M. WHITTET training, perhaps by joining a Working Party. North-East DR. R. A. Y. STEWART The following was elected an ordinary member of DR. G. E. FAULKNER the Association : East DR. P. B. WHATMORE FIELD, MICHAEL ALEXANDER SERGIEJEWIES, M.B., DR. P. G. AUNGLE Ch.B., Senior House Officer, Royal Dundee Liff South-East DR. A. K. M. MACRAE Hospital, Dundee. West DR. A. B. SOLARE Proposed by Dr. F. G. Aungle, Professor I. R. C. DR. G. C. TIMBURY Batchelor, Dr. G. C. Timbury. The programme for the day consisted of a large DR. A. P. RUSSELL was nominated for membership group discussion on COMMUNITY PSYCHIATRY IN THE of the Scottish Health Services Council, regarding the SCOTTISH BORDERS, opened by Dr. Maxwell Jones memorandum on training in Forensic Psychiatry, it and joined by members of the Division and by was agreed that comments on the Memorandum members of the Dingleton Staff, including repré- should be sent to Dr. P. B. Whatmore and that sentatives of administration, nursing, psychology, further considération of the Memorandum should social work, éducation and general practice. This be held over until the publication of the Report of multidisciplinary exercise remained lively, provo- the Working Party on Forensic Psychiatry of the cative, entertaining and always interesting, thanks to Standing Medical Advisory Committee. the skilful leadership of Dr. Maxwell Jones, to whom It was reported that Professor Batchelor had the Division is grateful for this hospitality and intimated that he was satisfied that the R.M.P.A. instruction. would be adequately represented on the Scottish Postgraduate Medical Association or any future central body, and that Regional Committees would THE AUTUMN MEETING of the Scottish Division also invite représentation from the R.M.P.A. was held at the Royal Dundee Liff Hospital on Friday, 27 September, 1968. The Report from the Committee of Management The programme for the day comprised three of its meeting on 27 September, 1968, was read and papers—"A Register Study of Diagnostic Pat- accepted. terns in Affective IUness in the U.S.A." read by Dr. A. M. Gray, Eastern District Hospital, "The The following were elected Ordinary Members of Battered Baby Syndrome" read by Dr. E. H. the Association : Bennie, Eastern District Hospital, and "School FLEMING, GAVIN, M.B., Ch.B., D.P.M., Senior Refusai in Severely Disturbed Adolescent Registrar, Department of Psychological Medicine, Psychiatric Patients" read by Dr. Margaret Southern General Hospital, Glasgow. Smith, Forensic Psychiatry Clinic, Glasgow. Each Proposedby Drs. H. I. Clapham, R. N. Herrington, paper was followed by questions and discussion, J. Duffy. and the Division is extremely grateful to the speakers MARSH, WILLIAM, M.A., M.B., Ch.B., Senior House for their contributions. Officer, Department of Psychological Medicine, Throughout the day excellent arrangements and Southern General Hospital, Glasgow. hospitality were provided, for which the Division Proposedby Drs. H. I. Clapham, R. N. Herrington, wishes to thank Dr. P. G. Aungle, Physician Super- J. Duffy. intendent, and his staff.

12 NOTICES BY THE HONORARY LIBRARIAN

The Library is open to members between the hours Annales Médico-Psychologiques. of 9 a.m. and 5 p.m. Mondays to Fridays. Books are Annali di Neurologia e Psichiatria. issued to borrowers during these hours. Archives of General Psychiatry. The Hon. Librarían will endeavour to obtain, as Archives of Neurology. far as possible, any books on psychiatry and allied Archivio di Psicologia, Neurologia, e Psichiatria. subjects required by members. Arquivos do Departamento de Assistência a Psicopatas do Estado de Sdo Paulo. Library Lending Department Regulations Arquivos de Neuro-Psiquiatria. 1. Books shall be lent to members within the Australia and New Zealand Journal of Psychiatry. United Kingdom and Eire who are not in arrears Bethlem-Maudsley Hospital Gazette. with their subscriptions. Bibliographia Neuropsychiatrica. 2. No member may borrow from the Library more Brain. than three volumes at one time. British Hospital and Social Services Journal. British Journal of Addiction. 3. Books and journals are sent carriage paid from British Journal of Criminology. the Library, but members are responsible for the British Journal of Medical Psychology. books from the time they leave the Library until they British Journal of Psychiatric Social Work. are received back, and for the return postage. British Journal of Psychiatry. 4. Books damaged or lost while in possession of a British Journal of Social Psychiatry. member will be repaired at his expense or must be British Journal of Social and Clinical Psychology. replaced by him. Bulletin of the Menninger Clinic. 5. A member shall be entitled to retain a book or Canada's Mental Health. periodical borrowed from the Library for a period of Canadian Psychiatric Association Journal. twenty-eight days (or Ionger by special arrangement), Central African Journal of Medicine. unless the book is required by another member, in Comprehensive Psychiatry. which case it can be recalled by the Librarían at the Czechoslovak Journal of Psychiatry. expiration of fourteen days. Digest of Neurology and Psychiatry Diseases of the Nervous System. 6. In the event of a member failing to return any L'Évolution Psychiatrique. book or periodical within seven days after receiving Excerpta Medica [Psychiatry]. notice from the Librarían (on the expiration of the Film User. period referred to in Rule 5), the Library Committee German Medical Monthly. shall be at liberty to purchase another copy, the cost Howard Journal of Penology and Crime Prevention. to be charged to such member, who shall not be Indian Journal of Psychiatry. allowed to borrow another book until the sum thus International Journal of Neuropsychiatry. expended shall have been paid. International Journal of Neurology. 7. All communications should be addressed to International Journal of Psychiatry. "The Librarían, R.M.P.A., Chandos House, 2 Queen International Journal of Psychoanalysis. Anne Street, London, W.i". International Journal of Social Psychiatry. Israel Annals of Psychiatry. Journals Jomal Brasileiro de Psiquiatria. The following Journals are available: Journal of Abnormal Psychology. A Crianza Portuguesa. Journal of American Academy of Child Psychiatry. Acta Neurologica. Journal of Analytical Psychology. Acta Psychiatrica Scandinavica. Journal of Child Psychology and Psychiatry. Acta Psiquiátrica y Psicológica de America Latina. Journal of the College of General Practitioners. Acta Psychologica Sínica [Chínese]. Journal of Comparative and Physiological Psychology. Actas Luso-Españolas de Neurología y Psiquiatría. Journal of the History of Behavioral Sciences. American Journal of Mental Deftciency. Journal of Individual Psychology. American Journal of Orthopsychiatry. Journal of Mental Deficiency Research. American Journal of Psychiatry. Journal of Mental Subnormality. American Journal of Psychotherapy. Journal of Nervous and Mental Disease. Anais Portugueses de Psiquiatría. Journal of Neurology, Neurosurgery and Psychiatry. 13 Journal of Neuropathology and Psychiatry [Korsakov, Gaskell Medal and Prize Russian]. The examination for the Gaskell Medal and Prize Journal of Psychology. is held in May of each year. An entrance fee of £3 3s. Journal of Psychosomatic Research. is charged, returnable to bona fide candidates. Journal of the Royal College of General Practitioners. Entrance fees are due by 31 March. Mental Health. Mental Hygiene. Nordisk Psykiatrisk Tiddsskrift. Bronze Medal and Prize Pavlov Journal of Higher Nervous Activity [i?uííian]. Psychiatric Quarterly. Dissertations for the Association's Bronze Medal Psychiatry. and Prize should be forwarded to reach the Registrar Psycho-Analytic Quarterly. not later than 30 April in each year. Psychological Abstracts. Psychological Monographs. Psychological Record. Divisional Prizes Psychological Reports. Papers certified as eligible for this competition Psychosomatic Medicine. must be forwarded to reach the Registrar not later Psychosomatics. than 30 April in each year. Quarterly Journal of Studies on Alcohol. Revista Argentina de Neurología y Psiquiatría. Revista del Hospital Psiquiátrica de la Habana [Cuba]. BRITISH ASSOCIATION FOR SOCIAL Revista de Neuro-Psiquiatría. PSYCHIATRY Revista de Psicoanálisis, Psiquiatría y Psicología. The Second International Congress of Social Psychiatry Revista de Psicología General y Aplicada. will be held at the Quinton and Kynaston School, Revista Psiquiátrica Peruana. Marlborough Hill, London, N.W.8, from 4th to 8th Revue de Médecine Psychosomatique. August, 1969. Subject: The Sick Society. Rivista di Neurología. Following this, an International Conference on Day Rivista di Patología Nervosa e Mentale. Hospitals and Community Services will be held at Bedford Scientific Film. College, Regent's Park, London, N.W.i, from uth Social Psychiatry. to i3th August, and an International Conference on West Indian Medical Journal. Self-Govemed Units (such as therapeutic social clubs, W.H.O. Chronicle. therapeutic communities, N.N., A.A., Samaritans, World Mental Health. etc., will be held at Bedford College from i3th to i5th August. THE ASSOCIATION'S MEDALS AND There will also be an International Post-Graduate PRIZES Seminar at Queen's College, Oxford, from i8th to Attention is specially drawn to the Medals and 22nd August, 196g. Prizes which are offered annually by the Association. Information from the British Association for The conditions of award are set out fully in the Social Psychiatry, 7 Hollycroft Avenue, London, Year-Book. N.W.3.

'4 PRINTED IN GREAT BRITAIN BY HEADLEY BROTHERS LTD IO9 KINGSWAY LONDON WC2 AND ASHFORD KENT