Table Of Content

Index to Volume 57 Authors Leichtman, Martin, 542 Allen, J.G., 124, 135, 273, 285, 287, Levine, L.V., 69 328, 403, 404, 405, 415, 546 Lewis, J.M., 458 Althof, S.E., 523 Mandelbaun, A., 413 Appelbaum, S.A., 33 Marcum, J.M., 479 Averill, S.C., 1, 544 Meissner, W.W., 267 Azim, H.F.A., 125 Menninger, W.W., 141, 208 Barnhart, F.D., 458 Mittleman, F.S., 539 Barth, J.T., 132 Mosqueda, R.A., 123 Bemporad, J.R., 260 Nace, E.P., 458 Benalcazar-Schmid, R., 133 Nagel, J.J., 492 Berg, Melvin, 266 Nathza, S., 127 Bowman, E.S., 402 Ohlde, C.D., 466 Bradshaw, S.L., Jr., 466 O’Malley, F., 265 Buchele, B.J., 362 Pawlicki, C.M., 380 Carson, D.I., 458 Pope, K.K., 100, 242 Charles, S.C., 195 Porter, S., 371 Chiapello, D.A., 227 Prager, S., 261, 411 Classen, C., 178 Reis, B.E., 309 Cline, D.W., 479 Resnick, P.J., 523 Coyne, L., 517 Richman, J., 533 Cross, L.W., 41 Safier, E.J., 264 Davidson, J., 412 Saloff-Coste, C.J., 504 Delgado, S.V., 242 Schwartz, F., 88 Deutsch, A., 88 Silver, J.M., 218 Diamond, M.J., 120 Sinnett, K.K., 281 Dies, R.R., 538 Smith, T.E., 88 Dougherty, K.C., 523 Smith, W.H., 328, 344 Emde, R.N., 242 Spiegel, D., 178 Epstein, R.S., 121 Stolorow, R.D., 450 Gabbard, G.O., 130, 541 Sutherland, J.D., 3 Gaumer, C., 380 Terkelsen, K.G., 88 Goldberg, S., 535 Thompson, G.S., 409 Goodwin, F.K., 146 Tortorici, J.S., 517 Grame, C.J., 355, 371, 517 Tuber, S.B., 69 Grotstein, J.S., 421 Twemlow, S.W., 118, 252, 399, 529 Hales, R.E., 218 Wilkinson, $.M., 262, 408 Hamburg, P., 504 Yudofsky, S.C., 218 Haynes, R.M., 523 Zerbe, K.J., 161, 271, 319 Healey, B.J., 410 Herzog, D.B., 504 Horne, J.B., 466 Book reviews Hough, G., 268 Baumeister, R.F.: Escaping the self, 123 Howard B.L., 458 Beal, E.W., @ Hochman, G.: Adult Janssen, E.T., 534 children of divorce, 264 Katz, J.B., 128, 259, 406, 536 Berger, L.S.: Substance abuse as symp- Keller, L.E., 122 tom, 122 Kelly, K.A., 371, 390 Broucek, F.J.: Shame and the self, 261 Klapheke, M.M., 126 Brown, P.: The hypnotic brain, 120 Klonoff, P.S., 227 Chance, S.: Stronger than death, 533 Koopman, C., 178 Clarkin, J.F., et al., eds.: Borderline Lage, G.A., 227 personality disorder, 410 Vol. 57, No. 4 (Fall 1993) 553 Index Etchegoyan, R.H.: The fundamentals of Structured Clinical Interview for psychoanalytic technique, 127 DSM-IV Dissociative Disorders, 405 Eyer, D.E.: Mother-infant bonding, 535 Stoller, R.J.: Pain & passion, 536 Feldman, S., ed.: Managed mental health Stoller, R.J.: Porn, 128 services, 534 Strenger, C.: Between hermeneutics and Framo, J.L.: Family-of-origin therapy, science, 266 413 Sussman, M.B.: A curious calling, 539 Goodwin, J.M.: Rediscovering child- Wallerstein, R.S., ed.: The common hood trauma, 402 ground of psychoanalysis, 260 Greenberg, J.R.: Oedipus and beyond, Wallwork, E.: Psychoanalysis and ethics, 542 267 Group for the Advancement of Psychia- try: Beyond symptom suppression, Audiovisual reviews 412 Brock, W.: A season in hell, 271 Halleck, $.L.: Evaluation of the psychia- Lewis, L., & Stover, D.: Head injury, 132 try patient, 126 Tollini, T.: Stories of change, 133 Hartocollis, P., @ Graham, I.D., eds.: The personal myth in psychoana- Names lytic theory, 268 Ackerknecht, E.H., 51fn Herman, J.L.: Trauma and recovery, Adamson, T.E., et al., 200-201 404 Ardrey, R., 469 Holmes, G.R., et al.: Adolescent group Armstrong, J.G., 337 therapy, 265 Asch, S.S., 59 Hudson, L., & Jacot, B.: The way men Atwood, G.E., et al., 451, 453 think, 409 Baars, B.J., 294, 300 Kaplan, L.J.: Female perversions, 262 Bacal, H.A., 453 Kluft, R.P., & Fine, C.G., eds.: Clinical Balint, M., 5,21 perspectives on multiple personal- Barlow, D.H., 297 ity disorder, 403 Bar-On, R., et al., 487 Mahoney, M.].: Human change pro- Becker, P., et al., 363 cesses, 408 Bell, R.M., 50 Maroda, K.J.: The power of Benedict, R., 51fn countertransference, 411 Berger, J., 42 McCleary, R.W.: Conversing with Berman, R., 118-119 uncertainty, 544 Bernstein, E.M., et al., 328-329 Meissner, W.W.: What is effective in Bion, W.R., 430, 432-433 psychoanalytic therapy, 259 Blank, A.S., 299 Oremland, J.D.: Interpretation and Blatt, S.J., et al., 83 interaction, 125 Bleuler, E., 88 Peterson, M.R.: At personal risk, 121 Block, C., 84 Piper, W.E., et al.: Adaptation to loss Bollas, C., 311 through short-term group psycho- Boris, H.N., 142 therapy, 538 Bower, G.H., 293 Reiser, M.F.: Memory in mind and Bowers, K.S., 294-295 brain, 124 Bowlby, J., 73, 76, 78, 297, 432 Rockland, L.H.: Supportive therapy for Braun, B.G., 296-297, 305, 338-339 borderline patients, 541 Bremner, J.D., et al., 181 Shapiro, E.R., & Carr, A.W.: Lost in Bretherton, I., 84 familiar places, 130 Brewer, W.F., 292 Sholevar, G.P., & Glenn, J., eds.: Psy- Bromberg, P.M., 316 choanalytic case studies, 406 Bruch, H., 60 Steinberg, M.: Interviewer’s guide to the Bynum, C.W., 50 554 Bulletin of the Menninger Clinic Index Calof, D., 360 Janet, P., 288, 301, 304, 314, 321 Carlson, E.B., et al., 331-334 Jantsch, E., 22 Caul, D., 362 f Johnson, S.M., 444 Charles, S.C., et al., 196 Kafka, J.S., 62 Conrad, J., 467 Kernberg, O.F., 13-14 Coons, P.M., et al., 362-363 Kestenberg, J., 43, 52, 54 Couch, N.P., et al., 202 Khan, M.M.R., 8, 16 Craik, F.I.M., 295 Kihlstrom, J.F., 292-293 Crowell, J.A., et al., 71, 73 Kihlstrom, J.F., et al., 289, 292 Dennett, D.C., 295, 302 Kinzel, A.F., 213-214 Deutsch, H., 47 Klein, D.F., 150 Doctors, S., 52, 54, 57, 58 Klein, M., 4-5, 422-427, 429-432, 435- Donahue, P., 60 437, 471-472 Edelman, G.M., 293, 294 Kluft, R.P., 298, 300, 301, 302, 303, Engel, G.L., et al., 247 309, 314, 334, 348, 352, 356, Erikson, E.H., 8-9, 12, 30-31 358-359 Eulenberg, A., 178 Kohut, H., 14-15, 228-229, 291, 428fn, Fairbairn, W.R.D., 5, 6-8, 174, 315, 450, 452, 453, 454 421-449 Kraepelin, E., 88, 96 Favazza, A.R., 49, 51, 55 Kroll, E., et al., 204 Favazza, A.R., et al., 57, 60 Labott, $.M., et al., 336 Field, T.M., 250 Lacan, J., 437 Fraser, G.A., 350 Laing, R.D., 20 Freud, A., 422-424 Lang, P.J., 297 Freud, S., 3-4, 6, 11, 15, 16-17, 18-19, Langbaum, R., 17 21-22, 41, 88, 288, 424-429, 432, Lerner, H.E., 42 433, 435, 436, 437-438, 442 LeShan, L., 36, 38-39 Fromm-Reichmann, F., 89 Lichtenstein, H., 8, 9-12, 15, 31 Gabbard, G.O., 290, 315, 442fn, 459, Lifton, R.J., 469-470 496 Loewenstein, R.J., 334 Gay, G.R., 224 Loewenstein, R.J., et al., 310, 314 Goldstein, K., 228, 229 Mahler, M.S., 12-13 Goodwin, F.K., 141 Main, M., et al., 71, 76 Gornick, V., 69 Marmeer, S.S., 314 Green, A., et al., 37 Matthysse, S., 293 Greenberg, J.R., et al., 6, 13, 21-22 McAllister, R.J., et al., 521 Grotstein, J.S., 166, 252-255, 315 McDougall, J., 166, 172 Groves, J.E., 204 Mefferd, R.B., et al., 210 Guntrip, H., 422 Menninger, J., 283 Gutheil, T.G., 199 Menninger, K.A., 281-284 Harris, M., 312 Menninger, R.W., 459 Hartmann, H., 8, 11-12 Minsky, M., 297 Hatcher, R.L., et al., 78 Mintz, I.L., 56-57 Herman, J.L., 299, 330-331 Mitchell, S.A., 76, 295 Hilfiker, D., 201-202 Mogul, S.L., 59 Himmelhoch, J.M., et al., 151 Montgomery, J.D., 48 Hoch, P., et al., 321 Noyes, R., Jr., et al., 181 Horowitz, M.J., 291, 297-298, 299, Ogden, T.H., 168, 173, 312, 314-315, 301, 304-305 471-472 Horowitz, M.J., et al., 213 Pao, P.-N., 49 Isaacs, S., 426 Peplau, H.E., 382 Jacobson, E., 13 Picasso, P., 319 Vol. 57, No. 4 (Fall 1993) Index Pine, F., 529-532 Wolf, E.S., 236 Podvoll, E.M., 60 Wolff, S., 103, 104 Popper, K.R., 290-291, 295 Wolff, S. et al., 104 Prince, M., 281 Yalom, I.D., 363 Pruyser, P.W., 340 Young, W.C., 289-290, 328 Putnam, F.W., 298, 301, 305 Yudofsky, S.C., 144 Reiser, M.F., 293-294 Zakin, D.F., 57-58 Rinsley, D.B., 421, 445 Zeanah, C.H., 73 Rolph, J.E., et al., 196 Zeanah, C.H., et al., 74, 75, 76 Rosen, I.C., 175, 399-401, 442f n Rosenthal, R.J., et al., 55 Subjects Ross, C.A., et al., 334, 362 Abreaction, hypnosis &, 350-352 Rourke, B.P., et al., 101-102 Abuse, child, 281-283 Sachs, R.G., et al., 372 cocaine, 218-226 Sacksteder, J.L., 166 group psychotherapy for, 366-368 Schacter, D.L., 291 multiple personality disorders &, Schwaber, E.A., 236 185-186, 187-188, 190, 305, 309- Shapiro, R.S., et al., 200 315, 372, 376 Shopper, M., 44 Acute stress disorders, trauma @&, 183- Siddall, A., 51fn 184 Silverman, L.H., et al., 39 Adolescents, motherhood &, 69-87 Smith, B.L., 312-313 Adult Attachment Interview, 69-87 Smith, H.M., 256-258 Aggression, cocaine abuse @, 218-226 Smith, J., 37 patients &, 208-217 Soloff, P.H., 215 Vietnam veterans @, 466-478 Sours, J.A., 45 Alliance, therapeutic, 236-238 Spiegel, D., 142-143, 289, 290, 291, Amnesia, trauma @&, 182, 185-187 295, 299, 301-302 Anger, brain injury &, 228-229 Spiegel, D., et al., 289 cocaine abuse &, 218-226 Steinberg, M., et al., 334-335 patients &, 208-217 Stern, D.N., 28, 29-31 Anorexia nervosa. See Eating disorders Sullivan, H.S., 89 Anxiety, performance, 492-503 Sutherland, J.D., 1-2, 422, 423 Art therapy, eating disorders &, 169- Suttie, I., 424fn 170 Tabin, C.J., et al., 53-54 Asceticism, eating disorders &, 60 Tabin, J.K., 53-54 Asperger’s syndrome, 103, 104 Tantam, D., 103 Assessment, of aggressive patients, 212- Tardiff, K., 208 214 Terr, L.C., 180, 186 of cocaine abuse, 222-223 Toch, H., 211, 214 partial hospitalization &, 391-393 Tracey, N., 312 research on psychiatric, 523-528 Travin, S., et al., 209 Attachment, mother-infant, 69-87 Trilling, L., 16-17, 18 Autism, treatment of, 101, 103-104 Trist, E.L., et al., 20-21 Autonomy, self &, 3-32 Vaillant, G.E., 142 van der Hart, O., et al., 304 Books in brief, 135-140, 273-280, 415- van der Kolk, B.A., et al., 297, 299 420, 546-551 Vogel, V.J., 51fn Borderline patients, litigation @, 199- Walker, E.A., et al., 187-188 200 Wilson, C.P., 53 Brain, cocaine abuse &, 219-221 Winnicott, D.W., 5-6, 38, 312, 316, Brain injury, self psychology &, 227- 366, 428, 436-437, 453 241 556 Bulletin of the Menninger Clinic Bulimia nervosa. See Eating disorders Defense mechanisms: denial, 180-181, 467-468 Case examples: dissociation, 180-181, 289-290, 298 brain injury, 229-230, 230-231, 232- projective identification, 161-162, 234, 234-235 173-174 eating disorders, 170, 171, 322-323, repression, 437-438 325 Denial, war &, 467-468 internal containment, 356-357, 357- Depression, pharmacotherapy for, 146- 358 153, 155-156 mother-infant attachment, 79-80, 80- suicide &, 141 82 Development, child, 165-168, 242-251, multiple personality disorders, 337- 425-431 338, 365-366, 367-368, 369-370, female, 41-48 377-378 of self, 3-32 performance anxiety, 496-498 Diagnosis, of dissociative disorders, Case reports: 328-343 eating disorder, 242-251 of eating disorders, 321-322 pervasive developmental disorder, Disorders, acute stress, 183-184 105-114 dissociative, 285-398 Child abuse, 281-283 eating, 41-68, 161-177, 242-251, multiple personality disorders &, 319-327, 504-516 185-186, 187-188, 190, 305, 309- multiple personality, 185-186, 187- 315, 372, 376 188, 190, 305, 309-318, 344-354, Children, abuse of, 281-283 371-379, 390-398 eating disorders &, 165-168, 242-251 personality, 88-99 mothers @&, 69-87, 425-431 pervasive developmental, 100-117 multiple personality disorders &, posttraumatic stress, 184-185, 473- 185-186, 187-188, 190, 305, 309- 474, 488-489 315, 372, 376 Dissociation, trauma @, 178-194 pervasive developmental disorders &, Dissociative disorders, 285-398 100-117 child abuse @, 185-186, 187-188, Clarification, 551 190, 281-283, 305, 309-315 Clinical case series: diagnosis of, 328-343 eating disorder, 242-251 eating disorders &, 319-327 pervasive developmental disorder, group psychotherapy for, 362-370 100-117 self-mutilation &, 380-389 Clinical practice, 141-226 Dissociative Experiences Scale, 331-334 Cocaine abuse, aggression @&, 218-226 Collaboration, nutritionist-psychothera- Eating disorders, children &, 165-168, pist, 504-516 242-251 Combat stress reactions, Iraqi prisoners dissociative disorders &, 319-327 of war &, 479-491 nutritionists &, 504-516 Consciousness, dissociative disorders @, self-mutilation &, 48-63 294-295 treatment of, 161-177 Corrections, 140, 420 Education, about dissociative disorders, Countertransference, eating disorders 296-304, 373-375 &, 161-165, 173-174 about eating disorders, 169-171 nutritionists @&, 508-510, 512 Endopsychic structure, of W.R.D. self-mutilation &, 388 Fairbairn, 428-429, 438-443 Creativity, psychic healers &, 36 Ethics, doctor-patient relationships &, Culture, self &, 16-21 203-205 Vol. 57, No. 4 (Fall 1993) Index Etiology, of multiple personality disor- C.F. Menninger Memorial Hospital, ders, 309-315 163, 169-171, 517-522 of self-mutilation, 381-382 Partial Hospitalization Service, 371- Evaluation. See Assessment 379, 390-398 Evolution, of self, 9, 18, 21-27 Mothers, eating disorders &, 165-168 infants &, 69-87, 425-431 Family therapy, for multiple personality Multiple personality disorders, child disorders, 371-379 abuse @, 185-186, 187-188, 190, religious patients &, 521-522 305, 309-315, 372, 376 Fusion, multiple personality disorders family therapy for, 371-379 &, 352-353 hypnosis &, 344-354 partial hospitalization &, 390-398 Gender, psychiatric assessment @, 523- psychoanalytic perspective on, 309- 528 318 Grandiosity, psychic healers &, 37, 39 trauma @&, 185-186 Group psychotherapy, for dissociative disorders, 362-370 Narcissism, eating disorders &, 60-61 Neurobiology, of cocaine abuse, 219- History, of psychoanalysis, 421-449 221 Hospitalization, self-mutilation &, 383- Nursing, eating disorders @, 324 389 self-mutilative patients &, 380-389 Hypnosis, dissociative disorders &, 338- Nutrition therapy, psychotherapy ¢, 340, 344-354 504-516 trauma @, 189-190 Object relations theory, mother-infant Identity, self, 3, 8-9, 12 attachment @&, 69-87 Incest, group psychotherapy for, 366- multiple personality disorders &, 368 311-313, 316 Infants, mothers &, 69-87, 425-431 W.R.D. Fairbairn &, 421-449 Integration, multiple personality disor- Oedipus complex, religion @, 252-255 ders &, 352-353 Intentionality, self @, 29-30 Partial hospitalization, multiple person- Internal containment, dissociative disor- ality disorders &, 390-398 ders &, 355-361 Performance anxiety, musicians c&, 492- Intersubjectivity, treatment &, 450-457 503 Personality, performance anxiety ¢, Krohn Object Representation Scale, 69-87 494-495 of psychic healers, 35-38 Law, psychiatry @, 195-207 Personality change, war @, 466-478 Light therapy, depression @, 154-155 Personality disorders, schizophrenia &, 88-99 Malpractice, doctor-patient relation- Pervasive developmental disorders, 100- ships @, 195-207 117 Marriages, of physicians, 458-465 Pharmacotherapy, for cocaine abuse, Masochism, 399-401 223-224 Medication. See Pharmacotherapy for depression, 146-153, 155-156 Memories, dissociative disorders &, Physicians, marriages of, 458-465 289-302 Posttraumatic stress disorders, Iraqi hypnosis @, 350-352 prisoners of war @, 488-489 trauma @&, 182, 185-187 trauma @, 184-185 Menninger: Vietnam veterans @, 473-474 Children’s Division, 100-117, 242-251 Pregnancy, eating disorders &, 59 558 Bulletin of the Menninger Clinic Index Projective identification, eating disorders Repression, object relations theory &, e&, 161-162, 173-174 437-438 Psychiatric hospitals: Research, attachment, 69-87 Menninger, 100-117, 163, 169-171, on combat stress reactions, 479-491 242-251, 371-379, 390-398, 517- on physicians’ marriages, 458-465 522 on psychiatric assessment, 523-528 New York Hospital-Westchester on psychic healing, 33-40 Division, 88-99 on schizophrenia, 88-99 Psychic healing, research on, 33-40 on treatment of religious patients, Psychoanalysis, history of, 421-449 517-522 intersubjectivity &, 450-457 Resistance, Vietnam veterans @&, 474- of psychotherapists, 256-258 477 spirituality @, 252-255 Psychoanalytic theory, integration of, Sadomasochism, eating disorders &, 61- 529-532 62 of multiple personality disorders, Schizoid personality, 426-429, 431-433 309-318 Schizophrenia, personality disorders @&, of self, 3-32 88-99 of W.R.D. Fairbairn, 421-449 Self, autonomy &, 3-32 Psychodynamic perspective, on perfor- Self psychology, brain injury ¢&, 227-241 mance anxiety, 492-503 intersubjectivity &, 450-457 Psychological testing, dissociative disor- Self-mutilation, dissociative disorders @, ders &, 335-337 380-389 of psychic healers, 33-40 eating disorders c, 48-63 Psychopharmacology. See Sexual abuse, group psychotherapy for, Pharmacotherapy 367-368 Psychosomatic illnesses, eating disorders multiple personality disorders &, as, 161-177 185-186, 187-188, 190, 305, 311, Psychotherapists, psychoanalysis of, 313-314, 376 256-258 Sexual conflicts, eating disorders &, 57- Psychotherapy, group, 362-370 58 for multiple personality disorders, multiple personality disorders &, 344-354 372, 376-377 nutrition therapy &, 504-516 Sexuality, female, 42-48 for performance anxiety, 496-502 Sleep deprivation therapy, depression ¢, for pervasive developmental disor- 153-154 ders, 110-113 Spirituality, psychiatric treatment &, See also Therapy, Treatment 517-522 psychoanalysis &, 252-255 Racial groups, psychiatric assessment ¢, Stage fright, musicians &, 492-503 523-528 Suicide, depression &, 141 Rehabilitation, brain injury @&, 227-241 litigation &, 199-200 Relationships, analyst-patient, 450-457 self-mutilation &, 386 doctor-patient, 195-207 mother-child, 27-29, 69-87, 165-168, Theory, attachment, 69-87 425-431 of autonomous self, 3-32 nurse-patient, 324, 383-384 of dissociative disorders, 287-308, nutritionist-psychotherapist, 504-516 309-318 physician-spouse, 458-465 of eating disorders, 163-168 Religion, psychiatric treatment , 517- of intersubjectivity, 450-457 522 object relations, 69-87, 421-449 psychoanalysis &, 252-255 of trauma, 180-181 Vol. 57, No. 4 (Fall 1993) Index Therapeutic alliance, brain injury @, of brain injury, 236-239 236-238 of cocaine abuse, 223-224 Therapy, art, 169-170 of depression, 146-160 family, 371-379 of dissociative disorders, 315-316, group, 362-370 344-354, 355-361, 362-370, 371- light, 154-155 379, 380-389, 390-398 nutrition, 504-516 of eating disorders, 161-177, 242- sleep deprivation, 153-154 251, 322-325, 504-516 See also Psychotherapy, Treatment of pervasive developmental disorders, Topeka Psychoanalytic Society, Transac- 108-114 tions of, 118-119, 252-258, 399- of religious patients, 517-522 401, 529-532 of self-mutilation, 380-389 Training, of group psychotherapists, of trauma, 188-191 369-370 of Vietnam veterans, 474-477 Transference, eating disorders @, 508- See also Pharmacotherapy, Psycho- 510 therapy, Therapy intersubjectivity &, 451-456 trauma @&, 190-191 Vietnam veterans, personality change &, Transitional objects, eating disorders ¢, 466-478 62 The Villages, 281, 283 Trauma, dissociation &, 178-194 Violence, cocaine abuse @&, 218-226 dissociative disorders @, 288, 296- patients @, 208-217 302, 305 Visualization, dissociative disorders @&, Iraqi prisoners of war @, 479-491 355-361 multiple personality disorders &, 309-315 War, combat stress reactions &, 479- Vietnam veterans @, 466-478 491 Treatment, of aggressive patients, 208- personality change &, 466-478 217 Women, eating disorders &, 48-63 of autism, 101, 103-104 machismo @&, 118-119 Statement of ownership, management, and circulation of the Bulletin of the Menninger Clinic, required by Act of August 12, 1970, Section 3685, Title 39, United States Code. Filed September 22, 1993. The Bulletin of the Menninger Clinic (publication no. 076-820) is published quarterly by The Menninger Clinic, 5800 SW 6th Avenue, PO Box 829, Topeka, Kansas 66601-0829. Editor: Jon G. Allen, PhD, The Menninger Clinic. Managing Editor: Philip R. Beard, MDiv, MA, The Menninger Clinic. Owner: The Menninger Foundation (a nonprofit corporation). Known bondholders, mortgagees, and other security holders owning or holding 1% or more of total amount of bonds, mortgages, or other securities: None. The purpose, function, and nonprofit status of this organization and the exempt status for federal income tax purposes have not changed during the preceding 12 months. Circulation: Actual number of copies of single issue published nearest to filing date: 2,500. Average number of copies printed for each issue during preceding 12 months: 2,426. Average total paid and/or requested circulation each issue during preceding 12 months (all mail subscriptions): 2,069. Free distribution: 43. Average total distribution each issue during preceding 12 months: 2,112. Office use, left over, unaccounted, spoiled after printing (average number of copies each issue during preceding 12 months): 313. Average total each issue during preceding 12 months: 2,426. I certify that the statements made by me above are correct and complete. Philip R. Beard, Managing Editor. 560 Bulletin of the Menninger Clinic ad bea }