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REPORT OF THE DIRECTOR OF THE PSYCHIATRIC INSTITUTE FOR THE FISCAL YEAR 1913-1914

To the State Hospital Commission:

Gentlemen: When this Institute took part in the exhibit at the International Congress for Hygiene and Demography two years ago, and presented a general survey of its activities, the chief purposes which the Institute tries to fulfill were formulated as follows:

I. To stimulate a healthy medical spirit in the State hospitals; to furnish a collection of material both clinical and anatomical, together with the sources of information (library, etc.), so that important problems of psychiatry can be studied at first hand with adequate equipment; to suggest profitable lines of work for individual and collective studies; and to help clarify problems which arise in the course of the work.

These purposes are carried out mainly through—

(a) Courses given in psychiatry and correlated subjects to physicians in the State hospitals.

(b) The study of anatomical materials sent to the Institute from cases which have been studied clinically in the State hospitals. Upon this material, reports are made to the latter.

(c) Conducting meetings at which at least three hospitals unite; here studies made at the hospitals and at the Institute are discussed (proceedings printed in the State Hospital Bulletin). (d) Visits at the hospitals, as occasion arises, for the sake of consultation and assistance.

II.

Research into the nature, causes, and treatment of mental diseases.

The Institute has a clinical service consisting of two wards in the Manhattan State Hospital, Ward's Island, for the investigation of clinical problems, and laboratories for the investigation of anatomical and chemical problems associated with mental disorders.

It seemed to me appropriate to place this brief formulation of the objects of the Institute at the head of my report of this year's activity.

So far as the first part of the statement is concerned which