The Karen Horney Clinic

Work at the Karen Horney Clinic during its second year of existence continued successfully. All the expectations of what should be accomplished during this second year have been fulfilled most satisfactorily. The clinic performed as heretofore its task in serving the community and as a training and research center.

The medical staff consisting of fifty-six doctors donated a total of 9,495 hours, of which 7,695 were available for therapy and the remainder for medical administration, screening, and consultation. The special character of psychoanalytic treatment, with its often long-lasting therapy, resulted in a small turnover of patients; the principle applied in private practice to let a patient continue with the same therapist, unless special reasons motivated change, is also upheld in our clinic. The length of the treatment must, by necessity, create a special limitation on the intake of patients and makes a very careful admission policy essential. A great deal had been learned from the experiences of the acceptance of patients during the first year. The method of intake was modified. The Medical Director studied all incoming applications and each applicant considered for treatment had to take—besides the usual social work and psychiatric examinations—-a special psychological examination. In certain instances, as had been done in the past, special neurological and other examinations were required. If there was doubt about the advisability of admission, the case material of an applicant was submitted to the Medical Board of the clinic, consisting of a group of nine doctors who discussed the material in special conferences.

The individual and group therapy program as initiated during the previous year was continued. An addition to the clinic's services was the Child Guidance Unit. This new department is organized in such a way that children and at least one of their parents receive treatment, the children with one of the staff members with previous training in the fie