THIS PAPER, as an exercise in communication, falls somewhat short of the ideal. The authors, apparently steeped in the Bion model of group-process description, fail to describe it, allude to it only by referring to a whole book, and appear to assume that this will suffice for their readers. I'm afraid that they are far from correct. Few American psychiatrists have heard of it, and even fewer understand the Kleinian model from which it was drawn.

This sort of report, therefore, has an "in-group" quality, which leads this reader to suspect that the small group of writers may well proceed largely upon its enthusiasm for the model and the interpretations it allows, all the time paying less attention than it should to what the consultees are perceiving. We are told that the ward groups benefitted from the consultative efforts—and we hope that they did—but the evidence presented is hardly compelling.

At the same time, the enthusiasm shown by this new generation