Psychoanalytic Psychiatry and Psychology. Clinical and Theoretical Papers: Vol. I. Edited by Robert P. Knight and Cyrus R. Friedman. (New York: International Universities Press, 1954. Pp. vii + 391. $6.00.)

This volume contains 23 published papers by the professional staff of the Austin Riggs Center. The articles are grouped under three main heads—(1) Clinical; (2) Clinical Psychological; and (3) Theoretical. The subject-matter of the clinical papers gives a clear reflection of some of the problems which confront not only the medical personnel at the Austin Riggs Center but all psychiatrists who work in hospitals which cater for the severely ill psychoneurotic and the 'borderline' state. Of the nine papers in the Clinical section eight are concerned with problems of psychotherapy. The psychotherapy is entirely based on psycho-analytic principles, and modern developments in psycho-analytic ego psychology are given prominent consideration. The editor of the volume, R. P. Knight, contributes four papers to the Clinical section, two of which are essentially general statements regarding 'the present status of psychotherapies' and psychotherapeutic techniques. Three papers deal with extremely disturbed patients and illustrate how much can be achieved therapeutically by a psychotherapy which, although not psycho-analysis, utilizes the knowledge which psycho-analysis gives both in the assessment of the case and in its treatment. The Theoretical section of the book is dominated by four papers by David Rapaport. The first two are entitled 'The Conceptual Model of Psycho-Analysis' and 'The Autonomy of the Ego'. While the former is a closely reasoned, comprehensive and easily read statement of psycho-analytic metapsychology, the second, dealing with problems of ego psychology and turning upon questions raised in the first paper, is presented with brilliant simplicity. The papers in the Clinical-Psychological section will be of interest to the clinical psychologist.

This volume does not deal directly with clinical psycho-analysis. This is in part due to the type of patient resident at the Austin Riggs Center and, accordingly, the medical staff have been compelled to fit t