Brocher reviews the institutionalization of psychoanalytic training, including theoretical seminars, training (didactic) analysis and control analysis. He then gives a detailed description of the current organization of training in the United States and England, the current level of sophistication, institutional specialization and self-evaluation, and proposals for reform. A comparison is made of conditions in Germany. One of the most important results of American investigations concerning the internal structure of training institutes had been that analysts, concentrating on the psychoanalytic dyadic relationship, frequently overlook group-dynamic processes and organizational problems, which are of utmost significance for the efficacy of training programmes.