Gralnick discusses the principles and practice of the psychoanalytic training program at the New York Medical College. Franz Alexander, in discussion, sees the development of psychoanalytic training in conjunction with medical schools as the 'liquidation of a cultural lag'. Psychoanalytic institutes, he maintains, developed their independent organization of necessity when freudian theories were rejected by established psychiatry. Now that this alienation has been overcome, it is inevitable that medical schools should participate in teaching psychoanalysis. Alexander points to obstacles which must be overcome if the coöperation of the psychoanalyst and the medical school is to be achieved.