Using psychoanalytic insights, Levine shows the advantages of the geographic full-time system in medical schools, wherein a member of the staff devotes twenty-five to thirty hours a week to department activities and has the rest of his time for private practice. Among the problems in support of the thesis is the dependence of staff members upon the head of the department for security, income, and tenure, all of which reactivate previous family problems of dependence and aggression. The geographic full-time arrangements may minimize the neurotic acting out of staff members against directors, and among themselves, since opportunities for realistic adult independence are possible. Likewise there are advantages to the director, especially if he has problems about leadership. The only point not considered, perhaps because it is obvious, is the relation of director and staff to the alma mater.