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Division of Clinical Neuropsychology
Newsletter 40
American Psychological Association
Volume IV, Number 2 August 1986
Election Results
Results of the annual spring executive committee election are as follows:
President-elect Byron P. Rourke
Treasurer Raymond Dean
Member-at-Large Jeffrey Barth
Council Representatives Linas Bieliauskas Manfred Meier
Division 40 Convention Program
Division 40's program for the APA convention in Washington, D.C., will
address scientific and professional issues ranging from the implications
of neurobiological processes for cognitive reorganization to models of
clinical training for neuropsychologists.
For the first time, a conversation hour has been scheduled (4:00, Saturday)
to discuss the controversial topic of cognitive retraining. This immediately
follows a symposium on the same topic.
As customary, a Division day has been scheduled to allow concentration
of invited addresses, symposia, the presidential address, the business
meeting and the social hour.
This year's program committee included Linas Bieliauskas (chair), Polly
Pechstedt (co-chair), Carl Dodrill, Alan Goldberg, Susan Filskov, Alfred
Kaszniak, Robert Wilson, and Allan Yozawitz.
A full listing of the Division 40 schedule can be found on page 2 of
the Newsletter.
Newsletter Note
Due to the change in position of Newsletter 40 editor Roberta White,
this is the last issue which will be typeset and organized in Boston. The
contribution of the Boston University Educational Media Department to the
appearance and publication of the Newsletter in its present format has
been substantial. Alice Vickery has been particularly invaluable in her
assistance in layout and design.
Current addresses of the editorial board can be found on page 2. August 1986
ABPP to Recognize Arthur Benton
The American Board of Professional Psychology will be awarding its
Distinguished Contribution Award to Professor Emeritus Arthur Benton (University
of Iowa) at its convocation during the APA meetings in Washington, D.C.
Professor Benton will be given the award before addressing the convocation
to be held in Atrium II of the Washington Sheraton Hotel from 11:OO a.m.
to 12:50 p.m. on Sunday, August 24. Professor Benton represents the first
diplomate of the American Board of Clinical Neuropsychology/-American Board
of Professional Psychology to receive this honor which is conferred on
the basis of an ABPP-wide membership election. His presentation is entitled
Birth and Growth of a Clinical Specialty.”
Executive Committee, Division 40, 1985-86
President: Manfred Meier
President-elect: Edith Kaplan
Past president: Lawrence Hartlage
Secretary: Kenneth Adams
Treasurer: Raymond Dean
Members-at-large:
Linas Bieliauskas
Cecil Reynolds
Byron Rourke
Council representative: Thomas Boll
Newsletter editor: Roberta White
Chairpersons, standing committees:
Membership: Gordon Chelune
Fellowships: Otfried Spreen
Program: Linas Bieliauskas
Chairpersons, ad hoc committees:
Division 40/INS Task Force, and Legislation: Stanley Berent
Ethnic minorities: Alonzo Campbell
Gay concerns: James Quinlan
Computers in neuropsychology: Charles Matthews
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Newsletter 40
Newsletter 40 is the official newsletter of the Division of Clinical
Neuropsychology (Division 40) of the American Psychological Association.
It is published biannually.
Staff:
Roberta Firnhaber White, Editor
CFOB - PO Box 056
Department of Psychiatry
Univ. of Michigan Medical Center
Ann Arbor, Ml 48104
Mark B. Moss, Associate Editor
Boston University Medical Center
Department of Neurology
720 Harrison Ave., Suite 707
Boston, MA 02118
Thursday, August 21
l:00-4:50, Presidential (S)
Task Force on Education, Credentialing, and Accreditation in Clinical
Neuropsychology
Chair: Stanley Berent
Friday, August 22
10:00-l 1:50, Idaho (SW)
Paper Sessions: Issues in Cerebral Lateralization of Functions
Chair: Robert Bornstein
1:00-l :50, Exhibit Hall (WH)
Poster Session: Developments in Assessment and Intervention in Clincal
Neuropsychology
Chair: James Youngjohn
2:00-3:50, Calvert (SW)
Paper Session: Blue Ribbon Research in Clinical Neuropsychology
Chair: Linas Bieliauskas
4:00-7:50 Executive Committee Meeting
Chair: Manfred Meier
Saturday, August 23
9:00-9:50, Exhibit Hall (WH)
Poster Session: Trauma, Disease, and Cognitive Functioning.
Chair: Jack Fletcher
10:00-l 1:50, Executive (S)
Paper Session: Substance Abuse and Cognitive Functioning Chair: Nelson
Butters
l :00-2:50, Calvert (S)
Symposium: Applications of Multivariate Methods in Neuropsychology
Chair: James Schear
3:00-3:50, Capitol (S)
Symposium: Cognitive Rehabilitation Software. Therapy or Adjunct? A
Call for Standards
Chair: Bruce Becker
4:00-4:50, Capitol (S)
Conversation Hour: Computer Assisted Cognitive Retraining Programs:
Pros and Cons
Chair: Byron Rourke
Sunday, August 24
9:00-9:50, Capitol (S)
Invited Address - Ursula Bellugi and Howard Poizner: What the Hands
Reveal about the Brain
Chair: Polly Pechstedt
11:00-l 1:50, Wilmington (SW)
Invited Address - Allan Mirsky: From Worcester to Haifa: Fifty Years
of Attention Research in Neuropsychiatry
Chair: Nelson Butters
l:00-2:50, Hampton (S)
Symposium: Altering Cognitive Processes: A Psychobiological Perspective
Chair: Herbert Weingartner
4:00-4:50, Diplomat (S)
Presidential Address - Manfred Meier: Continuing Education: An Alternative
to Respecialization in Clinical Neuropsychology
Chair: Lawrence Hartlage
5:00-5:50, Diplomat(S)
Business Meeting
Chair: Manfred Meier
6:00-7:50, Diplomat(S)
Social Hour
Chair: Linas Bieliauskas
Monday, August 25
9:00-9:50, Exhibit Hall (WH)
Poster Session: Neuropsychological Performance Patterns in Conditions
with Physical and Psychiatric Etiologies
Chair: Robert Hart
11:00-l2:50, Rockville (SW)
Symposioum: Specialty Developments and Credentialing in Clinical Neurops
ychology and Forensic Psychology
Chair: Manfred Meier
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Newsletter 40
l :00-2:50, Wisconsin (SW)
Symposium:Neurops ychological Applications in Psychiatric Disorders
Chair: Murdo Dowds
3:00-4:50, Kansas (SW)
Paper Session: Cognitive and Behavioral Sequelae of Head Injury
Chair: Lloyd Cripe
Tuesday, August 26
9:00-9:50, Idaho (SW)
Symposium: Issues in the Neuropsychological Application of Information
from the WAIS-R
Chair: Kenneth Adams
10:00-l 0:50, Woodley (SW)
Paper Session: Cognitive Changes in Alzheimer Disease Chair: David
Berry
The division has also agreed to co-sponsor a number of programs from
other divisions which would be of interest to our members. These include
invited addresses, papers, and symposia, including an invited address by
Vernon Mountcastle to Division 6. Please check your program for exact time
and place.
S = Shoreham Hotel
WH = Washington Hilton
SW = Sheraton-Washington
CH = Capitol Hilton
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Newsletter 40
INS/Division 40 Guidelines Approved
The following guidelines for doctoral and post-doctoral training developed
by the Division 40/INS task force on education and credentialing were approved
by the Division 40 Executive Committee March 14-15 and by the Executive
Committee of the International Neuropsychological Society at its European
meeting in June in Veldhoven, Holland. The guidelines on doctoral internship
already approved by both organizations were previously published in Newsletter
40 (1984).
INS-Divison 40 Task Force on Accreditation Education and Credentialling
Guidelines for Doctoral Training Programs in Clinical Neuropsychology
Doctoral training in Clinical Neuropsychology should ordinarily result
in the awarding of a Ph.D. degree from a regionally accredited university.
It may be accomplished through a Ph.D. program in Clinical Neuropsychology
offered by a psychology department or medical faculty or through the completion
of a Ph.D. program in a related specialty area (e.g. Elinical Psychology)
which offer sufficient specialization in Clinical Neuropsychology.
Training programs in Clinical Neuropsychology prepare students for
health service delivery, basic clinical research, teaching and consultation.
As such they must contain (a) a generic psychology core, (b) a generic
clinical core, (c) specialized training in the neurosciences and basic
human and animal neuropsychology, (d) specific training in clinical neuropsychology.
This should include a 1800 hour internship which should be preceded by
appropriate practicum experience.
A. Generic Psychology Core
1. Statistics and Methodology
2. Learning, Cognition and Per-ception
3. Social Psychology and Personality
4. Physiological Psychology
5. Life Span Developmental
6. History
B. Generic clinical Core
1. Psychopathology
2. Psychometric Theory
3. Interview and Assessment Techniques
a. Interviewing
b. Intelligence Assessment
c. Personality Assessment
4. Intervention Techniques
a. Counselling and Psychotherapy
b. BehaviorTherapy/Modification
c. Consultation
5. Professional Ethics
C. Neurosciences and Basic Human and Animal Neuropsychology
1. Basic Neurosciences
2. Advanced Physiological Psychology and Pharmacology
3. Neuropsychology of Perceptual, Cognitive and Executive Processes
4. Research Design and Research Practicum in Neuropsychology
D. Specific Clinical Neuropsychological Training
1. Clinical Neurology and Neuropathology
2. Specialized Neuropsychological Assessment Techniques
3. Specialized Neuropsychological Intervention Techniques
. Assessment practicum children and/or adults in University Supervised
Assessment Facility
5. Clinical Neuropsychological Internship of 1800 hours preferably
in university facility. (As per INS-Div. 40 task force guidelines). Ordinarily
this internshipwill becompleted in a single year but in exceptional circumstance
may be completed in a two-year period.
E. Doctoral Dissertation
It is recognized that the completion of a Ph.D. in Clinical Neuropsychology
prepares the person to begin work as a clinical neuropshychologist. In
most jurisdictions, an additional year of supervised clinical practicewill
be required in order to qualify for licensure. Furthermore, training at
the post-doctoral level to increase both general and subspecialty competencies,
is viewed as desirable.
Post-Doctoral Training in Clinical Neuropsychology Post-doctoral training, as described herein, is designed to provide clinical training to produce an advanced level of competence in the specialty of clinical neuropsychology. It is recognized that clinical neuropsychology is a scientifically- based and evolving discipline and that such training should also provide a significant research component. Thus, this report is concerned with post-doctoral training in clinical neuropsychology which is specifically geared toward producing independent practitioner level competence which includes both necessary clinical and research skills. This report does not address training in neuropsychology which is focused solely on research.
Entry Criteria
Entry into a clinical neuropsychology post-doctoral training program
ordinarily should be based on completion of a regionally accredited Ph.D.
graduate training program in one of the health service delivery areas of
psychology or a Ph.D. in psychology with additional completion of a respecialization”
program designed to meet equivalent criteria as a health services delivery
program in psychology. In all cases, candidacy for post-doctoral training
in clinical neuropsychology must be based on demonstration of training
and research methodology designed to meet equivalent criteria as a health
services delivery professsional in the scientist-practitioner model. Ordinarily,
aclinical internship, listed by the Association of Psychology Intern-ship
Centers, must also have been completed.
General Considerations
A post-doctoral training program in clinical neuropsychology should
be directed by a board certified clinical neuropsychologist. In most cases,
the program should extend over at least a two-year period. The only exception
would be for individuals who have completed a specific clinical neuropsychology
specialization in their graduate programs and/or a clinical neuropsychology
internship (Subcommittee Report of the Task Force, 1984) provided the exit
criteria are met (see below). As a general guideline, the postdoctoral
training program should provide at least 50% time in clinical service and
at least 25% time in clinical research.Variance within these guidelines
should be tailored to the needs of the individual. Specific training in
neuropsychology must be provided, including any areas where the individual
is deemed to be deficient (testing, consultation, intervention, neurosciences,
neurology, etc.).
Specific Considerations
Such a post-doctoral training program should be associated with hospital
settings which have neurological and/or neurosurgical services to offer
to the training background. Necessary training should be provded in both
adidactic and experiential format and should include the following:
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Didactic Training
A. Training in neurological and psychiatric diagnosis.
B. Training in consultation to neurological and neurosurgical services.
C. Training in direct consultation to psychiatric, pediatric, or general
medical services.
D. Exposure to methods and practices of neurological and neurosurgical
consultation (Grand Rounds, Bed Rounds, Seminars, etc.).
E. Observation of neurosurgical procedures and biomedical tests (revascu-larization
procedures, cerebral blood flow, WADA testing, etc.).
F. Participation in seminars offered to neurology and neurosurgery
residents (neuropharmacology, EEG, brain cut-ting, etc.)
G. Training in neuropsychological techniques, examination, interpretation
of test results, report writing.
H. Training in consultation to patients and referral sources.
I. Training in methods of intervention specific to clinical neuropsychology.
J. Seminars, readings, etc., in neuropsychology (case conferences,
journal discussion, topic-specific semi-nars).
K. Didactic training in neuroanatomy, neuropathology, and related neurosciences.
Experiential Training
A. Neuropsychological examination and evaluation of patients with actual
and suspected neurological diseases and disorders.
B. Neuropsychological examination and evaluation of patients with psychiatric
disorders and/or pediatric or general medical patients with neurobehavioral
disorders.
C. Participation in clinical activities with neurologists and neurosurgeons
(Bed Rounds, Grand Rounds, etc.).
D. Experience at a specialty clinic, such as a dementia clinic or epilepsy
clinic, which emphasizes multidisciplinary approaches to diagnosis and
treatment.
E. Direct consultation to patients involving neuropsychological assessment.
F. Direct intervention with patients, specific to neuropsychological
issues, and to include psychotherapy and/or family therapy where indicated.
G. Research in neuropsychology, i.e., collaboration on a research project
or other scholarly academic activity, initiation of an independent research
project or other scholarly academic activity, and presentation or publication
of research data where appropriate.
Exit Criteria
At the conclusion of the post-doctoral training program, the individual
should be able to undertake consultation to patients and professionals
on an independent basis. Accomplishment in research should also be demonstrated.
The program is designed to produce a competent practitioner in the areas
designated in Section B of the Task Force Report (1981) and to provide
eligibility for certification in Clinical Neu-ropsychology by the American
Board of Professional Psychology.
References:
Report of the Task Force on Education, Accreditation and Credentialing.
The INS Bulletin, 1981, 5-10. Newsletter 40, 1984, 2, 3-8
Report of the Subcommittee on Psychology Internships. Newsletter 40,
1984, 2, 7. The INS Bulletin, 1984, 33. APIC Newsletter, 1983, IX, 27-28.
Minutes
Division of Clinical Neuropsychology (40)
American Psychological Association
Midwinter Meeting of the Executive Committee (EC)
March 14-15, 1986
American Psychological Association Headquarters, Washington, D.C.
Attending: Adams, Berent, Bieliauskas, Boll, Chelune, Kaplan,
Matthews, Meier, Rourke, White
Regrets: Dean, Hartlage, Reynolds
1. Order. The meeting was called to order by President Meier. Meier thanked the committee members for their attendance at the meeting during a very busy time.
2. Minutes. Minutes of the previous Executive Committee had been circulated to the EC in advance. President Meier asked for any points requiring attention. It was suggested that the previous minutes did not reflect the fact that Linas Bieliauskas was asked and assented to serve as Chairman of the Program Committee for an additional year. The record has been changed to reflect this fact. Hearing no further requests or points, the EC (Rourke-Bieliauskas) voted approval unanimously.
3. Treasurers Report. Raymond Dean provided a mid-term report of expenditures. The EC reviewed this document, and suggested that an additional $1,000 expense expenditure be allocated by the Treasurer for the second Council Representative for the Division in light of the successful apportionment vote last fall. This would only figure in next year's budget plans as the new representative will be seated until January 1987. President Meier reminded officers and committee heads to prepare 1986-1987 budgets for the Treasurer in the early summer so that these could be integrated with the Treasurer's estimates at the August meeting. All other offices and expenses appeared to fall within expected limits.The EC (Kaplan-Boll) voted approval of this report with the budget modification.
4. Council of Representatives. Boll reviewed recent discussions
of this body, with special reference to the document proposing APA reorganization,
In brief, the report suggests that APA be subdivided into four separate
societies reflecting certain constituencies. Many details would remain
to be worked out, but the clear intent of the proposal is to prevent over-representation
in APA governance structures by applied or health psychologists.
The EC received this document prior to this meeting and much discussion
ensued. The clear consensus of the EC was in opposition to the reorganization
proposal. It was felt that sufficient care and sensitivity to non-professional,
non-clinical, scientific, and other problems was possible given the current
APA structure.
At the same time, the EC expressed strong support for streamlining
APA, cutting unnecessary committees, and deliberate avoidance of ill-advised
financial adventures” not supported by the dues-paying membership (such
as the purchase of Psychology Today).
The EC voted (Berent-Bieliauskas) unanimously to empower President
Meier to communicate these sentiments to the APA leadership. In addition,
further discussion and comment by all Division 40 members would be solicited
before and during the annual meeting in Washington. In another development,
Thomas Boll described work being done towards a
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definition of psychology. Further work and comment will be directed by Stanley Berent on the Division's behalf.
5. Division 40-INS Task Force. Stanley Berent reviewed the work of the Division 40-INS Task Force. The principal document for review at this EC meeting was the completed draft on Guidelines for Post Doctoral Training. Approval in principle has been given by both Division 40 and INS after numerous hours of committee work. At this time the EC voted (Rourke-Bieliauskas) approval of the Guidelines. This marks the third and final set of approved documents encompassing predoctoral, internship, and postdoctoral training in clinical neuropsychology. The newsletter editor, Roberta White, will undertake printing of these guidelines in the Newsletter. In related matters, the EC approved the current structure and need for the revised task force and gave unanimous assent (Boll-Kaplan) for its continuation with appreciation to Stanley Berent. Future work for this task force will center on definitions of practice and principles to guide laymen and administrators.
6. Membership. Gordon Chelune presented his membership report. Divison 40 is in excess of 1,600 members and has earned a second seat on council as a result. New applications and requests are being handled at a rapid rate. Special arrangements have been made to provide Division 40 applications at related meetings of interest. Requests concerning student membership and other affiliations were reviewed, and the EC deemed the Newsletter to be the most effective mechanism for communication, given the current membership structure of APA and the Division Bylaws. The EC expressed unanimous appreciation and support for Gordon Chelune's efforts in this successful membership year.
7. Fellowships. President Meier with the EC the written report of Otfried Spreen concerning fellowships. Discussion ensued on recent fellow nominations to APA and the EC expressed its views. Unanimous appreciation to Otfried Spreen and his committee for this work was articulated by the EC.
8. Nominations/Election. The Executive Committee reviewed the status of nominations, and concluded that a representative slate needed to be formed post-haste, given the lack of a committee report and the impending deadline of the APA governance office. Kenneth Adams was designated by EC motion (Berent-Boll) to poll an ad-hoc committee of previous presidents of the Division to accomplish this aim, with final approval to be given by the President.
9. Program. Linas Bieliauskas described current scientific program
work. There were 102 papers submitted for the annual meeting. Approximately
70% of papers were accepted. Quality of papers is reasonable, and the balance
bf papers is good. Each paper is reviewed by four separate reviewers. President
Meier discussed some special programs done in conjunction with Division
41, Psychology and the Law.
Linas Bieliauskas announced that a new Program Committee chairman will
be needed and candidates will be solicited.
He described several problems with the evolution of the program, although
the divisional membership had generated consistently good programs in recent
years, according to member reactions. The biggest problem is generating
sufficient submissions for the call for papers. The APA call deadline occurs
at an inopportune time for many Division 40 members, given their interest
in other organizations that have meetings or deadlines at the beginning
of the year. New ways to increase member interest and participation are
needed. At this time, President Meier ruled that a new business item would
be most appropriately discussed here. Byron Rourke proposed that member
interest and participation might be increased by publication of the scientific
abstracts. He offered the pages of the new journal, The Clinical Neuropsychologist
(being edited by Byron P. Rourke and Kenneth M. Adams) for this purpose.
At this time, President Meier recognized the wish of Rourke and Adams to
excuse themselves from participation in deliberations or vote. Discus-sion
ensued concerning the advisability and logistics. Discount rates for this
journal were made a condition of agreement, given this arrangement. The
Executive Committee (Bieliauskas- Kaplan) voted unanimously that the abstracts
of Division 40 be assigned with individual author permission) for publication
in The Clinical Neuropsychologist.
10. Computers and Neuropsychology. Charles Matthews presented
recent materials on computer-based testing. Two documents were presented
concerning Phase I work on the use of computers in interpretative work
in neuropsychology. The Committee discussed this and the EC presented final
comments to the membership for comment in Washington. Given the salience
of this work, the EC recommended that Linas Bieliauskas attempt to encourage
program submissions dealing with this topic.
A phase two committee was described by Charles Matthews to continue
this work (Preston Harley, Robert Kurlichek, Jim Malec, John McSweeny,
William Lynch, Leonard Diller, Greg Brown, Rosamund Gianotsos, Dan Schachter).
Interested others would be recruited and welcomed, according to Matthews.
The EC (Rourke-White) approved this interim report and especially thanked
Charles Matthews.
11. Legislation. Stanley Berent delivered a detailed analysis of current developments, culled from a number of sources. Change characterizes the scene. PPO and HMO providers are entering and predominating in new programs. Information is being trans-mitted and new programs promulgated very fast. Increased use of neuropsycholgists as expert witnesses in cases is occurring. Clinical competition is increasing. Stanley Berent will draft an annual report describing trends in these areas for the EC at the August meeting.
12. Ethnic Minorities. No report from the ethnic minority liaison was received.
13. Committee on Women in Psychology. Roberta White reported concerning her participation as Division liaison to the Committee on Women in Psychology. Few issues of any wide-spread and substantive interest to Division members have been discussed. At the same time, the Division continues to receive requests to
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appoint a Division liaison when one exists who attends and participates. Roberta White announced her intention to resign as Division liaison. The EC accepted this with appreciation. President Meier announced that this vacancy would remain open until such time that a liaison would be relevant and the appointment recognized. Candidates would besolicited infuturedivisional meetings and publications.
14. Gay Concerns. President Meier reviewed the history of the post of liaison on Gay Concerns, ably handled in the EC view by James Quinlan. Given the creation of Division 44 the EC voted (Rourke-White) to eliminate this position, and expressed its thanks to James Quinlan for an excel-lent job.
15. Post-doctoral Fellowships. Given the increasing number of
requests for information Linas Bieliauskas proposed that the EC accept
a proposal by member Lloyd Cripe to start a comprehensive listing of post-doctoral
fellowships in neuropsychology. The EC asked Linas Bieliauskas to initiate
this registry with Lloyd Gripe and to ask for a progress report at the
August meeting.
In this same context, Linas Bieliauskas will develop with Lloyd Cripe
a databank for information on predoctoral and internship programs as well.
Future information on this database will be forthcoming.
More generally, President Meier reiterated his view that interested
members needed to be recruited and welcomed to committee work within the
Division. In the past members have helped to make their Division successful
within APA, and those wishing to help would be contacted via committee
chairs. The EC supported the view and recommended that this call be restated
in Washington.
16. New Business. In a matter of new business, President Meier described the formation of an ad-hoc Division ethics committee to deal with problems and standards for practice. Kenneth Adams will be chairman of this committee with Roberta White and Manfred Meier as initial members, with other colleagues to be recruited as the terms of reference for this committee are developed.
17. Adjournment. There being no new items of business, President Meier adjourned the EC until the annual APA meeting in August in Washing-ton, D.C.
Fellowship Application Procedures
Member of Division 40 who would like to become Fellows of APA or who
would like to nominate another member for fellowship, should write to the
chairperson the the Fellowship Committee, Dr. Otfried Spreen, Psychology
Department, University of Victoria, P.O. Box 1700, Victoria, B.C., Canada,
V8W 2Y2, and request instructions, application and endorsement forms. Completed
applications are voted on by the other members of the committee (Dr. H.
Goodglass, Dr. J. Matarazzo, Dr. 0. Parsons) and then forwarded during
May of each year to the APA Fellowship committee for final evaluation and
vote. A more simplified procedure applies to mem-bers who are already fellows
of another division.
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Newsletter 40
Roberta Firnhaber White
CFOB - P.O. Box 056
Department of Psychiatry
University of Michigan Medical Center
Ann Arbor, Michigan 48104
(End of text)