The categories considered as being helpful parallel core elements of EBT and recent grief theories. The intervention was found to be supportive and met the needs of the participants. The interviewees appreciated the continuity of EBT support from palliative care into bereavement.

A chromosome supplement to the London Dysmorphology Database SUMMARY A supplement to the computerised database for the diagnosis of rare dysmorphic syndromes described by Winter et alt is presented, which includes a list of syndromes occurring in patients with unbalanced chromosome aberrations. The extension of the original programme is based on Schinzel's Catalogue of unbalanced chromosome aberrations in man.2 In 1984, the London Dysmorphology Database was reported in this journal.' As pointed out by the authors, this is a computer based data bank, which comprises more than 900 syndromes and 1200 symptoms of non-chromosomal malformation syndromes. The programme is able to select the syndromes characterised by up to three symptoms entered by the user and was therefore regarded as a helpful tool in genetic counselling. After a thorough test in practice, in the Wurzburg genetic counselling service among others, it was found to be very useful, but the omission of chromosomal syndromes was thought to be a disadvantage. Therefore an attempt was made to incorporate chromosomal syndromes into an extended version of the London programme. This extension was based on Schinzel's Catalogue of unbalanced chromosome aberrations in man.2 Existing software As we were mainly interested in merging cytogenetic data with the information already available in the London Dysmorphology Database, the operating programmes (written in dBase II (tm Ashton-Tate)) were left unchanged except for minor modifications. The amount of data stored, however, was greatly increased. The supplemented version lists in excess of 1500 different syndromes and more than 3500

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