URING the past two years one of the major interests of our Association D has been to review, to evaluate, and to point up the trends of its first twenty-five years. A study of the contents of our Journal traces the gains made in the integration of our respective fields toward the synthesis we know as orthopsychiatry. In the achievement of this professional partnership we have also attempted to clarify-and to differentiate-the technique, the skills, and the contributions of psychiatry, psychology and social work, as they became coordinate in the team. Some of us who grew up professionally as the child guidance movement developed recall the controversies and the reconciliations that have figured in this business of working together and, at the same time, of preserving our professional identities. Many of us also recall the emphasis-and the pridewhich was associated with the phrase: the "fourfold study" or the "fourfold approach."But in detailing the adventures of this team effort our Association literature has been primarily concerned with only three parts of the team. What happened to the fourth member? Where was the pediatrician? Were we of the more recent specialities so challenged by our new-found dynamics that the more familiar, surer-footed, medical part of our team failed to engage our interest? Or did the pediatrician become so bored with the identifications and competitions among the other three members of the team that he failed to record the gains or losses to his specialty in this functional partnership?Whatever the situation, a review of our Association activities reveals the remarkable fact that except for a luncheon symposium in 1941 (1) we did not schedule a full-fledged meeting devoted to the relationships between pediatrics and orthopsychiatry until two years ago. This fact is indeed remarkable when we consider the large number of sessions given to other allied fields : sociology, anthropology, education, law, theology, industry, and so on. But in 1947 a special session was devoted to the subject "Pediatrics and Psychiatry." The five papers written by psychiatrists and by pediatricians were published in the fall issue (2). Similarly, our Journal reports little to show collaboration between pediatrician and social worker. One article written by a psychiatric social worker entitled "Functions and Limitations of the Social Worker in a Psychiatric Unit in a Pediatric Out-Patient Department" was published in 1936, and * Presented a t the 1949 Annual Meeting.
