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which is the foundation of the work. The director expresses gratitude to the various care committees,
school medical officers and teachers for their co-operation. The number of new cases
from London schools was 125, of whom 81 were boys and 44 girls. The age distribution was :
under 5 years, 10 ; 5 to 8 years, 54 ; 9 to 11 years, 36 ; 12 to 14 years, 19 ; over 14 years, 0.
The reasons for reference were : behaviour difficulties, 15 ; nervousness, 20 ; backwardness, 12 ;
stealing, 13 ; enuresis, 19 ; night terrors and fears, 5 ; speech difficulties, 10 ; temper tantrums,
4 ; truancy, 5 ; sex difficulties, 2 ; unmanageable, 16 ; other reasons, 4. The results obtained
were: satisfactorily adjusted, 13; improved, 11; not improved, 2; unsuitable or not cooperative,
38 ; placement, 6 ; consultations onlv, 14 ; transferred, 1 ; still under treatment, 40.
The child guidance clinic at Guy s hospital, attached to the .Department of Psychological
Medicine, has continued under the direction of Dr. R. D. Gillespie. The number of new cases
dealt with from London schools was 246, of whom 163 were boys and 83 girls. The age distribution
was : under 5 years, 11 ; 5 to 8 years, 89 ; 9 to 11 years, 80 ; 12 to 14 years, 58 ; over 14
years, 8. The reasons for reference were ; nervousness, 48 ; backwardness, 39 ; enuresis, 25 ;
stealing, 24 ; unmanageable, 24 ; behaviour difficulties, 16 ; night terrors, 14 ; sex difficulties,
12 ; speech defects, 10 ; temper tantrums, 9 ; truancy, 8 ; movements, 7 ; fits, 6 ; intelligence
tests, 4. The results obtained were : adjusted, 32 ; improved, 31 ; not improved, 8 ; unsuitable
or not co-operative, 16 ; failed to attend, 28 ; placement, 5 ; consultations only and special tests,
58 ; transferred, 1 ; still under treatment, 67.
Guy's
hospital
child
guidance
clinic
Institute of
Child
Psychology
The work at the Institute of Child Psychology is under the direction of Dr. Margaret Lowenfeld.
The number of new cases dealt with from London schools was 99, of whom 62 were boys
and 37 girls. The age distribution was : under 5 years, 8 ; 5 to 8 years, 31 ; 9 to 11 years, 29 ,
12 to 14 years, 21 ; over 14 years, 10. The reasons for reference were : behaviour difficulties,
19 ; nervousness, 22 ; backwardness, 14 ; stealing, 9 ; enuresis, 3 ; night terrors and fears, 4 ;
speech difficulties, 5 ; temper tantrums, 3 ; truancy, 1 ; sex difficulties, 6 ; unmanageable, 10 ;
fits, 1 ; other reasons, 2. The results obtained were : adjusted, 13 ; improved, 9 ; not improved,
3 ; unsuitable or not co-operative, 26 ; consultations only, 14 ; transferred, 3 ; still under
treatment, 31.
North
Western
child
guidance
clinic
The work at the North Western child guidance clinic has continued under the direction of
Dr. W. Paterson Brown. The number of new cases from London schools was 25, of whom 18
were boys and 7 girls. The age distribution was: under 5 years, 5 ; 5 to 8 years, 6 ; 9 to 11
years, 8 ; 12 to 14 years, 5; over 14 years, 1. The reasons for reference were: stealing, 5 ;
enuresis, 3 ; unmanageable, 3 ; behaviour difficulties, 2 ; nervousness, 2 ; backwardness, 2 ;
night terrors and fears, 2 ; temper tantrums, 2 ; sex difficulties, 1 ; fits, 1 ; intelligence tests, 1 ;
other reasons, 1. The results obtained were : adjusted, 4 ; improved, 3 ; unsuitable or not cooperative,
1 ; placement, 1 ; consultations only, 3 ; transferred, 1 ; still under treatment, 12.
Tavistock
clinic
Ihe work at the lavistock clinic (Institute of Medical Psychology) has continued under
the direction of Dr. J. R. Rees, and the number of new cases from London schools was 77, of whom
45 were boys and 32 girls. The age distribution was: under 5 years, 1 ; 5 to 8 years, 29 ; 9 to
11 years, 27 ; 12 to 14 years, 16 ; and over 14 years, 4. The reasons for reference were : backwardness,
16 ; stealing, 12 ; night terrors and fears, 12 ; behaviour difficulties, 9 ; nervousness,
6 ; temper tantrums, 6 ; sex difficulties, 4 ; speech difficulties, 3 ; truancy, 3 ; fits, 2 ; enuresis.
2 ; other reasons, 2. The results obtained were : adjusted, 2 ; improved, 9 ; not improved, 1 ;
unsuitable or not co-operative, 12 ; placement, 2 ; consultations only, 17 ; transferred, 2 ;
still under treatment. 32.
West End
hospital for
nervous
diseases
Treatment has continued at the West End hospital for nervous diseases under the direction
of Dr. Emanuel Miller. The number of new cases from London schools was 75, of whom 41 were
boys and 34 girls. The reasons for reference were : behaviour difficulties, 18 , night terrors and
fears, 9 ; backwardness, 8 ; enuresis and incontinence, 8 ; nervousness, 7 ; stealing, 7 ; speech
difficulties, 6 ; temper tantrums, 3 ; intelligence tests, 3 ; migraine, 2 ; other reasons, 4. The
results obtained were : adjusted, 3 ; improved, 5 ; unsuitable or not co-operative, 6 ; placement,
2 ; consultations onlv, 24 ; still under treatment, 35.
Summary
During the year, 1,247 London school children, of whom 777 were boys and 470
girls, were dealt with at the above-mentioned clinics. The following statement
gives details of the cases:—