58 subjects doing their compulsory rotating internship were evaluated on their knowledge and attitude to psychiatric illness using a multiple choice questionnaire, case history vignettes and an open ended attitude questionnaire. All of them had had a series of lectures and 4 weeks clinical posting 3 years prior to evaluation and weekly ethics for 3 months in the year before. I t is seen that they have an adequate knowledge of the theoretical aspects of psychiatry, including the ability to diagnose. Management skills are not however .satisfactory. Psychiatry tanked fifth in the overall order of importance in terms of interest and future applicability, and only 4(6.9%) had heard of the National Mental Health Programme or its objectives. The results are discussed

36 clients with anxiety neurosis were trained to reduce frontalis muscle tension over two phases of ten sessions each. They were assessed on psychological and physiological measures, before, during and after the phases. The data analysis indicated that the clients succeeded in lowering frontalis muscle tension levels during the feedback and no-feedback phases of the training sessions. The inter-correlations among the outcome measures indicated that with an increasing amount of control of muscle tensior, the clients perceived greater amounts of change in state anxiety and in anxiety symptoms. This implies that EMG biofeedback can effect cognitive changes in clients.

Agnihotra is a Vedic ritual of litting fire in a copper pyramid pot with use of Mantras at sunrise and sunset time. It is found to have neurophysiological effect on human body and brain. Clinically it produces mental tranquility and reported to have useful adjunct effect on deaddiction. In our present study effect of Agnihotra was studied on 18 cases of alcoholism. It is found that it leads to total abstinence without other restrain after 2 weeks of continuous Agnihotra practice. An obsessive compliance to perform Agnihotra develops. After discontinuing, its effect last for another few weeks. Though relapse may develop on discontinuing Agnihotra, a sizeable number of cases i.e. 55%, continued to remain abstinent for more than 8 weeks. Agnihotra is not a total cure for alcoholism, but it may serve as an useful adjunct.

Twenty four patients meeting R . D .C criteria for schizophrenia were assessed using the B.P.R.S. before starting neuroleptics. They were then given a standardized test dose of haloperidol. Their subjective response to the test dose was assessed 4 hours later by a blind rater. The B.P.R.S. ratings were repeated after 3 weeks of neuroleptic treatment. A dysphoric response to the test dose was associated with a poor therapeutic outcome. The implications of these findings are discussed.

A 12 year old boy presented with the clinical picture of secondary mania. Neuropsychological examination revealed significant prefrontal disturbance. The overlap in the clinical presentation of secondary mania and frontal lobe syndromes is highlighted. At least some of the so called frontal lobe syndromes can he considered as secondary mania.