New York The American Journal of Insanity The American Journal of Insanity (AJI) was first published in June, 1844, by Amariah Brigham, Superintendent of the New York State Lunatic Asylum at Utica. He was said to have been the author of the entire first issue, which included six articles, a list of existing mental asylums in the U.S., and notes on insanity from France. His aim for The Journal was to acquaint its readers with the nature and varieties of mental illness and with methods of prevention and care for patients. The AJI remained the property of the Utica State Hospital, though it served as the official publication of the Superintendents’ Association. In 1892, the journal was bought by The Association, and in 1921, the name was changed to the present American Journal of Psychiatry by The American Psychiatric Association. Relations with the American Medical Association The American Medical Association (AMA) was organized in 1847 in Philadelphia through the efforts of Nathan Davis and Nathaniel Chapman primarily to deal with the lack of regulations and standards in medical education and medical practice. Some mental hospital superintendents became active members. Cordial relations between the two groups continued, and members of each attended the others’ meetings. In 1854, the AMA established a Committee on Insanity which ended in 1867, when a psychology section was organized. Merger of the AMA and the Superintendents’ Association was considered frequently over the years. In 1871, the Superintendents' Association delegated Dr. John Curwen to attend the AMA meeting in San Francisco and explain The Association's rejection of the invitation to a merger. The reasons were that the Superintendents held their annual meeting in a venue where an asylum was located both to assure citizen interest in the care of the insane and to allow the superintendents to visit the asylum. Also, the Association's meetings were devoted solely to topics relating to the care of the mentally ill, an area of limited interest to general practitioners, and the Association included only psychiatric hospital superintendents. Over the years, the relationship between the two organizations has waxed and waned. In the 21st century, the APA is an active participant in AMA activities. The neurologists, S. Weir Mitchell, and The Superintendents' Association The American Neurological Association, organized in 1875, grew out of the Civil War experiences of physicians who had been involved in caring for soldiers with traumatic injuries of the