The development and use of a new psychiatric symptom change scale based on the Present State Examination (PSE)--the PSE Change Rating Scale--is described. The advantages of the PSE are retained (the extensive glossary, the diagnostic facility and the standardised interview technique) while improving its sensitivity to change and decreasing its administration time. The scale has been designed to prevent feedback of results and 'halo' effects: it has proved highly reliable in use across raters with different backgrounds and experience. The scale has been used to monitor drug effects on clinical state across a variety of diagnoses and examples of its use are given.

Captain Coram's Foundling Hospital was opened in London in 1741 for 'the maintenance and education of exposed and deserted young children'. Hogarth was a governor of the hospital - he donated several pictures, including his portrait of Coram - as was Handel, whose famous performances of his oratorio Messiah were given there from 1750 to raise funds. John Brownlow (1800–73), himself a foundling, became secretary of the hospital from 1849 until his retirement. He introduced improvements to the children's education and was a staunch defender of the hospital, refuting criticisms often levelled in the nineteenth century that taking in illegitimate children simply encouraged neglect. This brief account, building on his 1847 Memoranda, or, Chronicles of the Foundling Hospital (also reissued in this series), covers Coram, early supporters, the institution's paintings - which formed the first public art gallery in London - and the care of the foundlings.

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Captain Coram's Foundling Hospital was established in 1739 for 'the maintenance and education of exposed and deserted young children'. Hogarth was a governor of the hospital - he donated several pictures, including his portrait of Coram - as was Handel, whose famous performances of his oratorio Messiah were given there from 1750 to raise funds. John Brownlow (1800–73), himself a foundling, was secretary of the hospital from 1849 until his retirement. He introduced improvements to the children's education and was a staunch defender of the hospital, countering the criticism often levelled in the nineteenth century that taking in illegitimate children simply encouraged neglect. Brownlow's Memoranda, first published in 1847, presents a valuable account of the hospital, its early supporters, and Coram, as well as descriptions of the paintings (Kneller's portrait of Handel among them) which formed the first public art gallery in London. The book also includes contemporary engravings and facsimiles of many original documents.

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