To the Editor: A perusal of any issue of the Journal can only lead to the conclusion that psychiatry and neuroscience are now well integrated. A recent overview by Joseph B. Martin, M.D., Ph.D. (1), and an editorial by Stuart C. Yudofsky, M.D., and Robert E. Hales, M.D., serve to remind us that this integration has not gone far enough, and, more important, clinical psychiatry and neurology have not breached the barriers between the two disciplines. In Australia, as in many other countries around the world, the teaching of the two disciplines remains frozen in tradition, with only weak attempts at integration. This is partly due to the comfort offered by continuity. It is also because clinicians are pragmatic by nature and will change their teaching and management practices only if they are convinced that real difference to the patient is in the offing.