232 GUTH
endeavor in which the outcome cannot be predicted, the concept of a
“mission” was considered inappropriate. As viewed by junior and senior
scientists alike, we had a “responsibility” to do good research by adher
ing to the principles of scientific investigation, and the only goal was to
increase our understanding of the anatomy, physiology, and biochemis
try of the nervous system.
At that time, a fundamental tenet of the institute directors was that
clinical advances depended on basic research. This view seems to be widely
proclaimed today, but one caveat has unfortunately been added, viz., that
basic research must justify its existence by leading to clinical advances.
The founders of the NINDB, on the other hand, recognized that basic
science was essential because our understanding of basic neuroscience
was insufficient to guide us to more effective treatments for neurologi
cal disorders. Since clinical advances are dependent on a fuller under
standing of nervous system structure and function, it is self-destructive
to require basic science to validate its existence in terms of future clini
cal applications.^6
Organization
When the NINDB was initiated, there were few precedents for such a
government-funded biomedical research institute. Since most of the
senior appointees had previously held university positions in academic
departments, it is not surprising that Pearce Bailey (the NINDB’s first
director) and Seymour S. Kety (the first scientific director for the joint
NIMH-NINDB intramural basic research program) utilized the aca
demic prototype in structuring the intramural program.
They established a basic research division that focused on neuro
anatomy, neurophysiology, neuropathology, and neurochemistry, and
clinical research divisions centered around medical, surgical, and radi
ological neurology. This organization reflected a structure analogous to
that of a medical school, where both the teaching and research responsibil
ities are carried out within autonomous and independent departments.
Despite this structure, however, a great deal of multidisciplinary research
was done by collaboration between individual investigators (within as
well as between laboratories). One might say that the independence
granted to the research scientist actually facilitated interactions between