international health, the report nonetheless marked a credible IOM entry into a new field of endeavor. This case was one in which the interests of the Carter administration combined with those of David Hamburg to shape the IOM's development.40

Something similar happened in the area of mental health. Once again, the interests of the Carter administration coincided with those of David Hamburg to produce a series of IOM studies. These concentrated on the links between health and behavior, which had long been a focus of Hamburg's research. Before he left Stanford to take the IOM job, Hamburg told his colleagues that one of his top priorities was to try to get the IOM "to look at behavioral aspects of health over the whole range of health." The work done by IOM for the President's Commission on Mental Illness presented Hamburg with an opening to pursue this interest. He used this work as a base from which to negotiate with Carter administration officials for an expanded IOM role in the field of behavioral medicine. As Hamburg described the process, the government and the IOM mixed and matched interests. The IOM had things that it viewed as "central to our agenda and the government may buy some of that, at least in modified form. On the other hand, they may come at us with questions that are salient to them and that don't particularly fit our agenda and yet, within the mandate of this institute, we pretty much have to take up because they're not farfetched, they're not disreputable, they're difficult and so on. So you end up with that kind of funny mosaic of our agenda and theirs." Hamburg, Julius Richmond, Donald Fredrickson, and the heads of the various NIH and Alcohol and Drug Abuse and Mental Health Administration (ADAMHA) institutes created the mosaic that became the IOM project "Health and Behavior: A Research Agenda."41

The project consisted of a series of IOM conferences, each of which generated its own report, on specific questions in the field of health and behavior, followed by a volume that synthesized the conference results, suggested promising research leads, and integrated "available information into a perspective of the frontiers of the biobehavioral studies." As one indication of David Hamburg's personal interest in this project, he decided to chair the steering committee, which met for the first time in November 1979. Other committee members were leading figures in the fields of psychology, psychiatry, and psychobiology. Because so many different federal agencies were involved in the task, the contract for the project was not signed until after the project had begun. The final report did not appear until the summer of 1982.



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