Except for psychiatric residents (see below), the journal is available only through paid subscription. All subscriptions to the print journal include access to the full text of the journal on the Internet. One-year subscriptions (12 issues) within the U.S. are $45 a year for members of the American Psychiatric Assocation, $51 for nonmembers, $109 for institutions, and $25.50 for students. Subscriptions outside the U.S. are $45 for APA members, $74 for nonmembers, $149 for institutions, and $37 for students. (Copies are shipped to foreign countries by air freight.) Make checks payable to the American Psychiatric Association and mail to the circulation department at APA. Credit card orders are accepted.