Noël
ACJ:—This
is
a
matter
that
comes
for
decision
pursuant
to
subsection
(1)
of
section
173
of
the
Income
Tax
Act
(as
amended
by
1970-71-72,
c
63)
which
now
enables
a
question
of
law,
fact
or
mixed
law
and
fact,
arising
under
the
Act,
to
be
determined
by
this
Court
providing
the
taxpayer
and
the
Minister
of
National
Revenue
agree
in
writing.
The
problem
involved
in
these
proceedings
is
whether
a
certain
periodical
called
“Medical
Aspects
of
Human
Sexuality”
is
a
publication,
the
principal
function
of
which
is
the
encouragement,
promotion
or
development
of
scholarship
within
the
meaning
of
section
19,
subsection
(4)
of
the
Income
Tax
Act
(as
amended
by
1970-71-72,
c
63)
reproduced
hereunder:
19.
(1)
In
computing
income,
no
deduction
shall
be
made
in
respect
of
an
otherwise
deductible
outlay
or
expense
of
a
taxpayer
for
advertising
space
in
an
issue
of
a
non-Canadian
newspaper
or
periodical
dated
after
December
31,
1965
for
an
advertisement
directed
primarily
to
a
market
in
Canada.
(4)
Subsection
(1)
does
not
apply
with
respect
to
an
advertisement
in
(a)
a
catalogue,
or
(b)
any
publication
the
principal
function
of
which
is
the
encouragement,
promotion
or
development
of
the
fine
arts,
letters,
scholarship
or
religion.
The
following
agreement
was
reached
between
the
parties:
1.
Jay-Kay
Publications
Limited
is
the
publisher
of
the
Canadian
edition
of
“Medical
Aspects
of
Human
Sexuality”.
2.
Exhibits
1
to
9
are
copies
of
the
issues
of
the
Canadian
edition
of
“Medical
Aspects
of
Human
Sexuality”,
known
as
Volume
1
No.
1
to
Volume
2
No.
5,
published
for
the
months
September
1971
to
May
1972
inclusive.
3.
The
Minister
of
National
Revenue
and
the
party
of
the
second
part
are
unable
to
agree
whether
a
deduction
in
the
computation
of
income
in
respect
of
an
outlay
or
expense
made
or
incurred
by
a
taxpayer
for
advertising
space
in
“Medical
Aspects
of
Human
Sexuality”
is
prohibited
by
section
12A
of
the
Income
Tax
Act
for
1971
or
section
19
of
the
Income
Tax
Act
as
it
applies
to
the
1972
taxation
year.
4.
By
reason
of
the
disagreement,
Jay-Kay
Publications
Limited
is
unable
to
advise
advertisers
whether
they,
in
computing
their
income,
are
entitled
to
deduct
any
outlays
or
expenses
made
or
incurred
for
advertising
space
in
the
publication.
5.
“Medical
Aspects
of
Human
Sexuality”
is
a
periodical:
(a)
the
type
of
which,
other
than
the
type
for
advertisements,
is
set
in
Canada;
(b)
that
is
printed
in
Canada;
(c)
that
is
edited
in
Canada
by
individuals
resident
in
Canada;
(d)
that
is
published
in
Canada;
and
(e)
that
is
produced
or
published
under
a
licence
granted
by
Hospital
Publications
Inc.,
which
is
a
person
who
produces
or
publishes
issues
of
a
periodical
that
are
printed,
edited
and
published
outside
Canada.
NOW
THEREFORE
the
parties
hereto
agree
as
follows:
1.
The
Federal
Court
of
Canada
shall
determine
pursuant
to
the
provisions
of
subsection
(3)
of
section
17
of
the
Federal
Court
Act,
S.C.
1970,
chapter
1
and
subsection
(1)
of
section
173
of
the
Income
Tax
Act,
the
following
question:
Is
the
Canadian
edition
of
“Medical
Aspects
of
Human
Sexuality”
a
publication,
the
principal
function
of
which
is
the
encouragement,
promotion,
or
development
of
scholarship
within
the
meaning
of
subsection
(4)
of
sections
19
and
12A
of
the
Income
Tax
Act?
2.
The
question
shall
be
determined
on
the
facts
set
forth
in
the
recitals
to
this
agreement
and
upon
such
further
evidence
not
inconsistent
therewith,
including
expert
testimony,
as
the
parties
may
adduce.
As
the
periodical
involved
herein
is
produced
or
published
under
a
licence
granted
by
a
person
who
produces
or
publishes
issues
of
a
periodical
that
are
printed,
edited
or
published
outside
Canada,
it
falls
under
clause
(E)
of
subparagraph
(5)(a)(ii)
of
section
19
of
the
Act*
and,
therefore,
is
to
be
considered
as
not
being
a
Canadian
issue.
Not
being
a
Canadian
issue
it
therefore
comes
under
subsection
(1)
of
section
19
which
states
that
19.
(1)
In
computing
income,
no
deduction
shall
be
made
in
respect
of
an
otherwise
deductible
outlay
or
expense
of
a
taxpayer
for
advertising
space
in
an
issue
of
a
non-Canadian
newspaper
or
periodical
dated
after
December
31,
1965
for
an
advertisement
directed
primarily
to
a
market
in
Canada.
unless
such
periodical
is
under
paragraph
(4)(b)
of
section
19
a
“pub-
lication
the
principal
function
of
which
is
the
encouragement,
promotion
or
development
of
the
fine
arts,
letters,
scholarship
or
religion”.
The
sole
question
to
be
determined,
therefore,
really
is
whether
“the
principal
function”
of
the
periodical
“Medical
Aspects
of
Human
Sexuality”
is
the
encouragement,
promotion
or
development
of
.
.
.
scholarship.
Ten
issues,
from
September
1971
to
June
1972,
were
produced
as
Exhibit
A-1.
These
issues
comprise
a
number
of
articles
some
of
which
were
reproduced
from
the
American
counterpart
of
the
periodical
and
a
few
by
Canadian
authors.
A
statement
of
purpose,
published
at
page
3
in
every
issue
is
descriptive
of
the
objective
sought
in
producing
the
periodical
and
will
be
helpful
in
describing
the
usefulness
of
the
periodical
to
the
medical
profession.
I
will
refer
to
this
later.
A
number
of
doctors
and
physicians
testified
as
to
the
usefulness
in
Canada
of
the
articles
published
in
the
periodical
for
Canadian
doctors.
Dr
J
N
Rushforth,
an
Ottawa
family
doctor,
married
with
five
children,
testified
by
quoting
from
Sampson
Wright’s
textbook
Applied
Physiology
(9th
edition):
“The
technique,
courtesies
and
aesthetics
of
sexual
intercourse
are
matters
of
outstanding
importance,
yet
they
are
never
taught
by
the
physiologist,
and
rarely
discussed
adequately
at
any
stage
of
the
medical
curriculum.”
According
to
Dr
Rushforth,
the
above
quotation
is
in
accordance
with
his
experience
and
with
the
experience
of
the
colleagues
whom
he
has
consulted.
A
doctor,
he
said,
is
“just
expected
to
know”
answers
to
problems
on
which
he
himself
has
received
no
specific
instructions.
He
stated
that
the
periodicals
involved
herein
contain
articles
in
every
issue
which
would
contribute
constructively
to
the
ordinary
practitioner’s
body
of
knowledge.
He
also
stated
that
he
concurs
with
what
Eric
Bern
said
in
his
book
Sex
in
Human
Loving
when
referring
to
the
American
version
of
the
Canadian
periodical:
“In
1967
began
the
publication
of
the
monthly
journal
‘Medical
Aspects
of
Human
Sexuality’
the
most
reasonable,
reliable
and
respectable
periodical
of
its
kind.”
He
pointed
out
that
some
of
the
medical
discipline
particularly
related
to
human
sexuality
are
psychiatry,
obstetrics
and
gynaecology
and
urology
and
that
generally
the
authorities
in
these
fields
are
well
represented
in
the
authorship
of
articles
in
this
magazine.
Dr
Walter
J
Hannah,
a
Toronto
physician,
graduated
in
1953
from
Western
University.
He
is
an
associate
professor
of
obstetrics
and
gynaecology
at
the
University
of
Toronto
and
a
fellow
of
the
Royal
College
of
Surgeons
(Canada).
Dr
Hannah
stated
that
a
certain
body
of
knowledge
exists
in
any
field
and
the
degree
to
which
that
body
of
knowledge
is
increased
is
reflected
in
part
by
the
research
activity
in
that
field.
New
knowledge
not
only
comes
from
research
and
investigation
but
also
may
arise
as
the
result
of
the
accumulation
of
wisdom
that
normally
results
from
years
of
clinical
experience.
This,
he
says,
is
particularly
true
in
the
case
of
medicine.
The
very
nature
of
the
subject
matter,
namely
human
sexuality,
does
not
lend
itself
to
a
scientific
investigation
or
the
kind
of
carefully
controlled,
rigidly
matched
experimentations
such
as,
for
instance,
would
the
effect
of
a
new
drug
on
a
specific
disease
process.
There
is,
he
said,
a
vast
literature
on
the
abnormal
aspects
of
sexuality,
including
perversions,
deviations,
etc
extending
back
many
decades
but
that
it
is
only
very
recently
that
our
fund
of
knowledge
on
this
fundamentally
important
area
of
our
lives
has
begun
to
expand.
He
pointed
out
that
the
pioneer
work
of
Masters
and
Johnson
in
defining
some
of
the
basic
physiological
phenomena
associated
with
sexual
response,
has
led
to
a
gradually
more
sophisticated
approach
to
the
management
of
some
of
the
difficult
but
not
uncommon
problems
physicians
are
called
upon
to
face.
And
yet,
he
added,
much
of
the
knowledge
of
doctors
in
this
field
is
empirical
and
will,
he
says,
necessarily
remain
so
since
human
sexuality
cannot,
except
in
rare
circumstances,
be
studied
under
the
same
carefully
controlled
conditions
demanded
for
other
forms
of
scientific
investigation.
He
pointed
out
that
our
knowledge
of
this
topic
has
always
been
fragmentary
and
that
our
approach
to
it
has
been
distorted
by
our
own
prejudices,
the
natural
products
of
our
own
upbringing.
He
stated
that
as
we
have
come
to
realize
how
important
a
role
sexuality
plays
in
human
affairs
and
how
unsatisfactory
our
attempts
have
been
to
deal
with
the
problems
it
creates,
it
has
been
recognized
for
some
time
that
a
medium
for
the
dissemination
of
knowledge
in
this
field
has
been
badly
needed.
He
is
of
the
view
that
on
the
basis
of
its
performance
to
date,
the
journal
“Medical
Aspects
of
Human
Sexuality”
has
helped
to
fill
that
need.
The
material
presented
therein,
he
said,
promotes
and
enlarges
the
body
of
knowledge
on
this
very
important
topic
and
does
so
by
publishing
articles
on
sexuality
by
recognized
authorities
in
the
field
by
exchanging
viewpoints
based
on
counselling
experiences
in
various
centres
and
perhaps
most
important
of
all,
he
added,
it
has
compelled
physicians
to
re-examine
their
own
views
and
values
in
an
attempt
to
develop
a
more
precise
objectivity
in
treating
patients’
problems
in
this
area.
He
finally
concluded
that
all
of
this
gradually
increases
the
fund
of
knowledge
available
to
the
practising
physician.
Dr
Charles
A
Roberts
graduated
in
medicine
in
1942
and
is
now
psychiatrist
in
chief
of
the
Royal
Ottawa
Hospital.
Concurrently,
his
academic
career
has
been
developing
from
an
initial
appointment
as
an
assistant
professor
at
McGill
University
to
the
rank
of
associate
professor
at
the
University
of
Toronto
and
to
professor
and
chairman
of
the
Department
of
Psychiatry,
University
of
Ottawa.
In
the
course
of
his
practice
of
psychiatry
he
has,
he
says,
become
aware
of
the
im.
portance
and
significance
of
sexual
behaviour
in
terms
of
the
adaptation
of
human
beings
to
their
environment
and
to
life.
He
also
pointed
out
that
until
very
recently,
very
little
information
was
available
with
respect
to
human
sexual
behaviour
except
perhaps
for
the
theories
developed
by
Sigmund
Freud
and
his
co-workers.
With,
he
said,
the
opening
up
of
studies
in
the
United
States,
much
more
information
has
become
available
and
more
recently
a
number
of
people
in
Canada
have
also
devoted
themselves
to
studies
in
this
field.
As
soon
as
studies
begin,
it
becomes
necessary
to
provide
media
for
the
publication
and
exchange
of
acquired
knowledge
and
information
and
Dr
Roberts
pointed
out
that,
as
far
as
he
knew,
the
only
current
publication
available
in
Canada
is
‘‘Medical
Aspects
of
Human
Sexuality”.
This
publication,
he
says,
has
provided
a
channel
for
the
publication
of
information
in
this
field
and
thereby
has
stimulated
and
encouraged
knowledge
with
respect
to
human
sexual
behaviour.
Once
knowledge
has
been
developed,
it
becomes
necessary
to
disseminate
it
and
make
it
available
for
use
by
practitioners
in
further
development
of
programs
to
meet
the
needs
of
sick
people
whose
sexual
behaviour
and
adjustment
are
of
significance
in
their
illness.
He
stated
that
the
nature
of
the
articles
contained
in
this
magazine
are
of
use
in
the
health
care
field.
Dr
R
W
Tooley,
a
medical
doctor,
obtained
his
licence
of
medicine
and
surgery
of
the
Society
of
Apothecaries
of
London
in
1952
and
practised
medicine
in
England
for
a
number
of
years.
He
is
at
present
at
the
Family
Planning
Division
of
the
Department
of
Health
and
Welfare
of
the
Government
of
Canada.
Dr
Tooley
stated
that
human
sexuality,
which
includes
not
only
sexual
anatomy
and
physiology
and
reproduction,
but
also
the
psychology
of
sexual
behaviour,
and
the
purposes,
methods
and
behavioural
aspects
of
fertility
regulation
is
considered
part
of
medical
knowledge.
He
is
of
the
view
that
physicians
can
and
should
play
an
important
role
in
the
management
and
resolution
of
the
clinical
psychological
and
behavioural
problems
that
occur
in
that
area.
He
stated
also
that
human
sexuality
is
not
sufficiently
taught
in
medical
schools
to
allow
physicians
to
function
as
effectively
in
this
area
as
is
desirable
and
expressed
the
view
that
“Medical
Aspects
of
Human
Sexuality”
adds
to
physicians’
knowledge
of
human
sexuality
and
stimulates
them
to
read
further
on
the
subject
by
publishing
authoritative
articles
by
well
qualified
writers.
He
also
pointed
out
that
the
editor
is
advised
by
a
medical
advisory
board,
a
number
of
whose
members
hold
senior
academic
appointments.
Dr
Marion
H
Powell,
of
Don
Mills,
Ontario
is
the
medical
editor
of
“Medical
Aspects
of
Human
Sexuality”.
She
is
also
ortho-professor
of
population
dynamics,
Department
of
Health
Administration,
School
of
Hygiene,
University
of
Toronto
and
associate
professor,
Department
of
Preventive
Medicine,
Faculty
of
Medicine,
University
of
Toronto.
She
holds
a
diploma
of
public
health
from
the
School
of
Hygiene,
University
of
Toronto
and
has
been
president
of
Planned
Parenthood,
of
Toronto,
for
two
years.
As
medical
editor
of
the
journal,
Dr
Powell
has
had
occasion
to
review
articles
published
in
it
both
before
and
after
their
publication.
She
stated
that
the
circulation
of
the
journal
is
limited
to
the
members
of
the
practising
medical
profession.
She
pointed
out
that
physicians
who
otherwise
have
had
an
inadequate
training
in
the
area
of
sexuality
are
being
called
upon
with
greater
frequency
to
deal
with
problems
of
their
patients
in
regard
to
sex.
The
community
is,
she
said,
calling
upon
the
medical
profession
as
the
experts
in
this
area
to
provide
knowledge
and
skill
in
this
field,
both
in
dealing
with
sexual
problems
of
patients
and
in
training
sex
educators.
Sexuality,
according
to
Dr
Powell,
has
been
a
neglected
area
in
medical
education,
yet
it
is
demanding
more
time
and
expertise
on
the
part
of
the
physicians
in
practice,
who
see
more
patients
coming
in
with
sexual
problems
arising
at
least
in
part
from
the
freer
sexual
climate
in
which
we
are
living
at
the
present
time.
Dr
Powell
is
of
the
view
that
the
journal
has
successfully
integrated
the
sociological,
physiological
and
psychological
aspects
of
medicine
in
the
area
of
sexuality
and
has,
she
says,
bridged
the
gap
that
has
developed
between
the
practising
physician
in
the
main
stream
of
medicine
and
the
physician
who
has
developed
skills
in
dealing
with,
treating
and
counselling
persons
with
sexual
problems
either
physiological
or
psychological.
The
journal,
she
said,
imports
knowledge
in
this
field
of
medicine
at
a
professional
level
to
the
physician
who
is
meeting
sexual
problems
on
a
day
to
day
basis
in
his
practice.
Dr
Powell
stated
that
human
sexuality
is
becoming
recognized
as
a
specialized
branch
of
medicine.
Physicians,
she
said,
are
the
professionals
best
able
to
work
in
this
specialty
because
of
their
background
in
physiology
and
anatomy
and
their
experience
in
dealing
with
medical
problems
having
their
origin
in
psychological
disorders.
One
in
five
patients
coming
to
a
gynaecologist’s
office
comes,
she
said,
with
complaints
due
to,
or
at
least
aggravated
by
sexual
problems.
She
is
of
the
view
that
“Medical
Aspects
of
Human
Sexuality”
is
unique
among
medical
journals
in
Canada
and
that
it
provides
the
practising
physician
with
knowledge
and
understanding
of
sexual
problems
to
enable
him
to
deal
with
patients’
complaints
with
greater
insight
and
skill
and
also
provokes
further
investigation
and
reading
in
this
area
and
the
exchange
of
views
and
experience
with
other
physicians.
Because
of
the
educational
aspect
of
this
publication,
many
of
those
on
the
advisory
board
are
associated
with
universities
or
have
major
academic
appointments
and
many
of
these
men,
she
said,
have
written
editorials,
original
articles
or
responded
to
questions
submitted
by
readers.
Dr
Powell
said
that
as
medical
officer
of
health
for
Scarborough,
she
is
very
much
aware
of
the
impact
of
sexual
problems
on
the
community.
Venereal
diseases
are
encountered
with
increasing
frequency
and
the
social
problems
resulting
from
other
types
of
sexual
complaints
are
a
constant
source
of
difficulty
for
physicians
who
are,
by
their
background
and
training,
not
adequately
prepared
to
deal
with
problems
of
this
type.
The
journal,
in
her
opinion,
meets
a
serious
need
in
the
medical
field
adding
that
if
she
were
not
convinced
of
this,
she
would
not
have
agreed
to
go
on
the
editorial
board.
The
journal,
she
said,
makes
available
and
disseminates
the
knowledge
and
experience
of
qualified
experts
in
this
branch
of
medical
science
to
other
members
of
the
profession
and
it
stimulates
them
to
increase
their
knowledge.
Two
medical
doctors,
husband
and
wife,
were
finally
heard.
The
husband,
Dr
Avinoam
B
Chernick,
graduated
in
medicine
from
the
University
of
Western
Ontario
in
1962.
After
a
general
internship,
he
pursued
postgraduate
studies
in
obstetrics
and
gynaecology
in
London
and
Hamilton,
Ontario
under
Dr
R
A
H
Kinch.
He
obtained
his
fellowship
in
the
Royal
College
of
Surgeons
of
Canada
in
1968.
He
then
pursued
further
studies
in
Winston-Salem,
North
Carolina
under
Dr
Clark
Vincent
followed
by
one
year
of
training
in
marriage
counselling,
family
life
education
in
the
community
and
teaching
of
human
sexuality
to
medical
students
at
the
Division
of
Family
Study
of
the
Department
of
Psychiatry,
University
of
Pennsylvania
School
of
Medicine,
in
Philadelphia.
Since
1969
he
has
been
in
the
private
practice
of
obstetrics
and
gynaecology
in
London,
Ontario
and
with
his
wife,
Dr
Beryl
Cher-
nick,
forms
part
of
a
co-therapy
team
for
the
counselling
of
sexual
dysfunction.
He
is
of
the
view
that
the
material
found
in
the
journal
is
of
practical
value
to
many
physicians
and
is
such
as
to
enhance
the
work
of
doctors
in
that
field.
Sex
and
sexuality
are
now,
he
says,
recognized
as
an
integral
part
of
family
practice
and
obstetrics
and
gynaecology.
He
pointed
out
that
within
the
field
of
obstetrics
and
gynaecology
there
are
now
many
specialty
journals
of
which,
he
said,
“Medical
Aspects
of
Human
Sexuality”
can
be
considered
one.
His
wife,
Dr
Beryl
A
Chernick,
also
graduated
from
the
University
of
Western
Ontario,
but
in
1963.
She
then
pursued
postgraduate
studies
at
the
University
of
Western
Ontario
for
four
years
where
she
was
a
Medical
Research
Council
of
Canada
fellow
under
the
supervision
of
Drs
C
W
Gowdy,
professor
and
chairman,
Department
of
Pharmacology
and
Robert
A
H
Kinch,
professor
and
chairman,
Department
of
Obstetrics
and
Gynaecology,
which
led
to
the
degree
of
PhD
in
pharmacology
in
1967.
She
was
then
invited
by
the
Department
of
Public
Health
of
the
municipality
to
organize
the
city’s
family
planning
clinic
and
to
supervise
and
instruct
the
public
health
nurses
in
appropriate
counselling
of
patients
attending
this
clinic.
Dr
Chernick
said
that
at
no
time
in
her
undergraduate
or
postgraduate
medical
education
and
training
was
she
given
information
concerning
human
sexual
functioning,
nor
was
she
referred
to
any
books
or
other
publications
where
she
could
obtain
useful
information.
With
Dr
Kinch’s
interest
and
encouragement,
she,
therefore,
sought
further
training
in
these
areas
in
the
United
States,
that
training
being
unavailable
in
Canada
at
that
point
in
time.
She
spent
six
months
as
a
post-doctoral
fellow
in
the
Behavioral
Sciences
Center
of
the
Bowman
Gray
School
of
Medicine
of
Wake
Forest
University
in
Winston-Salem,
North
Carolina
under
the
tutelage
of
Dr
Clark
Vincent,
a
renowned
sociologist
who
was
pioneering
the
introduction
of
the
teaching
of
behavioural
science
including
pertinent
aspects
of
human
sexuality
to
medical
students.
A
further
year
of
clinical
training
in
marriage
counselling
followed
in
the
Division
of
Family
Study
of
the
Department
of
Psychiatry
of
the
University
of
Pennsylvania
School
of
Medicine,
in
Philadelphia,
under
Dr
Harold
I
Lief.
Since
July
1969
she
has
been
in
private
practice
in
London,
Ontario
with
her
practice
limited
to
marital
and
sexual
counselling
forming
part
in
this
practice
of
a
co-therapy
team
along
with
Dr
Avinoam
Chernick,
her
husband.
She
is
an
honorary
lecturer
in
the
Division
of
Family
Medicine
of
the
Department
of
Community
Medicine
at
the
University
of
Western
Ontario
and
is
also
a
member
of
the
American
Association
of
Marriage
and
Family
Counsellors.
In
the
last
three
years,
there
has
been,
according
to
Dr
Chernick,
an
overwhelming
number
of
referais
of
patients
with
problems
in
interpersonal
relationships
including
sexual
function,
from
physicians,
both
in
London
and
the
surrounding
area
and
from
distant
points
in
Canada.
The
referais
are
made,
she
said,
because
the
physicians
themselves
lack
the
information
and
expertise
for
helping
their
patients
in
this
area.
She
added
that
they
have
increasing
numbers
of
requests
from
physicians
for
sources
of
information
and
for
training
to
enable
them
to
be
more
effective
in
their
own
medical
practice.
Many
of
the
patients
referred
to
her,
she
said,
have
presented
anxieties
which
could
have
been
allayed
in
short
order
and
relatively
simply
by
their
own
physicians
had
they
but
had
the
necessary
information
to
give
the
patients
and
the
comfort
with
which
to
convey
it.
She
stated
that
until
recently
there
has
been
few
printed
sources
of
useful
information
regarding
human
sexuality.
She
became
well
acquainted
with
one
monthly
periodical
called
“Medical
Aspects
of
Human
Sexuality”
during
her
year
of
study
at
the
University
of
Pennsylvania
which,
she
said,
was
used
as
source
material
for
reference
and
as
subject
for
discussions
in
seminar
groups
as
well
as
in
the
teaching
of
undergraduates
at
that
medical
school.
She
found
that
this
journal
provided
clinical
information
on
sexual
function
and
dysfunction
as
well
as
pertinent
current
data
from
sociology,
psychology
and
the
other
behavioural
sciences.
It
also
included,
she
said,
an
exposure
to
view
points
of
the
most
eminent
people
in
the
research
and
treatment
areas
of
sexuality.
She
stated
that
it
was
with
dismay
that
she
found
this
journal
so
inaccessible
to
her
when
she
returned
to
Canada.
She
missed
the
availability
of
the
current
data
presented
in
the
journal
and
the
stimulation
of
her
own
study
of
this
area
provided
by
its
writings.
She
says
she
greeted
with
pleasure
the
news
a
year
ago
that
Jay-Kay
Publications
were
interested
in
introducing
“Medical
Aspects
of
Human
Sexuality”
to
Canada
and
willingly
accepted
the
invitation
of
its
publisher
to
participate
as
a
national
consulting
editor.
She
finally
stated
that
the
writings
in
this
journal
have
encouraged
her
further
study
of
this
area
and
have
affected
her
own
clinical
practice.
The
reports
of
others’
works,
she
said,
have
provided
comparison
for
her
own
clinical
observations
and
material
from
this
publication
has
been
incorporated
into
her
teaching
of
physicians,
an
activity
which,
at
present,
occupies
an
important
proportion
of
her
professional
energies.
The
statement
of
purpose
to
be
found
at
page
3
of
the
issues,
does
give
a
fair
background
of
the
intent
of
the
publishers
and,
in
my
view,
is
supported
by
the
evidence
of
the
doctors
as
well
as
by
the
content
of
the
articles
contained
in
the
ten
issues
published
at
the
time
of
the
hearing.
It
therefore,
in
my
view,
should
be
reproduced
hereunder:
Canadian
Edition
A
STATEMENT
OF
PURPOSE
Physicians
are
becoming
increasingly
aware
of
the
need
for
better
ways
of
understanding
and
managing
the
sex-related
problems
of
their
patients
As
an
editorial
in
JAMA
(Sex
and
Medicine,
JAMA
197:146,
July
18,
1966)
put
it:
To
some,
sex
is
the
ultimate
area
of
privacy,
and
hence
not
appropriate
for
study
and
evaluation.
No
scientific
criteria
can
justify
such
a
conclusion.
It
is
no
more
reasonable
to
teach
students
the
anatomy
of
the
reproductive
organs
and
ignore
the
way
these
organs
function
during
their
ordered
activities
than
it
would
be
to
study
the
anatomy
of
the
stomach
but
disdain
any
knowledge
of
motillity,
secretion,
or
disease
under
various
kinds
of
gastric
activity
.
.
.
Perhaps
one
reason
many
physicians
have
abdicated
their
role
in
providing
sexual
advice
is
recognition
that
their
knowledge
is
deficient.
Another
sign
of
this
need
is
the
almost
unanimous
reaction
to
a
personal
interview
of
one
per
cent
of
the
physicians
in
Canada,
before
it
was
decided
to
publish
a
Canadian
Edition
of
MEDICAL
ASPECTS
OF
HUMAN
SEXUALITY.
Of
the
31,000
physicians
in
Canada,
317
were
interviewed,
and
316
reacted
favorably.
Interviews
scheduled
for
10
minutes
lasted
50
minutes
in
85%
of
those
interviewed.
The
need,
interest
and
suggestions
for
additional
information
on
human
sexuality
in
Canada
were
fully
expressed.
In
the
United
States
no
less
than
98%
of
the
respondents
from
11,500
doctors
surveyed
expressed
similar
interest
prior
to
the
first
publication
of
MEDICAL
ASPECTS
OF
HUMAN
SEXUALITY
in
1967.
MEDICAL
ASPECTS
OF
HUMAN
SEXUALITY
will
provide
authoritative
information
on
sexual
problems
that
affect
many
patients.
This
clinical
information
will
enable
the
physician
to
deal
more
effectively
with
a
broad
array
of
such
problems
and
it
will
be
supplemented
by
pertinent
current
data
from
sociology,
psychology,
and
other
behavioral
sciences.
As
a
scientific
journal,
MEDICAL
ASPECTS
OF
HUMAN
SEXUALITY
is
not
designed
to
promulgate
any
particular
point
of
view.
Our
distinguished
Consulting
Editors
represent
a
wide
variety
of
opinions,
but
they
do
share
one
conviction:
that
sex-related
problems
are
the
proper
concern
of
every
physician,
and
that
the
importance
of
these
problems
deserves
a
responsible
and
authoritative
journal.
This
is
what
we
intend
to
provide.
We
welcome
your
opinion,
criticisms,
and
suggestions.
There
is
no
question
that
this
publication
serves
as
a
means
of
placing
before
the
medical
profession
in
Canada
the
results
of
research
and
learning
in
the
field
of
human
sexuality
and
this
is
new.
The
field
of
course
is
not
brand
new
but
the
attempt
by
doctors
to
treat
it
in
a
scientific
way
for
the
medical
profession
is
new.
It
has
not,
to
date,
encouraged
any
considerable
amount
of
further
studies
in
this
field
by
medical
doctors
and
this
is
not
too
surprising
having
been
in
publication
for
ten
months
only.
As
a
matter
of
fact,
this
is
not
the
best
time
to
judge
a
publication
such
as
the
one
involved
herein.
The
best
time
would
be
after
a
couple
of
years
of
publication,
at
a
time
when
the
impact
of
the
articles
produced
therein
on
Canadian
doctors
or
scientists
could
be
more
fully
appreciated.
In
the
meantime,
however,
the
publisher
would
have
to
take
a
chance
and
put
it
out
without
or
with
little
advertising
and
await
a
considerable
period
of
time
before
he
could
be
sure
that
advertisers
would
be
able
to
deduct
their
advertising
expenses.
This
is
not
something
that
one
can
do
unless
he
is
prepared
and
able
to
spend
a
considerable
amount
of
capital
in
the
meantime
nor
could
the
present
publisher
do
this
here
because
of
the
advertising
revenue
it
had
to
generate
under
the
licence
agreement
with
the
owner
of
the
American
periodical
of
which
I
will
say
more
later.
It
follows
that
the
financing
of
the
publication
is
a
very
important
item
indeed
in
the
publishing
of
the
periodical.
There
is,
however,
nothing
sinister
in
a
publisher
seeking
to
make
a
profit
and
I
do
accept
that
the
scholarly
nature
of
a
magazine
should
not
be
tainted
by
the
commerciality
of
whatever
operations
are
necessary
to
create
it
or
to
keep
it
going.
As
a
matter
of
fact
I,
for
one,
would
be
more
impressed
by
the
financial
success
of
a
scholarly
periodical
than
I
would
be
if
it
did
not
flourish.
I
do
not
think
that
it
is
sufficient
here
to
say
that
because
a
publisher
happens
to
be
a
successful
businessman,
the
publication
must
then
fail
to
qualify
as
“encouraging
scholarship”
and
if
this
were
the
only
matter
to
consider
in
determining
the
question
involved
herein,
I
would
have
little
difficulty
in
deciding
that
the
publication
‘‘Medical
Aspects
of
Human
Sexuality”
contains
a
number
of
serious
articles
which,
having
regard
to
the
meaning
of
“scholarship”
I
accept
can
be
considered
as
falling
within
that
category.
Scholarship,
which
in
the
French
version
has
been
translated
by
“les
sciences”
(and
which,
I
believe,
should
have
been
translated
by
“le
savoir”),
in
my
view
refers
in
the
context
of
subsection
19(4)
to
a
relatively
high
level
of
learning.
It
is,
I
believe,
knowledge
which
goes
somewhat
beyond
what
someone
already
trained
in
a
special
sphere
of
human
activity
may
learn.
It
is
an
increase
of
knowledge
given
to
one
who
already
has
a
background
of
knowledge.
Scholarship,
according
to
Webster’s
Dictionary,
is
“the
character,
qualities
or
attainments
of
a
scholar,
scholastic
achievement,
the
body
of
learning
especially
of
research
available
in
a
particular
field”
and
I
am
content
to
accept
this
as
the
meaning
of
scholarship
in
the
above
section.
There
is
no
question
that
the
publication
is
also
a
practical
one
and
this
is
not
too
surprising
as
medical
scholarship
must,
by
its
very
nature,
have
a
practical
result
in
mind.
It
would
be
a
great
misfortune
indeed
if
matters
of
a
medical
nature
which
deal
with
human
functions
resulted
only
in
a
simple
exercise
in
meta-
physicis
or
had
purely
impractical
or
academic
results.
I,
therefore,
accept
that
knowledge
acquired
by
scholarship
should
not
be
excluded
merely
because
it
happens
also
to
be
practical.
If,
of
course,
the
periodical
is
merely
an
artificial
attempt
made
to
create
an
advertising
vehicle
for
drug
companies,
that
is
one
situation.
I
would
think,
however,
that
if
that
is
all
the
publisher
is
trying
to
do,
the
magazine
will
not
last
very
long
because
the
doctors
will
not
read
it
and
the
advertisers
will
realize
that
they
are
not
reaching
their
customers.
The
answer
to
the
question
whether
the
principal
function*
of
this
magazine
is
the
encouragement,
promotion
or
development
of
scholarship
is
not
easy
because
it
cannot
be
said
here
that
the
publishers
of
this
magazine
have
not,
in
the
ten
issues
published
to
date,
included
articles
of
a
scholarly
nature,
useful
to
doctors
in
their
every
day
practice,
but
also
highly
informative
from
a
scholarly
point
of
view
as
well
and
even
helpful
in
instigating
further
research
and
study
on
the
subjects
treated
therein.
The
evidence
of
the
doctors
on
this
point,
as
well
as
the
contents
of
the
articles,
which
I
have
all
read,
are
overwhelming
and
uncontradicted.
Indeed,
if
the
caliber
of
the
people
who
have
written
these
articles,
as
well
as
most
of
the
articles
themselves,
are
considered,
this
publication
must
be
accepted
as
a
vehicle
for
the
dissemination
of
scholarship
in
a
field
which,
until
recently,
was
one
that
had
never
been
properly
treated
by
doctors.
There
is
unfortunately,
however,
a
further
matter
to
be
considered
and
that
is
whether
the
principal
function
of
the
magazine
(not
only
its
contents)
is
the
encouragement
of
scholarship
and
here,
of
course,
the
whole
background
of
the
publisher
or
publishers,
the
manner
in
which
the
publication
was
initiated,
must
be
considered
and
although
the
question
of
whether
a
publisher
wants
to
make
money
with
a
publication
should
not
normally
be
considered
in
order
to
determine
whether
the
contents
of
the
publication
are
scholarly,
it
may
well
have
to
be
here
in
order
to
answer
the
question
whether
“the
principal
function”
of
this
publication
is
the
encouragement
of
scholarship.
Counsel
for
the
Minister
said
that
the
overall
picture
here
indicates
that
this
publication
was
more
an
advertising
vehicle
than
a
really
sincere
attempt
to
disseminate
and
encourage
scholarship
and
because
of
the
manner
in
which
the
publisher
became
licensed
by
the
American
owner
of
the
American
publication
and
the
requirements
of
the
licence,
there
may
well
be
some
truth
in
the
above
assertions.
The
object
of
the
legislation
involved
herein,
section
19,
was
not,
I
am
sure,
to
create
a
cultural
wall
or
to
deprive
Canadian
doctors
from
access
to
the
best
minds
in
the
United
States
or
the
world
or
to
restrict
the
flow
of
scientific
information
of
the
type
contained
in
the
issues
of
both
the
American
and
Canadian
editions,
which,
I
am
prepared
to
hold
as
being
valuable
not
only
to
Canadian
doctors
but
also
to
Canadians
in
general
with
problems
of
the
type
dealt
with
in
the
articles.
The
restrictions
contained,
however,
in
subsection
(4)
of
section
19
may
well
result
in
preventing
such
articles
from
reaching
the
country
if
the
method
adopted
is
by
means
of
a
Canadian
(foreign
deemed)
publication
such
as
here.
The
underlying
policy
of
section
19
is
to
provide
to
publishers
of
Canadian
publications
the
incentive
of
Canadian
advertising
and
to
prevent
the
deduction
by
Canadian
advertisers
of
their
costs
of
advertising
if
they
choose
to
take
their
advertising
space
in
an
issue
of
a
non-Canadian
newspaper
or
periodical
with
the
major
exception
of
“Time”
Magazine
and
“Reader’s
Digest”,
which
are
not
covered
by
the
qualification
“of
a
newspaper
or
periodical
dated
after
December
31,
1965”.
If
such
is
the
case,
we
must
hold
that
the
category
of
publications
comprised
in
the
exception
provided
by
subsection
(4)
is
one
with
not
too
strong
a
commercial
orientation,
one
which,
because
of
the
subjects
involved,
art,
scholarship,
religion
and
letters,
should
not
take
away
much
advertising
from
Canadian
publications.
It
is,
as
a
matter
of
fact,
interesting
to
consider
the
language
of
subsection
(4)
with
regard
to
the
prohibition
of
section
19
and
if
this
is
done,
one
must,
I
believe,
conclude
that
the
exemption
provided
for
must
be
restricted
to
publications
which
are
more
concerned
with
matters
of
art,
science,
letters
and
religion
where
advertising
is
not
a
major
concern
and
where
the
use
of
such
subjects
is
not
to
attain
a
profitable
market
for
those
manufacturing
goods.
If
such
is
the
rule
in
section
19,
whatever
exception
to
it
should,
I
believe,
be
one
which
does
not
defeat
its
obvious
purpose
which,
as
already
mentioned,
is
to
retain
Canadian
advertisers
for
Canadian
publications
or
periodicals.
With
this
in
mind,
I
will
now
consider
Jay-Kay
Publications,
the
company
that
publishes
the
journal
or
the
periodical.
It
has
strong
associations
with
advertising.
Mr
Knox,
the
principal
shareholder,
has
a
strong
background
in
marketing
and
selling.
Mr
Becker,
the
minority
shareholder,
is
an
advertising
man
from
New
York
and
the
licensing
agreement
sets
down
the
requirements
Jay-Kay
Publications
must
meet
in
order
to
be
able
to
use
its
name
and
reproduce
in
the
Canadian
magazine
the
articles
published
in
the
American
one.
Jay-Kay
has
indeed
to
meet
performance
standards
which
bear
no
relationship
to
scholarship
but
are
restricted
to
generating
a
progressive
sale
of
advertising
revenue.
Starting
in
1971
with
$56,000
of
advertising
revenue,
Jay-Kay
Publications
must,
in
order
to
keep
the
name
and
continue
this
publication,
generate
advertising
revenue
of
$250,000
in
1972,
$375,000
in
1973,
$510,000
in
1974
and
$650,000
in
1975
and
thereafter.
Mr
Knox
agreed
that
the
advertising
is
the
entire
source
of
the
company’s
operations
and
the
publications
cannot
exist
without
it.
It
would
seem
that,
to
date,
53
people
in
Canada
out
of
22,000
doctors
paid
$20
for
the
issues
of
this
magazine,
the
balance
apparently
have
received
the
issues
free
of
charge.
On
the
basis
of
what
we
may
call
the
business
aspects
of
this
publication,
there
can
be
no
doubt
that
at
least
one
of
the
objects
of
the
publication
is
to
provide
a
vehicle
to
advertisers.
I
must,
therefore,
consider
not
only
the
content
of
the
publication
which
I
have
already
done,
but
also
the
material
or
business
set-up
of
the
publishers,
their
commitments
to
the
American
publishing
company
and
the
requirements
of
the
licence
agreement
and
weigh,
if
possible,
one
against
the
other.
I
must,
indeed,
decide
whether
the
principal
function
“l’objet
principal”
of
the
publication,
not
only
of
its
contents,
is
scholarship
although
I
must
also
accept
that
the
publication
does
comprise
its
contents.
I
cannot
say
that
the
unusual
amount
of
advertising
content
necessary
to
ensure
the
life
of
the
publication
overrides
the
article
content
even
if
the
latter
must
be
considered
of
a
high
scholarly
nature
nor
that
the
article
content
overrides
the
former.
As
a
matter
of
fact,
considering
that
the
magazine
has
so
far
a
high
scholarly
content,
I
would
still,
putting
it
at
its
highest,
have
to
hold
that
it
has
no
more
than
a
co-equal
function
or
object
with
providing
an
advertising
vehicle
and
this,
of
course,
would
not
be
sufficient
to
satisfy
the
subsection
which,
as
already
mentioned,
requires
that
the
principal
function
must
be
the
encouragement,
development
and
promotion
of
scholarship.
I
must,
therefore,
conclude
that
a
major
object
of
this
publication
is
to
provide
an
advertising
vehicle
and
by
distributing
it
to
doctors
across
the
country,
it
assures
the
advertisers
of
a
good
reach
among
doctors
who
are
going
to
read
it.
This,
of
course,
is
a
good
thing
and
would
be
useful
to
doctors
and
their
patients
but
it
does
not,
unfor-
tunately,
allow
the
principal
function
of
the
publication
to
be
a
dissemination
of
scholarship.
The
question
to
be
solved
here
is
one
mainly
of
fact
and
although
the
quality
of
the
articles
published
in
the
periodical,
as
well
as
the
caliber
of
the
doctors
on
the
editorial
board,
must
be
considered,
the
financial
activities
of
the
proprietors
of
the
publication
and
the
advertising
revenue
they
must
reach
in
order
to
maintain
their
licence
with
the
American
company
cannot
be
ignored
and
constitutes
an
important
factor
in
reaching
a
decision
particularly
in
the
light
of
the
object
of
section
19
which,
as
already
mentioned,
is
to
allow
the
deduction
of
Canadian
advertising
in
foreign
periodicals
in
exceptional
cases
only.
Here
a
most
important
object
of
the
publication
is
to
serve
as
an
advertising
vehicle
and
the
answer
to
the
questions
posed
must
regrettably
be
that
the
principal
object
of
this
publication
is
not
for
the
advancement
or
promotion
of
scholarship.
I
should
not
part
with
this
case
without
saying
that
the
evidence
discloses
that
the
Canadian
publication
has
been
mainly
a
repeat
in
a
proportion
of
60%
of
the
material
published
in
the
American
publication
and
for
this
reason
alone
it
would
not
qualify
under
clause
(F)
of
subparagraph
19(5)(a)(ii)
which
says
that
a
Canadian
issue
does
not
include
an
issue
of
a
periodical
(F)
the
contents
of
which,
excluding
advertisements,
are
substantially
the
same
as
the
contents
of
an
issue
of
a
periodical,
or
the
contents
of
one
or
more
issues,
of
one
or
more
periodicals
that
was
or
were
printed,
edited
or
published
outside
Canada.
This
Court
doth
determine
that
the
answer
to
the
question
“Is
the
Canadian
Edition
of
‘Medical
Aspects
of
Human
Sexuality’
a
publication,
the
principal
function
of
which
is
the
encouragement,
promotion
or
development
of
scholarship
within
the
meaning
of
subsection
(4)
of
sections
19
and
12A
of
the
Income
Tax
Act?”
is
in
the
negative.
The
costs
of
this
application
shall
be
to
the
Minister
of
National
Revenue.