http://exhibits.library.stonybrook.edu/mfp/files/original/1097bbaba68be68e3db0e7bfd23b7160.pdf c3b02bb1a901a35b6de38d99e509be15 PDF Text Text August 2, 1978 Richard Ries, M.D. Chief Resident University of Washington— Department of Psychiatry & Behavioral Science Seattle, Washington Dear Dr. Ries, letter of July 20 raises an interesting question in conditions outside the accepted use in endogenous depression. From your note, I would have to assume that the patients exhibited symptoms usually described as catatonic, for it is among such symptoms that the most dramatic responses to ECT have been described. The other situation in which rapid and favorable results have been described is in acute mania, where some authors cite rapid results in one to three days. of the mode Your of action of ECT Unfortunately, in my review of the literature, I have across any systematic review of the rate of response to ECT and specific syndromes or symptoms. The references to the response 06 catatonic patients is usually part of a clinicll report; or, is cited by clinicians in lectures. For example, Professor Max Hamilton, in lecturing at Stony Brook cited the rapid response of catatonic patients, particularly those with 'pernicbous catatonia' and referred us to his revision of Fish's Schizophrenia. But there, we found no data, only a general reference as to the utility of ECT. not come (Arch gen Psychiat. 33: 579, 1975; 1977) and Taylor and Abrams (Arch gen Psychiat. Bk: 1223, 1977) have written about catatonia and suggested that the syndrome was more ubiquitous than generally thought. If your cases follow their reasoning, then it would be valuable to describe their Amer. Recently, Abrams and Taylor J. Psychiat. l3h:78, symptams and present a report of the results with ECT. Possibly, some patients could be continued in pharmacotherapy for an additional three weeks and some receive ECT for a comparison of the courses under two treatment sngimens. I regret that I have no other references to assist your commend your review of your findings from view as a start. Let me know what you find. study, but this point of Sincerely yours, sax Fink, M.D. Professor of Psychiatry � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Ries, Richard Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-029-3-125 Date A point or period of time associated with an event in the lifecycle of the resource 1978 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence