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                  <text>August 5, 1985
Dr. Bracegirdle
Keeper of the Wellcome Museum

Science Museum

Exhibition Road
London SW7 2DD
England
Dear Dr. Bracegirdle,

I hesitate to write the following, as it may appear presumptuous to
you,
but in a recent visit to the Wellcome Museum, I was struck by an apparent error in
the panel #T32. As I have recently written a history of convulsive therapy, and
published an autobiography of Ladislas Mcduna, I decided I would present my views
of the history.

The panel states that "In the 1930's, Manfred Sakel treated schiz0phrenia
by producing convulsions by injecting insulin. This in turn was replaced by . . ." The

treatment‘s origin was more likely in the work of Ladislas Meduna.

Manfred Sake! developed insulin coma therapy, and ardently maintained

that the induction of seizures, which occasionally occurred, was a complication to

be avoided. He presented his ideas in Vienna in January, 1933. In January, 1934 the
Hungarian neuropsychiatrht, Ladblas Meduna introduced camphor injections with
the intent of developing seizures, in the belief of a biological antagonism between
epilepsy and schimphrenia.
These two protagonists met at a meeting of the Swiss Psychiatric Society

in Mﬂnsingen in 1937. They differed in their views as to what was the essence of

-

each therapy
coma and the death of 'sick' brain cells in insulin therapy; and
seizures in Metrazol therapy. (In later years, Sakel emigrated to New York, and
asserted that seizures in insulin coma may have some beneficial effects.)

I enclose a copy of a historical review for your use. A more detailed
exposition of the Meduna story is to be found in the first two issues of the new
journal, CONVULSIVE THERAPY, in which Meduna's previously unpublished
autobiography is published. This biography was written about 1954. Other sources
can be found in citation 35 in the enclosed reprint.

I very much enjoyed my visit to the museum.

Sincerely yours,
Max Fink, M.D.

Professor of Psychiatry

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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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