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                  <text>January 27, 1985
Petr Skrabanek, Ph. D.
Department of Community Health
University of Dublin
196 Pearse Street
Dublin 2, Ireland

Dear Dr. Skrabanek,
It was kind of you to send me a reprint of your arguments on the
biochemistry of schizophrenia. As before, I enjoyed your review. I have little faith
in the present biochemical or animal models of mental disorders, but they seem
necessary steps in our learning. Both Horrobin and Ackernecht reflected my
appreciation of the problems.
I had already cut out your note in Lancet on "Holy Dread" which
found delightful.

I

also

you will see from the letterhead, I have succumbed to temptation and
the
invitation of the publisher of Raven Press, Alan Edelson, to edit a
accepted
journal CONVULSIVE THERAPY, which is a quarterly, with the first issue to
appear in March. While most of the space will be dedicated to refereed research
reports, there is room for innovation. ECT has just passed its 5lst birthday, and its
very persistence is a challenge to our understanding. For almost three decades,
research interest lagged, but lately there has been a re-awakening. In 1978,
Timothy Crow challenged the belief that a seizure was necessary to the outcome
and thereby launched six or more studies in Britain. While most observers now
accept that either the seizure or something accompanying the seizure is necessary
for maximal antidepressant effects, Tim still believes that good nursing care will
do as well. There are other beliefs which are as contested, not the least of which is
the range of theories of the antidepressant efficacy of ECT. The two principal
(‘serious') theories are those of Grahame-Smith, Costain, Green, and Modigh on the
neurohumoral theory; and Ottosson and myself on the neuroendocrine.
As.

I do not know how much experience you have with the ECT
process, nor
whether it is a feature of your University landscape. But should you wish to tackle
the ECT beliefs, consider a contribution to this new journal.

My best regards.

Sincerely yours,
Max Fink, M.D.
Editor

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              <text>1985 </text>
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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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