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                  <text>December 26,

19 87

Frederick H. Kasten, Ph.D.
Department of Anatomy
Louisiana State University Medical Center
1100 Florida Avenue
New Orleans, Louisiana 70119
Dear Dr. Kasten,
i recall Leo Alexander well; he was an active, outspoken, and critical
member of the audience at many of the meetings of the Society of Biological
Psychiatry and Electroshock Research Association that iattended. i did not know
him personally, and i can recall no direct interaction with him.
He wrote the textbook TREATMENT OF MENTAL DISORDER which was
published in 1953 by $1.8. Saunders, Phildelphia. In it, he has extensive sections on

convulsive therapy, as well as the psychotherapies. Reading the index today, one
gets the impression that he was trying to resolve the dilemma of the success. and
risks of the somatic therapies with the elegance and greater acceptance (especially
in Boston) of the psychodynamic model. He does notsucceed in balancing these
antithetic attitudes well.
Leo Alexander was a practitioner seeking to make the best of an impossible
of
test allegiance. His textbook is idiosyncratic and limited; it contrasts rather
poorly with other texts published at the same time (see Kalinowsky and Hoch or
Sargant and Slater).
The APA Task Force report on Electroconvulsive Therapy is report #14,
published in 1978. It should be available in your library, or from the APA in
Washington, D.C. l was a member of the panel, and contributed to, but did not

write the report.

_-

i met Reuben Reiter back in the 19505 when I was interested in ECT
devices. 1 used one of his devices for a while but thought his instruments were
poorly designed. They are no longer in active use. i was told a few years ago that
he had died, but have no further information.

i

trust these comments are helpful.
Sincerely yours,

Max Fink, Md).

Professor of Psychiatry

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