http://exhibits.library.stonybrook.edu/mfp/files/original/258061a07efdd559edb2b45b1ec4402f.pdf d707bd5b92d0cfa522a6248bb3a2d3be PDF Text Text December 18, 1991 Mr. Bert Ellis 7 High Trees New Barnet, Herts., EN4 England 900 Dear Mr. Ellis, am rather surprised that anyone could have gotten anything positive from the third hour of MADNESS. After viewing my copy, thought that the hoopla of history and dramatization had destroyed the message. I I The diagnosis of schizophrenia is difficult, and the rules for such determination have changed three times in my professional career. Electroconvulsive therapy has been in active use since 1938, and many reports argue that patients with severe psychoses and severe affective illnesses (mania and depression) respond well to ECT. The major complaint against its use has been the high relapse rate, but that followed the attitude that the shorter the course of treatments the better. That attitude was spawned by public antipathy and fears that patients receiving treatment were ’brain-damaged’. Recent determined studies find the fears of brain damage unfounded. The development of techniques for treatment which minimize risks has made the treatment more available. These experiences led to the use of maintenance treatment, and my statement in the interview in MADNESS. The question of suitability of ECT for your daughter is not to be determined by the diagnosis, but by her symptomatology and course. Mood changes, vegetative symptoms, positive symptoms of psychosis, periodicity, and signs of catatonia are some predictors of good outcome with ECT, independent of the perception or diagnosis of ’schizophrenia’. While there are many competent psychiatrists with a knowledge of ECT in Great Britain, the ones who have written the most recently are Sydney Brandon of Leicesterhire and John Pippard of London and commend them to I your attention. Thank you for your inquiry. Sincerely yours, Max Fink, MD. 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: Ellis, Bert Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-032-4-100 Date A point or period of time associated with an event in the lifecycle of the resource 1991 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