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                  <text>January 5, 1992
Michael Taylor, MD.
Department of Psychiatry
UHS/Chicago Medical School
3333 Green Bay Road
No. Chicago, Illinois 60064

Dear Mickey,
read “Are schizophrenia and affective disorder related? A selective
literature review" with much interest and relief, mainly relief. have been finding it
increasingly difficult to identify patients with schizophrenia, finding that many
patients so labelled responded (with varying degrees of success, sometimes
dramatic) to treatments which are ordinarily prescribed for affective illnesses.
The cases have not been limited to those with ’catatonia’. These experiences
led me to adopt the attitude that no patient should be labelled as suffering from
’schizophrenia’ until after failure of vigorous treatment for affective illness. This
view has put me into conflict with my associates Fritz Henn and Lynn DeLisi
(firm believers in the genetic dichotomy theory), and even some younger faculty
trained at Hopkins. Hence my relief at your review and the challenge it provides
to the ’establishment’.
l

I

Keep up the good work. My thanks and my best wishes for a healthy
and happy 1992.
Admiringly.
Max Fink, M.D.
Proferssor 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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