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Interest in catatonia came full forward with my assumption of clinical responsibility for the ECT Service and the treatment of acutely ill patients admitted to the Psychiatric Services of the University Hospital at Stony Brook University in 1980. Gregory Fricchione, then in charge of consultations, brought the wealth of case material to my attention and encouraged effective treatment protocols. Collaboration with Michael Alan Taylor, who challenged the Kraepelin delineation of catatonia as schizophrenia in the 1970s, led to our review of the place of catatonia in the classifications of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and to the publication of our texts on catatonia in 2003 and on melancholia in 2006. Collaborations with Andrew Francis, Georgios Petrides, and George Bush, among other Stony Brook staff members, led to the catatonia rating scale, the sedation test, and the optimized treatment protocols with benzodiazepines and induced seizures. David Healy’s tests of the incidence of catatonia in Wales and India reinforced our studies. My acquaintance with Edward Shorter began with his history of the shock therapies, written with David Healy; our clarifications of the types of catatonia; and our collaboration on the history of melancholia and now catatonia. I am also indebted to Krysten Nyitray, archivist of the Stony Brook University Special Library collections for her support of the Max Fink Archives.
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