In '74, and '75, '76, some events were to happen which darkened my life. When I came back to New York, after the publication of Awakenings in the summer of '73, the then director at Bronx State Hospital asked if I would... he invited me in for a long talk, amongst other things we talked about schizophrenia and mental illness. I had been working for the previous seven years as a neurology consultant at this state psychiatric hospital doing a clinic a week, and finding out if people diagnosed as schizophrenic might in fact have some neurological condition or something else, and [Leon] Salzman, the then director, a very good man, who had written an excellent book on the obsessional personality, invited me to come in half time to the hospital, and... and said he thought I would be particularly interested in a... a ward which dealt with young, autistic and psychotic and retarded people, Ward 23.
At... autism was not a hot subject at that time, no-one was talking about autism in '73, and I... so I accepted the offer, and at first I enjoyed being on this ward, although it upset me deeply as well. Neurologists, probably more than any other specialists, see tragic cases, people with incurable, relentless diseases which can cause great suffering. There has to be, along with fellow feeling and sympathy and compassion, there has to be a sort of detachment so you’re not drawn into a hopeless identification with a patient.