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                  <text>,

July

2

, 1965

Albert A. Kurlmd, Md).
Director of Relearch

upset-mm of Mutal Hygiene

Spring Grove State Hospital
Baltimore 28. Maryland

e.

v

"warm—w

Jr.

.*

our,

Dear-Al:

I was vexy pleased to remive your letter, as I think that
the convulsive therapy mdel has been studied too little.
As I see the convulsive therapy process, change: in brain
functim are a necessary. trough not sufficient condition for
iwmvcmt. 0f the various measures of brain fmction, changes
in the electroencephalogram seem to be the met easily quantified
and
sensitive available to us. Induced cmvuleiccs
the
produce high voltage slow wave activity in all parts of the head

ms

this can

m

easily measured.
The data indicates that in the absence of the development
of him voltage slow wave activity, behavioral change is limited

and

be

and appears with no greater frequency than in control gxoups

.

lhue, the principal predictive value of slow wave activity
line in the prediction that in its absence behavioml improvement
and in its presence, inpmvement may ocmr.
will not

cm

The principal predictors of the type of behavioral change
which we call improvemt, and mm: is gemmlly associated
with euphoria, denial, decreased tensim, immved sleep, 239'

are psymolcgical duraotezietice of the subject . Such
characteristics as propensity to denial. high degrees of
anthoritarimism, low discriminant ability are associated with

behavioral

WW”: when

EEG

slow wave

activity is induced.

third set of peremtere in the convulsive
therapy process having to do“ with the mintenanoe of behavioral
improvement once the physiological signs have returned to prettmatmnt levels. These may not have to he considered if the
study is focueeed on the short term treatment results.
There are a

�Dr. Kurland

July 2,

~2—

1965

Your letter reminds me that I should have codified our
convulsive therapy experiences many years ago but not having
done so, I met send wu a water of reprints which am enclosed.
I hope they are helpful.
As

to your kind invitation to visit with you, I

was

at ﬁrst

inclined to regard this as a gesture. I have thought about it,
however, and my interest in the convulsive therapy process has
recently been stimulated, not only by your inquiry but by a
similar inquiry from Dr. A1 Freedman. I have already agreed
to visit with him and to assist me of his students in a study
of conwlsive therapy. I would be very pleased to help you and
Dr.
I am very such interested in finding out if
models
our early
still hold true today,- and if your studies

133le.

can shed some light on those issms, I would be very pleased.
For this reason, may I suggest the following. I plan to be in
New York some time in July and can
arrange to come and visit
you in association with that trip. I also will be on vscatim
intheEastmringMgust.
spend
a few weeks at the bead), and I knw my cum personality well
«rough to anticipate a mstiveness after two weeks . Nothing
would please no more thm to com and visit you for a day in
mid-August.

Wmdlmplarmingto

I hope trace amounts are helpful and I am delighted that
you are undertaking a convulsive therapy study program. Good
luck!

My

best

rem.

Sincerely yours ,
Fink, NJ).
Professor of Psychiatry

Max

Hfﬂtp

�</text>
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