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                  <text>M. FINK
From the Department of Experimental Psychiatry, Hillside Hospital

7

Glen Oaks (N. Y.)

Meeting on the Techniques for the Study of Psychotropic Drugs
Bologna 1960
DISCUSSION OF THE REPORT OF Prof. MARCEL MONNIER

Reprinted from the:

of

Acta of the International Meeting on the Techniques for the Study
Psychotropic Drugs» - Bologna June 26-27th 1960
«

MODENA —&gt;SOCIETA TIPOGRAFICA MODENESE

�Dr. Monnier‘s excellent review presents a vivid picture of neurophysiologic techniques in the study of drug effects. From monosyna‘ptic and poly—
synaptic to organismic patterns the methods of study appear rich in promise.
One phase of these studies, that of cortical EEG analysis, has been of considerable interest to our laboratory, Changes in EEG patterns induced by pharmacologic agents are generally considered to be poorly related to changes in
clinical behavior. Yet, from the extensive experience with anesthetics, alcohol. sedatives and convulsants, and the theoretical views ascribing to brain
function a central role in conscious behavior we would expect that psychotropic drugs may also have signiﬁcant electrographic behavioral relations.
The difﬁculties in such studies lie in inter—species differences in physiologic
response, the range of inter-individual and intra—individual variability in
both neurophysiologic and behavioral parameters, and the wide variety of
events which must be measured to obtain a reasonable image of mammalian
interactive behavior. A further difﬁculty has been a lack of reasonable theo—
retic models of brain function-behavioral interrelations. Recent suggestions,
however, may be helpful, including the synaptic models of Marrazz‘i (l)
amongst others; the brain stem models of Magoun, as elaborated by Hi‘mwich
(2): and the general neuro‘physiovloglic~adaptive views of Wlikler (3), Weinstein (4‘) and our laboratory (5).
In 1954. Wikler (6) stated that drugs that alter human behavior in the
direction of EEG desynchronization are associated with behavioral excite—
ment. alertness, illusory sensations, and hallucinations; while drugs which
induce EEG synchronization, with or without increased slowing, are associa—
ted with sedation. tranquillization and decreased excitement. In our studies in
psychiatric patients, this hypothesis has been substantiated. The following compounds administered in physiologic dosage ranges have been shown to decrease synchronization of the EEG: mescaline, LSD—25, amphetamine; anticholinergics as diethazine, benactyzine. JB—318, JB-336; and local anesthe—
tics as cocaine, procaine, and lidocaine. The following agents increase synchronization of the EEG: barbiturates, chlorpromazine and similar pheno—
thiazines. meprobamate, and anesthetics as ether, chloroform. etc. In addi—
—

tion, various compounds without signiﬁcant clinical behavioral eﬁ'ects have
been studied, including phenyltoloxamine, WY-3149 and deanol - and these
have inconsistent or indeﬁnable EEG effects.
In these studies we have observed. however, that the continuum of synchronization-desynchronization is an oversimpliﬁed generalization. In our present view, two other EE‘G pattern changes have assumed considerable prominence. One is a shift of dominant frequencies either to the slow (theta or
delta) or the fast (beta) ranges; and the second, the presence of such ﬁgures
.as burts, spikes or spindling. These latter two patterns were signiﬁcant in

�2

describing the EEG behavioral relations of imipramine (7). Examples of
these paterns may he found in publications from this laboratory and elsewhere (8. 9, 10, 11).
It is our impression, therefore_ that further EEG analyses of new compounds in man is indeed warranted. We would suggest that the number of
quantiﬁcation procedures be extended to include, in addition to frequency
analysis, the techniques of topographic analysis, chronologic analysis - and
these techniques may be augmented by computer techniques of summating
evoked potentials.
In studies of drug effects. not only is it important to deﬁne neurophysiologic parameters, but the behavioral parameters are equally signiﬁcant. The
equation of change in rates of animal pole-climbing. bar pressing or jiggleand
is
inaccurate
and
excitation
human
with
tranquillization
movement
cage
inappropriate. There is no evidence that such tasks in experimental animals
and
of
to
interaction
physicians
human
in
signiﬁcance
related
to
changes
are
psychologists. Indeed, if one impression dominates the session today, it is
that the behaviors studied by pharmacologists are not the behaviors of inte—
rest to the clinicians. Further study of the relations between the laboratory
tasks highlighted today and human behavioral measures are needed. In this
regard multivariate pattern analyses of behavior and the newer applied psycholinguistic techniques may be helpful in deﬁning the changes in human
behavior patterns.
In conclusions. I wish to reenforce Dr. Monnier’s review, and indicate
that increased attention to EEG analyses may be proﬁtable in understanding
the mode of action and the signiﬁcant differences and similarities in psycho—
pharmacologic agents.

REFERENCES
1)

2)

3)
4)
5)

6)
7)
8)

Marrazzi A. S., Science 118, 367 (1953).
Himwich 11., Rinaldi F., Brain Mechanism and Drug Action, 115-44 C. C. Thomas,
Springﬁeld, 1957.
Wikler A., The Relation of Psychiatry to Pharmacology. Wm. Wilkins, Baltimore, 1957.
Weinstein E. A., and Kahn R. L., Denial of Illness: Symbolic and Physiological
Aspects. C. Thomas, Springfield, Ill. 1955.
Fink M., A Uniﬁed Theory of the Action of Physiodynamic Therapies. J. Hillside
Hospital 6, 197 (1957)
Wikler A., J. Nerv. Ment. Dis., 120, 157 (1954).
Fink M., Canad. Psych. Assoc. J. 4, 1668 (1959).
Fink M., Neuro-Psychopharmacology, ed. Bradley, P., Elsevier, Amsterdam, 441446,
1960.

9) Kink M., EEG. Clin. Neurophysicl. 12, 359 (1960).
110) Verdeaux G., Marty R., Rev. Neurol., 91, 405 (1954).
11) Bradley P. D., Elkes J., Brain. 80, 77 (1957).

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