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                  <text>iii

December 5, l968
Dr. Harvey Tompkins

.

Chairman. Panel on Neurology and Psychiatry
Health Research Council
Department of Hospitals

l25 North Street

New

York,

New

York l0013

hear Dr. Tompkins:
The HRC review of the proposal "Methadone in the Treatment
of Chronic Active Psychosis" was read. I am taking the opportunity
(as the suggestion of Dr. Lehr) to acquaint you with our progeam
and the reasons for our interest in this compound.

This study is part of an evaluation of centrally active
compounds to determine what relations can be defined between
drug induced EEG changes and clinical behavior in man. Most
commonly used drugs have been assessed (see review) and we
are non attempting predictive studies. Examinations of

cyclazocine. fenfluramine, thiothixene, and sulthiame have
been completed and those of doxepin, nalouone, marijuana, THCs
and heroin are in progress.
Methadone is widely used in treating opiate dependence.
have found no useful reference to its use in psychosis.
Methadone evinces EEG characteristics that warrant the prediction
that its use will be associated with a sharp reduction in active
psychosis. If true. the EEG~behavioral theories will receive

We

some affirmation; if not true. the theory will require reasseSSment.
This project is not a simple clinical evaluation, as the reviewers
imply, but a test of this hypothesis. We have carefully justified
each experiment (especially this one) to the hepartment Chairman
and the Research Committee of the Colbge.

is part of

an RIMH supported program, “Quantitative
Studies in
Psychopharmacology” ~ supported since 1962
and
in Missouri
since l967 in New York. A copy of the relevant

EEG

The study

Human

portions of the grant application, as completed in l966, are
enclosed.

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Dr. Harvey Tompkins

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December 5, l968

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rejection of this project, justified by conventional
justice neither to the Panel, nor our

catechisms does

scientific progress, nor the treatment failures who may be
helped if the method is successful. I trust the Panel will
have an opportunity to review

its

recommendation.

Sincerely yours,
Max

Fink,

M.D.

Professor of Psychiatry

Mszp
cc:

..

Dr. David Lehr
Dr. Alfred M. Freedman

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�</text>
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