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                  <text>OcTober 9, l97|

Prof. Alfred M. Freedman
Chairman, DeparTmenT of PsychlaTry
New York Medical College
Dear Al:
The following noTes are wriTTen in response To your
informaTion
for
as To my relaTionship wiTh L. Bucci, M.D.
requesT
l
firsT meT Luigi when
T0 The DeparTmenT, and his inTeresT
me To requesT his appoinTmenT To my

he applied for an appolnTmenT
in psychoTropic drugs allowed

division.

His firsT assignmenT was an evaluaTion of The
duraTion and poTency of fluphenazine enanThaTe compared wiTh
oral fluphenazine; and This laTer was augmenTed by a comparison
wiTh fluphenazine decanoaTe. As is our cusTom, we esTablished
a proTocoi for The admission of paTlenTs To The program, Their
supervision and raTings, and The Types of evaluaTions required. MosT
criTical in such evaluaTions, is The adminisTraTion of The
proposed dosages for The proposed lengThs of Time, wiTh The
physician allowed To use his judgmenT in each case as To The
From The very ouTseT, Luigi had
proper dosage To be deployed.
more difficulTy Than Two oTher TherapisTs (Maria Fuchs and Jovan
Simeon) in carrying ouT The proTocol. The dosages were more
variable Than ThaT of The oTher physicians; There were repeaTed
supplemenTaTions wiTh oTher drugs, parTicularly MAO inhibiTors
(despiTe proscripTion in The proTocol); and The records were mainTained in an idiosyncraTic meThod.
aT

LaboraTory TesTs were noT requesTed as required, and
various Times, The duraTion of TreaTmenT was suffciienle

aiTered ThaT The drug Trial Took
anTicipaTed.

many more monThs Than we had

AT The end of The experimenT, we noTed ThaT The
evaluaTion of secondary effecTs for Dr. Bucci's paTlenTs was aT
IeasT Two Times ThaT of The oTher physicians. On examining The

records and The available cases, we noTed a marked discrepancy
beTween The evaluaTion criTeria he used, and Those of The resT of
The sTaff. AfTer considerable review, l concluded ThaT The idiosyncraTic naTure of his judgmenTs was sufficienle differenT Than

�"nv -vw,mw&gt;n~ m-w—I—H—o-w

my

experience

To

‘iw_mwww.’.

--

mm w.wmmwwwvww i,”
TVWV

preclude his usefulness in

of The Division of Biological PsychlaTry.

The

ﬂ_»_r..i.,.._..........-.wv-

research programs

His opinions wiTh regard To The TreaTmenT of
MAO inhibiTors are based on sTudies which
he has published. i have read Two of These reporTs, and recall
ThaT They failed To saTisfy my criTeria for an academic reporT—They were deficienT boTh in conTrols and in independenT evaluaTlons.

psychoTic paTlenTs wiTh

In adleion, i am aTTaching a xerox c0py of a reporT
which he published from The work aT MeTropoiiytn HospiTai. i
do noT recall seeing The proTocoi filed or approved, and I
suspecT ThaT This sTudy was done conTrary To The rules of
The school. This, despiTe, my urging him To file The becessary
documenTs before a sTudy is conTemplaTed, parTicularly one
ThaT is as unique as This one.
On

The posiTive

side,

i

would

recall

To

your aTTenTion

his enThusiasm for Teaching and parTlculariy his drive To
asserT The posiTion of psychopharmacoiogisT To The DepaTmenT.
There was a disTincT dissoclaTion beTween his enThusiasm and his
abiiiTy, and for This reason, i requesTed his Transfer from The
research divisions and failed To supporT his requesT for
promoTion.

Sincerely yours,
Max

Fink,

M.D.

Professor of PsychlaTry

-

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