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                  <text>v
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Mailing Address:

PO

Box 269

Great Neck,
New

April 27,
Dr.

J.

M.

Dille,

York 11022

1972

M.D.

Department of Pharmacology
University of Washington

Seattle,

Washington

Dear Dr.

Dille,

98105

Thank you

for the invitation to participate in the

symposium on anorexigenic agents on May 19 at the Americana Hotel
in New York. I look forward to the session, and thank you for
inviting my wife as well. She will not be able to attend, but I will
appreciate reservations at the hotel-will save my commuting for

it

the sessions.

An

abstract of

my

presentation is attached.

I graduated the New York university College of Medicine
in 1945; went through the usual residency training programs to become
certified in neurology (1952), psychiatry (1954) and psychoanalysis
(1953). I have had numerous positions includingDirector, Missouri
Institute of Psychiatry and Research Professor, Washington University
School of Medicine (St. Louis), 1962-66; Professor of Psychiatry and
Director, Division of Biological Psychiatry, New York ledical College,
l966~ . My principal interests are in quantitative EEG and clinical
psychopharmacology; computer applications to psychiatry; ECT and
other biological therapies; and recently, narcotic abuse with special
emphasis on narcotic antagonists and cannabis.

I look forward to meeting
participating in the panel.

you

in

New

York, and

in

Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

ww—

�I

April 27,
Panel Discussion:
_,

Max

Fink,

M.D.

1972

Should the Physician Retain the Option of the
of Anorexigenic Agents ?

Use

New

York Medical College

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Much

A”

specific aspects

therapy results from the interaction of drug
and such

non-specific factors as doctor-patient

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MW...

attitudes, expectations of both,

and the experience of the physician

with the available therapies.
Anorexic agents

.

r,

are not

initially

differ in secondary effects,

some

obvious: amphetamine and methanphetsmine

stimulation, insomnia,

and

irritability;

of which

elicits

while fenfluramine excites

a sedative response. Both agents should be available to the physician
whi must decide on the

best therapy for his patient.

Limiting the physicians therapy with anorexic agents

is but

one instance of

limitations that fail to serve patients: in other

fields, other applications could also be interdicted that have been
found

useful.

The

narcotic antagonist, cyclazocine

was found

to be

a successful antidepressant; imipramine was found to be snantidepressant;
high dose fluphenazine was found to be antipsychotic-- these are a few
examples of

useful applications that could have been restricted

by

inexperienced committees.
Physicians should be allowed to give any of the available

therapies, using published guidelines as suggestions, but not as restrictions;
but this freedom should carry with

it

a willingness to accept a responsibility

for his actions, including unheralded side-effects

and

their consequences.

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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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