http://exhibits.library.stonybrook.edu/mfp/files/original/00927f74e25c27dbb5cdbf829ffce08e.pdf 99a566801c11cc08de2bacd5020ac6cf PDF Text Text H menu“, (\é 7—. 1w. “mu-(we r‘vvr w".- q-r-u—v wv'w‘arv’ug-w»wa;' ,‘ 1F.—.~.-N. -‘.. "aw.— .,., ‘WW-m-ll’ 7.53“” w./,..,‘._.y.—..‘.,r<r—.~— her—WW...“ ~;--'-—.-'va- Qwv~4un "In V wan-nu- --~-r - - \ 7383—01333 January 6, 1973 Janice Stevens, M.D. Massachusetts General Hospital Boston, Massachusetts OEllh Dear Jan, It is good to have the opportunity to review an ECT and one that seems well founded and well designed. again, project months ago, I received the engineers report fer review-by Weaver, Rvaris, Rush and Peananen which described the parameters of the seizure stimulus in exquisite detail. At that time the report Some I found the report fascinating reading-- a bit too long for the Journal, and recommended approval with a suggestion that the number of tables be reduced. Apparently, these authors have interested a young psychiatrist in the problem, and the design of the experiment, the selection of cases, the intent, and the methods are all good. The project needs doing, for as the recent report and editorial intthe Archives indicated, the machines we now use are faulty. and the parameters of the stimulus are poorly defined. Indeed, in the engineers report, they refer to the best papers in the field, including that done by my associate (Green, 1960) and Maxwell (1968). If there are flaws in the application, they are trifling. for example, is the emphasis on producing a stimulus which is minimal in intensity (see page 17, last paragraph, "It would seem almost a prime fhcie case that the use of the least effective energy dbse would result in less short—range and long-range morbidity."), when what they really wish to define are the relation between the parameters of the current and the therapeutic effect (measured as changes in behavioral scores) and the morbidity (measured as changes in the Reitan battery). The latter emphasis is more mature and more in keeping with an academic need and tradition, but the other View is not one that is easily criticized. One, I would also question the sequence of problems they wish to attack»~ but that too is a matter of style and not a criticism. application asks for little principal question of cost is the item of administration of the Halstead tasks. This is a complex test, and if done by rote, by a psychologist paid by the session, the results may very velllbe of extra. The They are well equipped, and the 5-- �_. .. “h. . . I, ,7 . "u __,. f V , , c _,.,. ",va .. mu. ~,-‘,‘,w..,..,”manqfirfle. w}- ”.7; , Janice Steven'oaooaso...oooseoeceaa.o 7., 2 w. 1—; —.7- w- , w ‘7‘ .O......’... - N" ”a. ..._. .» T vr ~ v w - 7.. ”gm.” Jwa 6’ 1973 limited value. Taking measurements in depressed patients before treatment is difficult; and taking them after treatment may be confusing. I would hazard a guess that this expenditure will be wasted. The solution is to recommend the appointment of a psychologist (even at an increased cost) who could attend to the measurement of memory test changes. From our work, the memory tests (only some of which are in the Reitan battery) are the best indices of the differences betveen unilateral and bilateral seizures, and between single and multiple seizures. If they follow the usual 'consultation'method, these data will probably be useless. If to save money, you could ask whyflush is should have already been given (and advice being paid-~ his Paanenen is not, yet he will build the instruments ). proposal; < W'- ‘ ' ' rw- ~ ~ one wanted of detail and tactics. I like the field; there is little similar work But these are matters it is needed in the going on that I know of; and these non do haves prior experience in animals upon which they are building. In the site visit, I would be most interested in whether the P.I.. Dr. Nies, seems capable of bringing the talents of a psychiatric nature that are sorely needed in the evaluation to the setting; and also would ask about the test battery. mxxr-rr-mvmwm-v—v-wr thanks for letting me read this prOposal.It is interesting rollerbup to the report I read earlier by the engineers in this team ! My .. My an best regards. Sincerely yours, Fink, M.D. Professor of Psychiatry Max w» w . _ _ w um. a” .5. ._,..q,w;e,,,W-.wmv "Kin-'1 . , -. ,. , � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Stevens, Janice Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-026-7-580 Date A point or period of time associated with an event in the lifecycle of the resource 1973 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence