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                  <text>«r.

Wrr‘wi’I—v'

7333—723

June 213t. 1973
George Gerdos. R.D..
Boston State Hospital,
Boston, Mesa. 0212h.
Dear George;

I have read your paper "Low Dose Thiothixens in Chronic
Bohisophrenia" with much interest, and have a few comments
shout the issues that meet interest as.
The

references to the

effects appear to he incomplete.
olerify whet the study
record shows that the heheviorel changes
EEG

and are put in a context ihieh does not

eon-unicetee to

me.

The

that the dropout rate was high. There were few
differences in clinical effects betveen the low and high dose
thiothixsne groups. In yartieularl this reflects a very'high
dropout rate. The significant changes vere a reduction in

were small and

aneooperstivenoss with high dose, and a decrease in depression
with low dose.

It is imwortant to note that concurrent with these linited
differences in behavior, there were smell but defined difference:
in BIG. Kore, too, the level of significance was low. largely
because of the e-all sample. But you could safely report that
high dose thiothixene elicited a lower average frequency.
reflecting an increase in theta and alpha activity, and a
decrease in beta activity (Table 8. 888 report revised 2/12/73).
Should you.ooneider the behavioral data of significance.
I believe you ought to report the EEG data of equal
significance. for the high doses did elicit KEG Ghansss of the
anti hotie class. according to my classification (and that or
Itil
. Low doses did not prodnds say evidence of stimulation
(defined as increased bets. increased variability and decreased
ssplituds), lo the extent that you wish to use these
observations. I would conclude that the hypothesis that low doses
yrodues stimulation is not supported.

than

�George Gerdoe, M.D.

1913

psychoactive drugs. Theee observatione with high dose
showing smell ehengee - inereeeee in that: end
elphe eetivity. which eeeonmenied.behewiore1 improvement in
some yetiente end e reduction in nneooperetiveneee — 1e
eoneietent with our general hypothesis of the eeeooietion of
236 end behavior in nan.

\

the questions that we tried to enewer wee whither
differed in their initial BEE eherenterietiee.
When we eeeeeeed the EEG eherenterietiee or the eubjeete et
the end or placebo with those et the end of low done. we found
no eignirioent differences, which led ue to conclude that the
eleplee were honogeneoue at the outeet. In your analysis or the
hehewiorel date. I mien this ennlywie, It is not clear whether
covariance wee e technique epplied to your ante. which would
enlwer my question; or whether none other teete for homogeneity
prior to treetnent were introduced. I mention this because
yen'preeent the beheviorel ante (your Table 2) in terms of
poet eooree only, and I believe the reader is entitled to know
whether these differences are releted to initial poeition.
the

Amont

two groan:

it

Since you eent me the original. I en.returning
to
an interesting retort end with the enell enendnente
which I suggeet, I would encourege its publication‘
you.

It ie

we've-e regards.
Sincerely yours.

we: Pink, M.D.

Profeeeor or Peyohietry

,nu

i

Zlet.

thiothixene

w-«ww:

”wan-

June

It: neny year: I have been eeeking to nnderetnnd the
relationship between EEG ehencee end behavioral ehenaee with

nu.

w-nwr—m

'-2—

Illid
nee.

�</text>
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