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                  <text>November 13, 1973

Carl Salaman, M.D.
Massachusetts Mbntal Health Center
7h Fenwood Road

Boston, Massachusetts

02115

Dear Carl,

I have read the draft of the clinical report on
elctroconvulsive therapy and have made a few marginal notes. The
principal omission may be in the use and application of flurothyl -or, is that subject included in another chapter 7 For a practical

manual, such an inclusion
The

may

be helpful.

location of elctrodes is difficult to define

from the text. Perhaps you‘would care to include a figure, similar
to one used by.Abrams in a manual he and I produced some years ago.

only hesitation in reading the article came from
your hote suggesting philosophic differences. Except for the
editorializing on page 1—2, there is no disagreement as to content,
application, etc. Perhaps an examination of the usual ambivalence
towards ECT which the introduction reflects could be undertaken by
Dick Shader and yourself, and I am confident that you will arrive at
a more tutorial, professorial, attitude, suggesting perhaps that
in the absence of a more elegant method of symptom relief for severe
My

depressions, the success rate and the cost/benefit ratio of
clearly suggest its continued use.
Good

ECT

luck in your volume. I trust I will see you in

California next month.

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

Max

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              <text>Correspondence to: Gordon, Maxwell</text>
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              <text>1973 </text>
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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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