http://exhibits.library.stonybrook.edu/mfp/files/original/49e0d7e85a3763d308f3eb817b244228.pdf 2dc97ee411d6aded1c6624df8f0340bb PDF Text Text q... .. ...._. __v .. r. _ ..l. .4— "r" -7 »-.—-.;~ ‘ , . ’vaU ,5... K, no.M w," ,7N ".W. \.x ,._,.,,.. V .., , .1" v": . , m .m. . w .r.“ . ... ‘_r, .e, . We... ,1 n. _ w . . , V.“ 1.. - v o... . n. .1. . . , , . _ 7hSB—lZOSB May Robert L. Spitser, 3. 197*: M. D. Director, Evaluation Section Biometrics Research State of Rev York Department of Mental Hygiene 722 West 168th Street New York, New York 10032 Dear Bob and Jean: Criteria I have read the sflhmission of ”Research Diagnostic A ' formidable produc— for e Selected Group of Functional Conditions". tion! Congratulations! While the details are necessary, I find the descriptions complex and "phenotypic". By that I mean that the clues which have come from genetics, and the lesser clues from neurophysiology, and the response to treatment. are not included in the classification. Considering the state of the art, this may be necessary, but I would be more enthusiastic in applying this classification if there were ways to include the suggestions in the evaluation. principal omission is the response to prior treatment and the response to a therapeutic trial in the present classifica— or hypo— tion. The response to lithium by those with manic illness from the nsnic episodes may he used to separate these two groups schizophrenics. Some scientists claim that the response to ami~ triptyline is of diagnostic value in bipolar depression. In the The that Don Klein and I did more than fifteen years ago,whoververe reconvinced that there were sub-groups of the mentally sponded differently to phenothiasines and impramine. These comments should be enough to suggest that the response to therapy may have work some ill place in the classification scheme. o,‘ , �w-rw-n ~ --:>—-.~ w- ,_,,. ,, w m m. u” -‘W-'v"1‘“1—f‘7wa- .4 yw—«w-waenrne Hump”- ..-r .- U..._r.:,~ "v. m...w.,._.e._ «:ww-v “a", , .1..~.,.,.‘_. ,0“ .1 «7....7: . 757.7” With regard to your specific question, I never use "ihnic Illness" and "Hypomsnic Episodes", for I was taught that "mania" is "mania". I also find the syndrome "Schizo-affective type", difficult to differentiate from manic ill~ ness. I if the difference between "minor dysphoric illness" _end "dysphoric personality" is not 3 case of nitpicking. disorder. manic wonder With regard to Items 1h and 15, I think alcoholism e sub—type of drug dependence. is not I find s separate disorder, but is "drug "drug dependence. opiate type", useful the classification dependence, alcoholic type", and "drug dependence, mixed type". has suggested that "homosexuality" not a diagnosis of mental disorder, I would accept this View. As the APA These comments are not to be interpreted as criticisms, fbr I think you and your teammates have done a splendid Job. I would be pleased to see the versbon after the next review. Sincerely yours, Fink, M. D. Professor of Psychiatry Max Merd w”- ‘ ww WW.WW~“-'w.mn—.—.W . ,_ ,,. V, n ..—-. .,. . _ . � 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/. 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Title A name given to the resource Correspondence to: van Riezen, Henk Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-027-6-462 Date A point or period of time associated with an event in the lifecycle of the resource 1974 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. 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