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                  <text>“
v~w~:,-,

."‘&lt;-'wru‘e'

February 6, 1985

Mr.

MoQuade,

W.

Fortune Magazine

Senior Editor

1271 Avenue of Americas
York, New York

New

Dear Mr. Mchade:

this

The

death by suicide of

Mr. Black

of United Brands earlier

it ill,

week set me to wondering whether he had been depressed;
he had
he had sought treatment; and then, to musing that even
he
would
have received the
was unlikely that
seen a psychiatrist,
treatment most effective for depression ~ convulsive therapy - because
as? the many professional and lay misconceptions of this treatment.
.

if

it

it

Among

reasons for

its.lack of use are misconceptions about mental
name, 'shock therapy' , and the bade press,
devastating article published by the New Ibrksr this

illness, the{fond-we

exemplilied y a
summer.

Perhaps this is the time for Eortune, as a follow—up of
the article on psychiatry. to assess some of the recent data on depression -— its genetic components. relations to alcoholism, modification
by drugs. maintenance therapies, and the role’of’nechanism of action
of convulsive therapies.
'

Should there be a story here, I would be glad to get you
or one of your writers started. It has been a subject of research
interest for me since 1952, and I can provide the relevant literature
and

contacts.

However, there is another story of more direct interest
to the readers of Fortune. particularly those involved with drug
development that could be examined. For two decades, I and others
have quantitatively measured the electrical activity of the brain
the EEG), and used these methods to predict the clinical application
of new drugs in the treatment of the mentally ill. These methods are
based on digital computer analytic methods (we use IBM, others use
DEC equipment).
They have been developed so that specific applications

are

now

being made.

�Most

of the established psychotropic drugs have been

classified into nine major classes, based not on their chemical
structure, but on their EEG effects in man. Using this classification,
putative psychoactive compounds have been examined and for a number,
where their EEG classification clearly fit one of the pigeonholes, a
prediction has been made for their clinical application. These methods
have been successful in defining clinical uses for doxepin, cyclazocine,

mianserin, cyproheptadine, and a number of other numbered compounds.
The technic has also been applied to definﬁki bioavail—
and
neurophysiologic equivalence of different drug formulations ability
issues that are of special importance to the drug regulatory authorities,
and to industrial pharmacologists.

Lately, in applied studies relating blood levels and EEG
have applied pharmacokinetic principles to the EEG measures
measures,
and defined the halfuulife, peak effect and volume distribution of sub—
stances as they afftct the brain ~— another important issue for regu»
latory authorities and industry.
we

to other research
principii of cannabis in naive and chronic
cannabis users; the interaction of opiates and their antagonists; the
study of alcohol antagonists; and to examine brain function in convulsive
therapy and in psychiatric patients who have failed to respond to the
expected treatment where EEG measures provide the basis to specify an
alternate treatment.
topics

~~

These methods have also been-applied

study of the active

Perhaps this issue is of more interest to your readers -—
surely of greater personal interest to me. I would be pleased
to meet to discuss either or both these ideas. Hopefully, the talents
of the writers of Fhrtune could be put to a broader understanding of these
scientific and socially relevant problems.

it is

My

best to your family.
Sincerely yours,
Fink, M. D.
Professor of Psychiatry
Max

MF:ed

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              <text>1975 </text>
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