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[fl/jaw

December 23, 1976
Mr. Harry Henderson

Editor

World Wide Medical
880 Third Avenue
New York 10022

Press, Inc.

Dear Mr. Henderson,

is accurate, and I congratulate
you provide. I have a few comments that

For once, the reporting

you on the summary
may be helpful.

that

1. The effect of the Massachusetts reporting system has
been salutary, and the follow up report by Grosser in the
Massachusetts Journal of Mental Health, Spring 1975 could be

referred to.

The report finds that the institutions reporting their
seem to be following the guidelines set by the medical
communitym and such self monitoring is much to be preferred to the
EST

experience

California

model of

legal restraint

and

interference.

2. Leonard Cammer is a curmudgeon, representing the
opinion of himself and a few die-herds. He and-his associates
fail to see that with the development of third party payers, and
government funding, there will be regulation of medical practice.
Whether the regulation is made by the State and external to the
medical community, or by them-edical community is the issue. The
members of this APA Task Force seem inclined to develop models of
education and self regulation and it is probable that their thoughtful
recommendations will be accepted by the 20,000 members of the APA.
I believe you give undue weight to a very minority opinion by quoting
his (Leonard's) very conservative and 19th Century approach at length.
«m

".41:

-

WI7‘F'IYv

A
.

3. Dr Tien is a poorly trained, misguided therapist who
has produced many articles of uncontrolled,'studies'. His approach
is far from the mainstream of world psychiatry and again, you do the
serious students of psychiatry a disservice by quoting his remarks.
Better you should have quoted Dr. Friedberg, a young resident from
Oregon who did present the negative views of EST rather forcefully
in the same session at which Greenblatt and I spoke. The American
Psychiatric Association has decided, that despite the ad hominem
and erroneous nature of Freidberg's remarks, the American Journal
of Psychiatry will publish his remarks as well as those of the other
panellists at the session you quote. I would urge you to relegate

�H.

Henderson..........

December 23, 1976

.......... page

2

to his private world. Incidentally, your references to the
society in the same article as the established society suggests
that somehou, the new group represents the professionals who have
an active interest in EST. That is not so, since few of the
authorities that you may wish to quote and who have carried the
Dr. Tien

new

burden of research these many decades have joined

Cammer

and Tien.

4. Since that presentation, Avery and Winokur, in a
very forceful article in the AMA Archives of General Psychiatry
(33:1029-1037,1976) indicate the importance of EST in reducing the

incidence of death in depressive illnesses. Their findings are
striking for deaths by suicide, but equally for deaths from all
causes. I commend their article to you. Another important study is
that of McCabe (Amer J. Psychiat. 133:688-691, 1976) who finds EST
as effective, and often more so, than other treatments of mania.
The importance of his review is the data that the time for
response
is notably shorter for EST than for drug therapies—— a finding
that
should serve to reduce the mortality among manic patients who frequently succumb during the first week of treatment.
I trust these comments are helpful. While I have good
press photos, I regret that I am of sound mind and do not wish to
have my face presented in the lay press. My opinions matter
little;
the results of my research do, and when someone wishes to describe
my laboratory's work, I would be pleased to supplement the reports
with pictures.
My

regards and best wishes for a successful 1977.
Sincerely yours,

:-:

v...

-u,«.w.'

«n;

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q'w'

“wry-v

-..

war

:91

1m

ﬂi'jrﬁr

-

..
gun-w.

..

www.myv...

W

Fink, M.D.
Professor of Psychiatry
Max

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