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                  <text>3%;
September 25, 1978
Robert

G.

Professor

Heath, M.D.
&amp;

Chairman

Tulane university School of Medicine

New

Orleans, La.

70122

Dear Bdb,
Thank you for sending me a copy of the preprint describing
recent
findings in primates smoking marijuana, and the kind
your
comments on the 1961 discussion of your work. I thought then, and

still

most

believe, that you and your associates
original and intrepid investigators in

then are

still

the

same

today.

have been among the
America. My kind views

However, in some issues, the data that you present is
inconsistent with those produced by other observers and the
source of the inconsistency has to be found. I have stated in
the past, and still believe, that the principal findings of the
toxicity of cannabis smoking is to be found in examinations of
the users. They, alone, have the experience from which we can derive

a

realistic estimate of toxicity.

artificial

The smoking by primates, under
conditions can, at best, provide clues as to what systems

should be examined.

I have dedicated six years of effort to examine the effects
of cannabis in volunteers in New York and chronic users in Athens.
My experience is extensive, probably as extensive as any of the
younger invetigators writing today, and as I wrote in a number of
reports, including the final section of the volume Hashish- Studies
of’Longhterm 033, published by Raven Press. I commend the section
to you for the best opinion that I have on the subject.
As your

letter reflects, the issue is

no longer one of

fact or science, but of emotion and politics. I regret that you have
seen fit to allow your name and work to be used in the public press
and that you have sought to enjoin in public argument. I have not
followed this road, as you well know.
Indeed, I have stopped my

work in cannabis since leaving the New York Medical College (1973).

�Robert

Heahh, M.D.

G.

controls

.......

September 25, 1978

.......

page 2

I have read your report and remain unconvinced. What
for the readings in these monkeys ? Is there

do you have

a population of monkeys that have smoked tobacco under the same
conditions ? That seems to me to be an obvious control. Another,

what of monkeys that have smoked THC free material ? If the
slides are mixed between control monkeys and those exposed to
cannabis, what is the frequency of identification that an
observer can make of the effects that you cite as the result of
cannabis smoking 7 What evidence is there from studies in man

of these findings

of

some

you.

?

In any case, I am honored that you think my opinion is
It is kind of you to send me the reports and I thank

merit.

As a matter of record, I have spent the past few years
reviewing my studies of ECT and have Just written an extensive
review of the problem, which will be published by Raven Press
of New York in January as convulsive Therapy: Theory and Practice.

In reviewing the extensive literature and assessing the data,

it

has been possible to develop a reasonable theory of the mode of
action of ECT; It is clear that this major treatment is an analog
of pharmacotherapy and that its action is not dependent on any of
the physical elements of the treatment but purely on the biochemical
changes induced in the brain. It has been a surprise to me that the
leaders of the Society of Biological Psychiatry and other august
societies have shunned this treatment. I have learned much from
the assessment and I hope that you will have a chance to look at

the volume

when

My

it

appears.

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

Max

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