http://exhibits.library.stonybrook.edu/mfp/files/original/65753272513ccd58d398cf3636233bb5.pdf aa7f8b217ed43be0da256b86cc399926 PDF Text Text September 25 , 1978 St. Clair, M.D. Fincastle Building Louisville, Kentucky l$0202 Harvey 319 Dear Harvey, ‘ ECT at this in a number of reports available to you in the next few months. The Task Force of the APA completed its report in the spring and it will be published in November, edited by Fred Frankel. The NIMH held its conferenece in February and its report is due early next year. And I have written an extensive review of my experience with ECT and this will be published in January by It is funny you should ask about time. The answer has recently been written which are now in press and which should be Raven Press under the Practice". title: unilateral "Convulsive Therapy: Theory and In each of these reviews, the conclusions are the same. efficacy of ECT is related to the frequency and number of seizures induced in the brain, and not to the mode of induction. Thus, there is good evidence that the clinical efficacy for unilateral and bilateral ECT is the sine. There is one problem with unilateral ECT, however, and that is that missed seizures are more frequent. The amount of current necessary to induce a seizure with unilateral electrodes is significantly higher; high enough for some therapists not to elicit a seizure for each application. Since many present day therapisys use barbiturate-suecinylcholine anesthesia, the seizure is masked and there is a mistake possible when the therapist does not monitor the duration of the seizure using one of the estabilshed monitoring methods: blood pressure cuff inflated befbre Anectine, EEG or EMG. The indicated, there is excellent evidence that memory effects are significantly less after ECT with unilateral nonOdominat As you ECT than after remains bilateral ECT. Therefore, the treatment of choice unilateral non-dominat ECT. If you wish a recent published review before the new ones you see the chapter by d'Elia in "Psychobiology of Convulsive Therapy" edited by Fink Kety, McGaugh and Williams, Washington, D.C., V.H. Winston & Sons, lQTh. appear, I suggest I trust this is helpful. My regards. � 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/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. 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/. Title A name given to the resource Correspondence to: St. Clair, Harvey Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-029-3-111 Date A point or period of time associated with an event in the lifecycle of the resource 1978 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. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence