http://exhibits.library.stonybrook.edu/mfp/files/original/afe14f291a4bcb5fe7f5479098897f0b.pdf 63ef38735aa469957fb5c961b418ca83 PDF Text Text r—w— . .‘mw—wWWWWlW “we"...‘ ...v 1mww‘ we . , . 1mm.'~v w-—‘-—mm——qu .. _is .Vr w-v— wriv -u-v: C l August 17 . 1979 Drs.J. Lambourn Harrison Hospital Dorset, England Dear Dr. Lambourn, me a ECT. letter is in the nature of a belated thank you for sending detailed version of your ECT study comparing full ECT with simulated It is difficult to fault your study, for some of the controls which This seemed necessary (and omitted from the BJP article) were included in your study, notably measurement of seizure duration and evidence of bilaterality of seizures. Your findings remain inexplicable in the face of our experience, and perhaps the best explanation may lie in the question raised by Jan-Otto Ottosson. He notes that not every seizure is full in the brain, and indeed, in our studies of the EEG effects of ECT and flurothyl seizures, we did find patients in whom the EEG changes were astonishingly small compared to others; yet we believed we had achieved full seizures and had measured their duration. While this remains a conjecture at this Junction. may be an explanation, it In our study of subconvulsive—convulsive ECT, we used a minimum of 12 seizures and our data fell compellingly on the side of sonvulsive therapy being more effective than subconvulsive. The best description is found in my book which has Just been published by Raven Press. Your data are puzzling and one would hope that in addition to your further studies of differenttcurrents on the ECT process, that the mesurement of the seizure itself may be done to assess whether the differences in outcome may be related to ancettbeal difference—~ shorter EEG seizure time, less spiking activity, gtg_as suggested by Ottosson. regret that I find in the aftermath of your study is Dr. Kalinowsky to harangue the psychiatric readership the opportunity given with his antipathy to unilateral ECT. I cannot believe that this factor alone explained the difference in outcome, but perhaps it was a factor. (Our studies and those of Ulett were with bilateral electrodes.) The only These thoughts are inconclusive, as you can tell. I think your study well done and I congratulate you and Dr. Gill on carrying out. I can only hope that you will persevere to explain the difference between your findings and some of the others in the literature. it Good luck in your work. Sincerely yours, Max Fim‘, MOD. - raw . w n-rw " v � 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: Lambourn, J. Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-029-7-258 Date A point or period of time associated with an event in the lifecycle of the resource 1979 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