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                  <text>Deanery 28, 1979

Drs.

J.

Knowle

Gill

Lambourn and D.

Hospital

Fareham, Hants , England

Gill,

Dear Drs. Inmbourn and

I have read your interesting report comparing simulated and
in the latest issue of the British Journal of Psychiatry. As
you know, the findings seem contrary to the studies which we and
Ulett gg_al. published in the 1950's. A principal difference in the
studies is the use of different electrode placements to induce seizures.
It is possible that this difference may explain the findings.

real

ECT

The procedure

notes that "Those in the active group received

a

brief pulse stimulus of approximately

a

bilateral seizure

to produce

a

How

the seizures

10

Joules.

bilateral modified convulsion on
was

the seizure monitored

. . . This was noted
every occasion."

? How

was

this assurance of

documented ? What was the average duration of
so induced ? And, was there a measure of total seiture

time for each patient

?

Another way to these data may be in the interseizure
measurements. Were any measures of brain function, as EEG or psychological

tests,

done before and

after

6

treatments, or after the final series

I would be grateful for any additional data
to help explain the unusual findings of this study.
Thank you

you may provide

for your help.
Sincerely yours,
Fink, M.D.
Professor of Psychiatry

Max

?

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