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                  <text>‘55“:

._

November 7, 1979
Hon. May w. Newburger
N.Y.S. Assembly

Albany,

New

York

Dear Ms. Newburger,

It was kind of you to remark on my award for my 25 years
of research into the mode of action if convulsive therapy. I hesitate to
presume on this kindness, but in the same mail, copies of legislation
being considered by the Assembly Ways 8 Means Committee came to my attention
which led to this ﬂatter. The proposed legislation ire amendments to the
mental hygiene law establishing standards for consent and disclosure for
the administration of psychosurgery and convulsive therapy (Amendments to
Sections 33.03).
The amendments for ECT are badly intentione-, seeking to
deprive the mentally ill of the State of this specifically effective and
safe form of treatment. The regulations propose to make more difficult
the task of administering treatments to voluntary hespdtdiized patients
and to render almost impossible to administer the treatment to involuntary
patients. The law is patterned after legislation in California, which has
led to the present traffic of patients from California going to Oregon
and New Mexico for treatment. This, of course, provides that only the
wealthy and self—insured are able to obtain this treatment. The legislation
is based on the erroneous belief that convulsive therapy is unsafe and
ineffective; the contrary being true, since all evidence finds that this
therapy is the most effective and the safest for endogenous depression.
In our 1976 survey, 5% of admissions to University centers in New York
City received this treatment (and only 1% of admissions in V.A. and
State facilities; clearly evidence of some reasoned use at University

settings.)

The amendment

for psychosurgery is also flawed. This

treatment is still an experimental one, and is at present only available
in Descarch setting where cases are reviewed by Institutional Review Boards.
The legislation adds additional onerous requirements for consent, making
the research even more difficult. At this time, the reports from Great
Britain suggest that this therapy has a usefulness with patients with severe
obsessive compulsive and phobic states. Thése data need verification. The
legislation will serve to reduce the studies, not encourage them.

�Hon. May

Newburger.........

November

7, 1979

..........

page

2

I hope that you will have an opportununity to review
these proposed laws and do what you can to prevent their adoption. If
there is any question regarding theta objections, I will be pleased to
meet with you in Great Neck to discuss it further.
Thank you

for your consideration.
Sincerely yours,

Fink, M.D.
Professor of Psychiatry

Max

39

Arleigh

Great Neck,

Road

516 #66 sunu

New

York

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              <text>Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York).</text>
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