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                  <text>WW"ear-fr.

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March 25, 1983

Robert Arnot, M.D.

Wellesley Hills Medical Center
#22 Worcester Street

Wellesley Hills, Massachusetts 02181
Dear Dr. Arnot,
Thank you for bringing your two recent reports on the mode of action of
ECT to my attention. Your support of an electrical theory of the ECT process is
indeed interesting. However, as we and others have noted, the concept that the
electric current or the seizure 'is to interrupt the ongoing cerebral circuits so that
the brain may then start to function a ain in a more normal manner with the
disturbing pathological circuits omitted' pg 303) fails to detail how the brain (or
the seizure) knows which circuits are normal and which are disturbing. Such a
theory is reminiscent of the 'bad cell' hypothesis of insulin coma therapy espoused
by Manfred Sakel, and seems to require some additional operational details.
Such concepts help us to picture the events of the process. I note that you
Nervous System after
planned to publish two additional reports in Diseases
and Chemical
issues
the
Physical
Have
on
factors.
the one on psychological
?
Results
and
Clinical
appeared
observations,
_o__f_

My

_t_i_1_§_

regards.
Sincerely yours,

Max Fink, M.D.

Professor of Psychiatry

.

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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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