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                  <text>October 20, 1986
Alan J. Gelenberg, M.D.

Psychiatrist-dn-Chief

The Arbour
49 Robinwood Avenue
Jamaica Plain, MA 02130
Dear Alan,
A friend who attended the recent Harvard course in psychOpharmacology
shared the syllabus with me, when he told me of how he pleased he was with the
course. in reading some of the sections, 1 came acrm your notes regarding NMS
and was surprised to find that you included ECT among the less accepted
treatments for this dborder.

treating

It is my understanding that ECT has been used, apparently successfully, in
NMS. It is usual that ECT k a treatment of last resort, so that it is not

unexpected that there has been me death emaciated with its use (as you note). But
there have also been successes. In a recent extensive review (Pearlman, C. ,1. 9132'
257—273, 1986) the author gives nine citations to favorable
Psychogharm
outcomes and two to unfavorable (page 268). In the table, ECT is cited as useful in
10 cases, negative in one, and equivocal in two. In the uncontrolled reports cited to
date, ECT is as useful as other suggested interventions.
_6_:

Harvard students deserve the best data.
My

best 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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