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v

April 22, 1986

Shervert Frazier, M.D.
Director, National Institute of Mental Health
Bethesda, Maryland 20205
Dear Sherv,

it was good to hear your optimistic talk at the Arbour Conference in
and
to dicuss ECT issues.
Boston,
The NIH sponsored Consensus Conference on Electrconvulsive Therapy
concluded that while the treatment was controversial, its continued use and study
was indicated. The panel recommended further research, particularly a survey of
the practice of ECT in this country, both as a follow-up of the 1976 survey of the
American Psychiatric Association and with the techniques which were so successful
in the 1980 British survey by Pippard and Eliam. They also recommended special
attention and study of ECT in patients with schizophrenia and mania.
I am writing to enquire whether any office or officer of the National
Institute of Mental Health is following-up on these recommendations. is the
institute preparing any proposal for a survey? Or, any specific efforts at research
into the mechanism of action?

Convuisive therapy will remain controversial so long as our information as
its
to
usage and mode of action remain scanty. Your encouragement of research,
both within the intramural and extramural research programs, is sorely needed.

Separately, I have written to Dr. Regier as you suggested.
My

best regards.
Sincerely yours,

”-1"

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Max Fink, MD.

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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