http://exhibits.library.stonybrook.edu/mfp/files/original/70efd8bb19131471f3bf50608e789a0f.pdf 69ef4bc4f1e3538253b2e9c2984b6999 PDF Text Text »- 7,. .7- .w— i A .w 7', .m—mr. . . , ..i . .mm..~.-;u.w,...m.... , ._ A-mwyv,ww\'¥ .. ,.. «rm-uw-‘w .. - --.~---—»r ur- *W'avn —.-.————-_~.—_...w»- "wrwa-r v -v-’-—vp- . . "an-h” mmv - fflm/MM December 1’4, 1987 Morris A. Lipton, M. D. Deputy Editor, American Journal 93 Psychiatry 1400 K Street, N. W. Washington, D.C. 20005 Dear Morry, It was a pleasure to talk with you in San Juan. On my return, I read the letter by Lieber on the "Treatment of Rapid Cycling Bipolar Patients"in the latest issue of the 5.13. The letter recommends complex polypharmacy as a treatment of therapy resistant depression. But the letter gives no data as to patient characteristics, history, in-patient or out-patient status, assessment of efficacy of treatments, trials with established treatments, Egg. The letter seems to be a throwback to the old—fashioned testimonial which modern psychopharmacology eschews. letter is published in the Journal, it suggests that the practice has review standards of the Journal and the Association. Do spontaneous met peer in response to an article'in the Journal, meet the peersubmitted letters, not review standards of Journal articles? Was this letter reviewed by any of the acknowledged psychopharmacologistsof the Board of Editors? If yes, is there a message in the letter that our attitude to polypharmacy should change? As the if no, would you consider soliciting letters to argue against the adoption of the Lieber recommendations until they have met established standards of study for efficacy and safety? a fact of practice, as we often read in the which records come our way, polypharmacy is not generally condoned malpractice by our experience or by our science. is the publication of this letter not a regrettable mis-step? While polypharmacy is My best regards. Sincerely yours, Max Fink, MD. Professor of Psychiatry � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Correspondence to: Lipton, Morris A. Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-031-3-063 Date A point or period of time associated with an event in the lifecycle of the resource 1987 Creator An entity primarily responsible for making the resource <a title="Fink, Max, 1923-" href="http://id.loc.gov/authorities/names/n79039548" target="_blank">Fink, Max, 1923-</a> Subject The topic of the resource Correspondence -- Correspondence Relation A related resource The Max Fink Collection Description An account of the resource Rights Information about rights held in and over the resource <a title="IN COPYRIGHT - EDUCATIONAL USE PERMITTED" href="http://rightsstatements.org/vocab/InC-EDU/1.0/" target="_blank">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a> Source A related resource from which the described resource is derived Special Collections and University Archives, University Libraries. Stony Brook University Libraries (State University of New York). Language A language of the resource en-US Format The file format, physical medium, or dimensions of the resource application/pdf Publisher An entity responsible for making the resource available Contributor An entity responsible for making contributions to the resource Correspondence