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                  <text>n.

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December 14, 1987
Ross Baldessarini, M.D.
Mailman Research Center
McLean Hospital

il5 Mill Street

Belmont, MA 02178
Dear Ross,
The letter by Lieber in the American Journal of Psychiatry seems to have
been a spontaneous letter, not submitted in response to an article in the Journal. It
looks like an old-fashioned testimonial. For my part, it argues for a complex
polypharmacy whose worth is not known but whose risks are formidable.
i have written to Morry Lipton as

attached; and am sending you a copy as
one of the two established psychopharmacologistson the Editorial Board. Should
the Journal not publish a disclaimer noting that the recommended methodology is
not substantiated either by published studies or established practice?
in the past few years, i have been asked by lawyers to review the records
of patients treated by polypharmacy;patients who have had significant damage

(including two cases of death) which could be ascribed to such practice. One well
established practitioner gave up his practice when faced with charges of abuse of
practice largely due to polypharmacy. Should we not respond to the Lieber letter?
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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