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January 28, 1988
Mrs. Edward M. Bigler
#0 Doubling Road
Greenwich, CT 06380

Dear Mrs. Bigler,
Thank you for your request that I participate in the Phil Donahue show.
Beginning with the appearance of the New Yorker article by Berton Rouche
"As Empty as Eve' in 1974, and my subsequent work with the APA Task Force on

Electroconvulsive Therapy, 1 have actively assessed the merits and limitations of
the ECT process. What may have been a debate in the 19703, as to the merits of
the treatment, has been resolved by the many assessments by individuals and
international commissions and committees, culminating in the 1985 NIH Consensus
Conference. The question of ECT efficacy is resolved. Until a more effective and
safer treatment for the serious mentally ill is devised and tested, ECT remains a
useful and needed treatment. That is not a matter of public debate, either by the
Phil Donahues or the Opreh Winfreys of the entertainment world.
Indeed, the acceptance by laymen that there is a 'debate‘ on efficacy and
into the hands of the anti-psychiatry lobby. There is no more reason
plays
safety
for a debate by the laity on TV or radio of the merits of ECT than it would be
reasonable for a debate on the merits of insulin in diabetes or penicillin in
neurosyphilis or any other technical medical therapy.

In the face of the anti-psychiatry lobby, there is a need for public
education, but in proper fora. For that reason, my associates and I were responsive
to the requests by Susan Squire for an opportunity to meet treated patients before
she wrote the November 22, 1987 article in the New York Times Magazine; and
why we have been cooperative with the PBS/BBC producers of the series MIND, to
appear later this year.
We continue to seek to improve the delivery of mental health services, and
my present missions support this aim for ECT. I wrote my review of ECT in 1979,
launched the journal CONVULSIVE THERAPY in 1985, and have developed a
training program in ECT at SUNY at Stony Brook in the past year.

But I will not cooperate with a 'show', surely not one of the kind produced

by Phil Donahue under the guise of a 'debate‘ or a 'balanced‘ presentation. But if I
can help you present the facts of EC‘I‘ history and present practice in educational

venues, please call on me. I enclose articles that may be of interest, as well as a
description of CONVULSIVE THERAPY.
Sincerely yours,

cc: Donald Klein, M.D.

Max Fink, M.D.

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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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