http://exhibits.library.stonybrook.edu/mfp/files/original/6f5f30c0c6d17baa3175ea3dbe192f90.pdf ca3fc8d9ff4963af2b7a38edbe693656 PDF Text Text April 19, 1991 Dr. J .A.G. Watt Gartnaval Royal Hospital Psychiatric Services 1055 Great Western Road Glasgow G12 OXH United Kingdom Dear Dr. Watt, You suggest that two groups be studied, one of major depressed of the mild type and another of dysthymia of 6 months to 2 years duration. Alas, you will not be justified to use ECT in either population. For depressives of mild type, you will surely exclude those with melancholia, psychosis, and suicidality precisely the best candidates for ECT. As for dysthymics, such as are identifiable are those who are chronically ill, for durations measured in years or decades, and who in the older days, were identified as ’neurotic’ or ’reactive’ depressed. Surely, not candidates for ECT. -— ECT remains a treatment for severely ill patients, those who are hospitalized or who warrant hospitalization. Any study which suggests its use in those with lesser degrees of illness will be difficult, in our society at least. As for power calculations, these are quite easy. If delusional depressed are selected, the success with ECT will bhe 60-80%, with any antidepressant alone, less than 30%; a power calculation will find about 30 patients in each cell will do nicely. Good luck in your studies. 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: Watt, J. A. G. Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-05-00-032-2-055 Date A point or period of time associated with an event in the lifecycle of the resource 1990 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