http://exhibits.library.stonybrook.edu/mfp/files/original/4e44a5022aa24b8167f7810c1ba666eb.pdf 6c8bb654be03cc6faa66ea6f3e6b84ab PDF Text Text ��mm“mh«f.~«»-MM ��Patients with High Delta Activitv during Second, Third Weeks of ﬁeatmnt. Clinical Katina EEG Delta Both High High One None [ﬁramwr - high Moderatelz Imgroved Unimproved Much ImEroved (18) 12 (67%) h (22%) 2 (11%) (16) h (25%) 8 (50%) h (25%) ('20) 6 (30%) 7 (35%) 7 7mm] - (35¢ ��Clinical Ratings Cogpared to EEG and Amobarbital Test Results much Improved High Delta and Positive Amobarbital (29) Either High Delta or Amobarbital (26) Positive Neither High Delta nor Positive Amobarbital (36) [arm - x7414] Moderately Improved Uhimproved 25 3 1 10 ll 5 5 10 21 �and Ruth. Mt: M (29) man: or mum Mu ('16) mm may am: at num- Etc: man Mm mg: (36) �mm. (29) min: mm: W mu a:- mum - Mus m! “WW“! (3% �EEG Delta - Amobarbital Test Delta Activity; Records Middle Low High EEG Amobarbital Test Positive Negative [ﬁﬂ'ﬁ/ - Ifxg' (15) (346) 29 8 8 10 16 20 �(cast rbi Positive (’35) , (M) negative ,.. ! i ,‘ [I \ . I A ’ H' -,‘ I x ‘\\| x\.‘. \ x K i r ‘ 1 (j. ‘\ ; 1 I z E 10 16 20 ��A.m..‘+l__-.A_MA;.“__ A... < �; a M ��uhL—JCICHXU m I Prepared by “MS WEEK IN CHICAGG {DE—JD C) {SINH “ﬁg“ “UL—:X‘Cl A W «LE .00 N ��MURRAY 11an 8-2077 S. F. KURZER VICE-PRESIDENT IN CHARGE OF SALES GRUNE 8: STRATTON MEDICAL PUBLISHERS 381 FOURTH AVENUE NEW YORK 16. N. Y. ��M Merri/ébﬂ M HOTEL WILLIAM HENNING RUBIN PRESIDENT FAMOUS FOR THE "5"" OZMMMC ' — CHICAGO JOHN B. GRANDE GENERAL MANAGER WHERE FAMOUS PEOPLE EAT ��ESRA No. 37 1957 Program -1- ELECTROSHOCK RESEARCH ASSOCIATION SCIENTIFIC SESSION- Thirteenth Annual Meeting Sunday, May 12, 1957 Hotel Morrison Chicago, Illinois Chairman: Ernest B. Parsons, M.D., Pres. Cotillion Room A.MJﬁ: 9:00 Registration \v 9:30 A.M.' 1. 9:45 10:00 2. 3. rNeurophysiology Studies of EEG change with EST with or without Atropine in Man and Rat. Tetsuo Fukuda, M.D., John A. Stern, Ph.D., George A. Ulett, Ph.D., M.D. Discussion opened by: Bernard L. Pacella, M.D. . A.M. A.M. . 15A X/ MIL u 10: Mm" “2?? 30 W1? A. M. Psychological Aspects Personality Factors affecting Clinical Responses to Electroshock Therapy. Robert L. Kahn, Ph.D., Max Fink, M. D. An Evaluation of the Peculiar Selective Quality of Pos Electrotherapy Amnesia. Aloysius S. Church, M.D., 5}t Psychopathology of Electroshock Therapy. W“ ,,. 10:h5 A.M. Bernard L. Pacella, Discussion of 2, 3, 5. 11:15 A.M. Technigues Current Patterns in Cerebral Electro-Therapy. 6. 11:30 A.M. l1:45 A.M. M.D. & 4 opened by: Leo Alexander, M.D. Gerhard Hirschfeld, M.D. Further Studies on the Analeptic Action of Peripheral Electrical Stimulation in Hypoglycemic Coma. Charles H. Jones, M.D. Discussion of 5 and 6 opened by: William L. Holt, M.D. R. Embassy Room P 12:30 to 2: 30 PM 105/” Annual Luncheon and Business Meeting. �' -1- EJJ .. » .u ..., 111'. .j,. . . 4 . ,.‘... ,, - . v 7. ‘ 6‘ r: . . -. - ....£x~ ~ . .“- . .." ' ‘ . -. ‘ ;-‘ . ' . ,.. ... ' -. : I , .-. ..‘ d.I ’ "x - s 1' .- ., L «i=2» '_ " . . f‘: .1)- 1'! 1 ~ I \ WOV'.J“%£M{1A .. ‘ t 4. '- .' . :- .- .- \‘J.'\ .r. . ‘ :' ..:.'.-.3 .~... .. .. ”-0.“.-. : . ' . n}. I . . -,-.L z .‘ ' . 1‘ ' . ‘ ‘ . 5“ma...— ’ ‘I ‘ - -- ‘ ' " ' . . �ESRA No. 37 Cotillion 1957 Program -2- Room 7. 2:30 P.M. 8. 2:45 P.M. 9. 3:00 P.M. 3:30 P.M. 3:#5 P.M. 10. 4:00 P.M. ll #:15 P.M. #:30 P.M. Clinical Aspects Clinical Applicationscﬁ'Nonconvulsive Electro-Cerebral Stimulation. John D. Moriarty, M.D. Indications for Electroconvulsive Treatment in Office Psychiatric Practice. Paul H. Wilcox, M.D. Discussion of 7 and 8 opened by: David J. Impastato, M.D. The Use of Electra-Cerebral Stimulation in Mentally Defective Patients. Harold H. Berman,M.D., Milton ’ Jacobs, M.D., and Joseph Spielman, M.D. Discussion opened by: Charles Buckman, M.D. Drugs and ECT A Comparative Evaluation of the Safety of the Use of Chlorpromazine and Reserpine in Conjunction with Electroshock Therapy: A Review of the Literature and a Clinical Report. David J. Impastato, M.D., Seymour Berg, M.D., Anthony R. Gabriel, M.D. Electroconvulsive Therapy Combined with Chlorpromazine and Reserpine. Frank J. Ayd, Jr., M.D. Discussion of 10 and 11 opened by: Herman C. B. Denber,M.D. ��___.._——.————~—————-————-—————— _m, —-———~———_.———..——————-————-——-——— �mm“. Wm -_ w— _———~——————————_— ! —-——-————-—————__—____.__.._.— p.4— ““—.— __.._._____.. ————————————___——-——____—._— _____ ‘ . __ __ ~ ___.___ .____ ._..._ _ ...___.__._. .— ��w v«w 1. w VW. . ,_ . . wv ﬂ . 9 «x; M“ a? s. ks \ x\ W”. x ‘ \ tn .\n. as .9: ��l L. . x, 93‘1“” nerT/‘wr'y . ‘ V. t i Mm,» ,‘(Z R �rwﬂ‘mrﬂ~“w~&uwwé_é< Wn:~'5~‘~".m . l _ __-. A—e ,...r‘_;..,1... , �PUBLISHED BY INFORMATION SERVICE VOL. 9, NO. 10 OFFICE OF THE MEDICAL DIRECTOR Available to non-members at 35.00 per year. JUNE-AUGUST 1957 (SUMMER EDITION) Dr. Alan Gregg Dies APA Honorary Fellow Dr. Alan Gregg died at his home in Big Sur, California on June 19 at the age of 67. He served as Vice-President, Division of Medical Sciences, Rockefeller Foundation for two decades and in this position of national leadership made psychiatry one of his major interests. Few men have had so profound an effect on the advancement of medical sciences as he. He will be sorely missed by physicians the world over and by psychiatrists most particularly. NINTH MENTAL HOSPITAL INSTITUTE For the ninth year over 400 staff people from all types of mental hospital installations in Canada and the U. S. will come together at the Hotel Cleveland, Cleveland, Ohio, Sept. 30 Oct. 3 to consider common problems and directions of progress. Major topics at this year’s Institute will deal with the problems of the open hospital, revision of commitment laws, management principles, role of private hospitals, mental deficiency as a psychiatric problem and many others. Prof. James L. Hayes, Department of Business Administration, St. Bonaventure University, will deliver the Academic Lecture. The enrollment fee is $50. See program and registration form in Mail Pouch. - All who plan to present papers at the 1958 Annual Meeting in San Francisco please note Form for submitting proposals to the Program Committee in the Mail Pouch this month. NOTICES 1. THE ANNUAL APA DESK APPOINTMENT BOOK FOR 1958 WILL BE OFF THE PRESS THIS SUMMER. USE ORDER BLANK IN THE MAIL POUCH. DEMAND EXCEEDED SUPPLY LAST YEAR. SUGGEST ORDERING PROMPTLY. ($3.00 PER COPY). 2. WE HAVE A FEW HUNDRED COPIES LEFT OF THE BOOK OF SUMMARIES OF SCIENTIFIC PAPERS OF 1957 ANNUAL MEETING, BUT THEY ARE GOING FAST. ($1.00 PER COPY). THE AMERICAN — GRADUATE TRAINING IN PSYCHIATRIC HOSPITAL ADMINISTRATION Two outstanding courses in psychiatric hospital administration are now available and merit the attention of all psychiatrists concerned with advancing professional standards in this area. One is at Columbia University and the other at the Menninger School in Topeka. The Columbia University Course This course, which leads to a Master of Science Degree, is under the auspices of the School of Public Health and Administrative Medicine and the Department of Psychiatry of the Faculty of Medicine. It encompasses basic courses in administration, specialty courses in the Department of Psychiatry, and supervised field work. Recognizing that mental hospitals are hard put to let a staff doctor leave for prolonged periods, Columbia has made every effort to tailor the course to meet candidates’ needs. It extends over 20 months, but ei ht of these are in academic residence broken into four quarters of 2 months each. The preferred plan is for the candidate to spend four months in academic residence, followed by 12 months in a supervised administrative residency or in a position already occupied by the candidate during which time he may carry out a special project. This is followed by a final four months in residence. For candidates who already occupy key administrative posts and who cannot be away for more than one quarter at a time, special arrangements can be made. As for costs, each candidate’s need is likewise evaluated individually. The total tuition for the 8 months of academic residence is $900.00 and Public Health Service stipends are available which will pay this plus ordinary living costs. Frequently, state funds in the state where the candidate works, are available to pay travel costs. There are some openings for the year starting in Sept. Write for details to: Exec. Officer, School of Public Health, Columbia University, 600 W. 168 St., M PSYCHIATRIC . ASSOCIATION Office of Medical Director, I785 Mass. Ave., N.W., Washington 6, D.C. Canada Office, 2I6 W. St. Clair Ave., Toronto 5, Ontario Office of Executive Assistant, I270 Avenue of the Americas, New York 20, N. Y. PLEASE ADDRESS ALL NEWSLETTER COMMUNICATIONS TO OFFICE OF MEDICAL DIRECTOR �The Menninger School of Psychiatric Hospital Administration This School offers a one-year integrated course, leading to a Certificate, which draws on the resources of the Menninger Foundation, Winter V.A. Hosp., and Topeka State Hosp., supplemented by other Kansas state hosps. and schools, an industrial concern, a general hospital, two universities, and several state government agencies. The curriculum consists of didactic instruction in basic administration while clinical experience is provided by systematic rotation in the departments of participating institutions accompanied by seminars with department heads and special projects. With regard to costs, applicants may apply with state sponsorship. The sponsoring state may pay the stipend with the understanding that the applicant will remain in the employ of the state after he completes training. A limited number of stipends at $625 a month are available to unsponsored applicants. The next course starts in September. For full information write to the School, Menninger Foundation, Topeka, necessary. (work on the new home is expected to start this month. Hope is to have it finished by January 1). . Approved setting up separate fund for receiving miscellaneous gifts (such as royalties from publication of lecture series of North Shore Hospital) with proceeds to . be used to add to APA library. . . . Authorized and appointed Committee to work with planning group for the Jamestown Festival this fall which will celebrate Williamsburg State Hospital, the oldest in US. Drs. Zigmond Lebensohn, David Wilson, David Young, and R. Finley Gayle, Jr. are on the Com. with Robert L. Robinson of this office as advisor. . . . Approved contribution of $50 to the National Society for Medical Research. . . . Continued APA membership in the World Congress of Psy- chiatry. . . . Designated Francis J. Braceland as official delegate to the General Assembly of the International Society for the Organization of World Congresses of Psychiatry. . . . Approved in principle proposed constitutional amendment prepared by the District Branch Assembly regarding election to membership in APA through the Branches; and also another proposed amendment incorporating present practices regarding creation and operation of District Branches. . . . Approved recommendation Kansas. of Medical Director to consolidate all central office APA Position services for mental hospitals and to explore ways to Our Association has always insisted that Supts. and finance increased services in this area. . . . Suggested Med. Dirs. of institutions for the mentally ill should be appointments of APA representatives as follows: Dr. Frank J. Curran to World Federation of Mental Health psychiatrists. In doing so, however, it rec0gnizes the need for special training in administration for those who meeting in Copenhagen; Herman C. B. Denber to Congres de Medecins Alienistes et Neurologistes de France et wish to qualify for these positions. des Pays de Langue Francaise at Lyon, France; Rudolph The courses described above have been established with the encouragement and support of the Committee on C. Novick to Advisory Com. of National Congress of Certification of Mental Hospital Administrators. Only a Parents and Teachers. (These appointments were made handful of psychiatrists have completed them thus far. by President Solomon). . . . Recommended to Council The courses are expensive for the sponsoring agencies to reappointment of Dr. Henry Brosin to the American Board of Psychiatry and Neurology. . . . Directed that problem offer and experienced persons have put great effort into of improving dental care in mental hospitals be explored at curriculum development. Commissioners, superintendents, and others in admin- next Mental Hospital Institute. . . . Received announceistrative positions, as well as those who aspire to these ment of retirement of Dr. Frederick L. McDaniel as CIB positions, would do well to give serious thought to sign- inspector and expressed appreciation for his services over five years. . . . Changed dates for fall Council meeting to ing up for these courses. Available financial support should be an encouraging factor. November 23-24 (Sat.-Sun.) in Boston, Massachusetts. . . . Selected Saturday, October 26, as date for next meeting of NIMH GETS $4 MILLION INCREASE: The US ConngS}. has voted $39,217,000 for the Nat. Inst. of M. H. under/h" Robert Felix’ direction. This is $4 million more than/ last year—remarkable in view of general economy dri e. Testimony of Dr. Braceland for the APA and Mike Go of National Committee Against Mental Illness played i portant part in explaining need for additional monies in these areas to the Senate and House Committees. Senator Lister Hill and Representative John F ogarty, always strong supporters of mental health, spearheaded the effort to get the appropriations through Congress. EXECUTIVE COMMITTEE ACTIONS them \ O A pilot training and research program stressing the interrelations of biological and physical sciences as key to better understanding of the nervous system and human behavior has been set up at Albert Einstein Coll. of Medicine, Yeshiva Univ., (Eastchester Rd. and Morris Park Ave., N.Y.C. 61) with a $1,700,000 grant from the Nat. Inst. of M.H. There is provision for 36 pre- and st-doctoral fellowships. The grant covers a six-year d. Write to Labe Scheinberg, M.D., Dept of Mediher details. ° FALL COMMITTEE MEETINGS: Woodner Hotel, WashThe Exec. Com. met at the APA Central Offices June ington, D. C. The following Committees will meet all 29. (Unusual and pleasant feature was that most of the day on Friday and Saturday, Oct. 25-26: Standing Coms. APA staff members attended to become better acquainted on Technical and Community Aspects and Professional with the Com. members and general affairs of the AssoStandards. Also Standing Coms. on Budget, Ethics, ciation.) Among other things, the Com.: With regard to Program and Nominations. Ad Hoc Coms. will meet only financing remodeling of new home, delayed taking out any on request of the Chairmen and with clearance of the mortgage unless and until expenditures appear to make it Coordinating Com. Chairman to whom they are assigned. . �~\ The Council this year will not meet to receive Committee reports until November 23-24, but the Executive Com. will meet with the other Coms. on Sat., Oct. 26. Canadian Mental Hospital Institute Plans for the first Canadian Institute are shaping up nicely. It will be held at the King Edward-Sheraton Hotel in Toronto, Jan. 20-24, under joint auspices of APA and the Canadian Psychiatric Assn. This Institute will be patterned after the U.S. meetings. Major theme will be “The Mental Hospital and the Changing Community," Dr. Mary Jackson is Chm. of the Program Com. with Drs. C. Buck, W. Boothroyd, J. Griffin, J. Hagan, A. Miller, D. Lewis, and Drs. C. Roberts and J.Gilbert of the M.H. Section, Dept. Nat. Health and Welfare as advisors. Since it will have a clinical orientation, this first Canadian Institute is planned for psychiatrists in senior posts in all types of Canadian mental hospitals and for the administrators of Federal and Provincial mental hospital systems. More details in the fall. New Printing of Glossary With the first printing of 30,000 copies of A Psychi- ASSEMBLY OF D,B, NOTES . . . .Met May 13-14 during Annual Meeting. . . . Installed following officers for 1957-58: David C. Wilson, Speaker; Walter H. Obenauf, Deputy Speaker; John R. Saunders, Recorder; Policy Com., (Area I) Albert M. Biele, Frank P. Pignataro (Alt.); (II) Lester E. Shapiro, Ulysses SchutZer (Alt.); (III) J.G.N. Cushing, Edward H. Williams (Alt.); (IV) James L. Sagebiel, G. Wilse Robinson (Alt.); (V) Alfred Auerback, Edward G. Billings (Alt.). . . . Volunteered to assist Med. Dir. in obtaining accurate information to publish obituary notices in Newsletter. . . . Revised Procedural Code. . . . Suggested Council action to seek extension of MEDICARE program. . . . Commended Dr. Wilson for Assembly exhibit at Annual Mtg. . . . Decided to study inspection of psychiatric facilities and depts. of psychiatry in gen. hosps., and facilities of public mental hosps. . . . Submitted two proposed Constitutional amendments for consideration by Council. . . . Will investigate planning of Divisional Meetings. . . . Scheduled next mtg. for May 12-13, 1958 at St. Francis Hotel, San Francisco. PERSONALS. . . S. Spafford Ackerly was honored by a atric Glossary exhausted, a new printing of 22,000 copies Testimonial Dinner on June 19 in recognition of his 25is now available. A limited number of copies have been year contribution to psychiatric education and community health in Louisville and Kentucky. . . . Paul V. Lemkau made up with a hard-cover library binding for libraries has returned to Johns Hopkins Univ. as Prof. of and others who would like it in more durable format. The Public Health Admin. (mental health) at School of Hyhard-cover copies have no cover design—merely the 8: Public Health following a 2-year leave of giene of title the book. They sell for $2 per copy. The paperbound edition remains at $1 per copy. Order from Mental absence. . . . Baruch Silverman was presented a Canadian Mental Health Award on Apr. 17 in recognition of “his Health Materials Center, 1790 Broadway, N.Y. 19, N.Y. outstanding contribution to the mental health of the CaDid you know that the following Isaac Ray Award nadian people,” . . . Alan D. Miller, Dir. of MH Study Lectures had been published and are available through Center of Nat'l Institute of Mental Health, was transferred to England on June 18 for advanced study and reany bookstore? The Psychiatrist and the Law, byL Overholser, 1953; Psychology of the Criminal Act and search. Stanley F. Yolles has succeeded Dr.Miller as Punishment, G. Zilboorg, 1954; The Guilty Mind: PsyDir. of the Center. . . . Major admin. appointments in N.Y. chiatry and the Law of Homicide, by judge John Biggs State on July 1 were: Arthur G. Rodgers (LF) as Dir. of Syracuse State School; Ulysses SchutZer as Dir. of Jr., 1955 (all these by Harcourt Brace 8: Co.); and The Urge to Punish, H. Weihofen, 1956 by Farrar-Straus and Binghamton 8. Hosp.; Charles Greenberg as Senior Dir. Cudahy. The latter publisher will also publish the of Rome State School; and William C. lohnston as Dir. lectures by Dr. Philip 9. Roche given at the Univ. of of Craig Colony. . . . Franz j. Kallmann received an Michigan this year. honorary medical degree as one of 6 scientists in differfields honored ent Third so Int'l Congress of Medical at The General Practitioner Education Project now operQ Arts, Turin, Italy during 1-9. June program, . . .17; from the Office Central E. ating (Charles Goshen, Projand Gantt Harold Horsley Rosen were Visiting Professors would information about psychi- for ect Director) appreciate 2 weeks this spring at Univ. of Arkansas Dept. of atric courses for GPs now in planning stage. It is sugDon D. Psychiatry. . . . Jackson appointed Asst. Clin. gested that when a course is being planned effort should Prof. of Stanford Univ. Med. School and Psychiatry at be made to have it approved for credit by the Amer. elected of Pres. Mid-Peninsula Psychiatric Soc. . . . of Acad. General Practice (through its local or state William H. Kelly has accepted position of Asst. Dir. of branches) as inducement to attendance. Dr. Goshen of Mental Health and Head of Mental Hygiene Div. Dept. will be glad to assist in publicizing such courses. for State of Michigan. 0 The Smith, Kline and French Foundation Fellowship NEW PRESIDENTS 8: SECRETARIES . . . Ark. D. 8.: Committee awarded 19 new Fellowships in May. 13 of Robert G. Carnahan & Leroy D. Lamm. . . . Cent. Calif. them will enable medical students to participate in reWilliam S. Fife & Arnold Sheuerman, Jr. . . . N_o. D.B.: search and training programs this summer. Among other Calif. P. Soc.: Thomas A. Gonda 8: Maleta Jo Boatman. Fellowships announced, one doctor will study research . . . .Kings County (N.Y.) D.B.: Morton H. Hand 8: organization at Boston Psychopathic Hosp., another will Abbott Lippman. . . . Hawaii P. Soc.: Robert A. Kimtake a Master’s degree in public health, and two lecture- mich 8; Robert S. Spencer. . . . Md. D.B.: Leo Kanner & ship programs will be established. Applications for Charles Ward. . . . No. Pacific D.B.: Herman A. Dickel consideration in October this year should be submitted 8r D.E. Alcom. . . . Quebec D.B.: Graham 8; Taylor 16. and Information forms by September application may Henry Kravitz. . . NP Soc. of Va.: Thomas F. Coates, . be obtained from the Fellowship Committee, Box 7929, & W.D. Buxton. . . . Washington P. Soc.: Seymour Jr. J. Philadelphia, Pa. Rosenberg & Marvin L. Adland. . . . Del. P. Soc.: George I �DeCherney 81 Walter Davis. . . . East Bay P. Assn.: Louis B. Boyer & Marion E. Roudebush. . . . Long Island P. Soc.: Edgar D. Congdon 8: Harry H. Gonda. . Milwaukee NP Soc.: David Cleveland 8: Edward C. Schmidt. . . . No. Pacific Soc. of N&P: D.E. Alcorn & Robert M. Rankin. of P. at the Univ. of Miss. under Floyd Moore and Oscar Hubbard. Also visited State Hosp. at Whitfield where . Wm. L. Jaquith and John Head have built up a fine program since 1949. They have a high patient turnover now and a new building for maximum security patients especially worth seeing. Also renewed acquaintance with Beverly Smith and Willard Waldron in Jackson. . . . On BRIEFS. . . . All who attend the World Congress in Sept. June 21 went to NY to speak to Bd. of Directors of will be glad to hear that Nat’l Committee Against N.A.M.H. APA members present were Hon. Fellow Mrs. Mental Illness, Inc. has (through APA) made funds availHenry Ittleson, Walter Baer, G.S. Stevenson, Jules able for simultaneous translation of papers. . . . Herman Coleman, Marion Kenworthy and Paul Lemkau. Was B. Snow, Supt. of St. Lawrence State Hosp. in NYS, pleased by much support from the floor for closer ties writes that 90% of his patients are in open wards exand strong Support for APA’s programs. . . . On June 28 cept at night. . . . Iago Galdston, Chm. of Com. on Int. joined Ewen Cameron’s Com. in Boston on future planRels., has sent over 100 copies of the Summaries of ning for the CIB in Pres. Solomon’s office. Drs. BarteAnnual Meeting Papers to colleagues abroad. . . . I have meier, Ewalt, Braceland, and Yerbury also there. . . . prepared a little pamphlet about my favorite vacation Flew back to Washington to meet with Joseph Barrett on haunt called ”Day Sailing and Cruising in Mahone Bay, planning for celebration of opening of Williamsburg N.S.” and I’ll send you a copy if you write. . . . Chas. State Hosp. (1773) in conjunction with Jamestown FestiBush and David Gaede are inspecting hosps. in Mich., val this October. . . . After the Exec. Com. mtg. Pres. having just finished up in Mo. Hope to start in NYS in Solomon and I flew to Nashville to participate in dedicaa few weeks. . . . Warren Johnson, my asst., recently tion of magnificent new admission and treatment building conferred with Cyril Ruilmann, F. Williams, and O. S. at Central State Hospital named after the Supt. O. S. Hauk in Nashville on psychology legislation in Tenn. . . Hauk. Wm. S. McCullagh, Pres. of the So. Psychiatric Smith, Kline & French Labs. have just granted $10,000 Assn. and Frank Luton also were among the speakers. to the Nat. Acad. of Relig. and Psychiatry for fellowAsst. Supt. White presided and Cyril Ruilmann introships for clergymen who want to become mental hospital duced the speakers. Gov. Clement gave the main chaplains (there are over 300,000 clergymen in the address. The Tenn. program has improved remarkably in country). . . . Sorry to hear of the death in June of Miss the past two years. . . . Forgot to mention last month that Dorothy Clark who rendered such valuable service as in course of Mental Health Week speaking tour I particiAPA Nursing Consultant from 1949-1951. . . . Write to pated in inspiring award ceremony for employees at St. Dr. Leo Alexander for details about the fifth Annual Louis State Hosp. where over 700 have served for 10-25 Institute of Psychiatric Treatment to be held in Philaof Nurses Dirs. his Kohler, Supt. Congratulated years. delphia Oct. 17-19. . . . A lady reporter at the Ann.Mtg. and Volunteers who organized the program. . . . Mike in Chicago was overheard to say, "Next to the White Gorman and I had stimulating talk with Robert Felix and House crowd this is the nicest group I’ve met.” . . . . Seymour Vestermark recently concerning NIMH programs Chas. Goshen and I attended meeting of APA Liaison in coming year which will be expanded with increased Com. with Amer. Acad. of General Practice in NYC to appropriations. . . . Also attended meeting of Wyoming discuss Gen. Practitioner Educ. Project. (R.Matthews, Valley M.H. Soc. in Scranton, Pa. where I met APA Chm., Frank Luton, Phineas Sparer, and Merritt Foster members Robert C. Murphy and Emlyn T. Davies. . . . were there for APA)....On June 6 spoke at Ann. Mtg. of Received notice this month that NIMH Advisory Council the M.H. Soc. in N.J. and on the 10th at the opening had turned down our application for renewing M. H. session of the M.H. Institute at Lansing, Mich. where Architecture Study grant; but funds are available to V. A. Stehman had brought in representatives of all Mich. continue it to end of and in meantime effort will be year hospitals. It was an outstanding meeting well attended. made to find other ways of keeping it going. . . . Expect . . . Went from Lansing to Battle Creek with E.F. Jones, to be off to Mahone Bay, Nova Scotia by end of month for Mgr. of VA Hosp. there, and showed his staff pictures of a few weeks of sailing and loitering. . . . Happy vacationforeign hospitals. . . . Did same thing for residents at ing to you all. . . . The next Newsletter will be in Sept.... Ray Waggoner’s Institute in Ann Arbor a few days later where also talked with Moses F rohlich who (as Chm. of Com. on Nomenclature) is hard at work on system for recording case data on IBM cards. . . .With Robert L. Robinson met in Toronto with Program Com. for Canadian Mental Hosp. Institute to finalize details on June 21 and was also able to visit Homewood Sanitarium at Director Medical Guelph (A.L. MacKinnon, Dir.) where the Ontario Psychiatric Soc. was meeting on the 22nd. . . . Also recently spent several days in Conn. with Chas. Bush where we consulted with the Governor on the mental health prohas Blasko that reJohn there. to Sorry report gram signed the Conn. Commissionership for another job; but P.S. Don’t forget to order of the Desk 1958 copies your his efforts to have the law changed to give the Commisand Book of Summaries the the (33) Appointment have been successsioner more administrative authority Scientific before the (81) Papers supply runs out. the 19 On Dept. visited expanding rapidly ful. . . . June ��WV-..— -»——————. ———_,—_a—.__.._—_,-__ ._________, __._ —_________.___._. _ __ .__- .__.__._. _____... —*_ ��October, 1956 vs Age EST # 1 & 2 - h Below 115 us yrs. over Changes - Reiter - £9 pts. 6 7 H L M 5 S 8 (id—ﬂ) 7 3 10 (50%) 13 5 10 (35%) 6 h 19 (65%) L yrs 50 over yrs 8: Distribution Age — H M 8 h 16 (57%) 12 3 6 (28%) 5 3 13 (61%) - EST 1 & 2 patients h9 5 3 31 - [10 yrs. 1 3 I41 - SOyI‘S. ll yrs. over - 6 5 10 2 3 Reiter vs Medcraft - .ii:;.L_ Reiter (EST # 2) H 12 (h8%) yrs. yrs M 7 30 & L 6 - 61 H 7-2 20 51 " 60 9 M h-6 Below 50 - L yrs. & EEG 25 Medcraft (EST # 3) 16 ptS. pts. LWC - h all ages 6 _Z_:_2_ L M H L M H 11 5 9 7 3 15 2 5 9 1 6 9 �Beiter vs Medcraft h Reiter (EST # 2) ‘17 Medcraft (EST # 3) CONCLUSION: 9 M pts. 8 3 Pts. 2 1 all ages and at h—é and at 7-9, xrs. from left to right. - over - 7 9 L M H 6 h 2 11 6 1 3 5 H older group only) whereas with Reiter Medcraft produces maximal change early in treatment and in changes & 6 L Both groups ( same - MS % it H records with.Medcraft increases. Therefore later changes consist only ��95 (I M hWé/Mv/ém W W/f 44’me Wm" PHI/M41; be M 52/15 ’4 gal/ﬁe): MM) 686cm; Mwwﬁﬁw ��\. \ Séwrﬁ‘sax «wk? '».,_ *Mﬁw'yr-Ea ”138:3? ‘ ��4‘ .' .ﬂu/W aw ' , . b; Izaak?“ wumad, W ’ 147? Xv 520’? ��Ti? V 1‘ s: I. 7:. V Z 1 - \_ rm . 111374;? : 7'“: _ ‘ " - . > v, ‘ y; ’ * Winn-n35 "W" ______ r - “22:! ‘ - -——~‘——‘ . ‘ ~ ' . ‘ ’ ' ‘ ‘ ( ‘ ‘ . I J ‘ 7 ‘ I v ' - ' V n I l ' ¥ ‘ ‘- ��', ’03. Alll‘llll �. ,7 — v Q ,.. r. ‘ _ T TrK. u _ ,.., . V, 9.. 1 , . ., a ‘ ,_. ‘ w, w . n 5 . . , . . i .A . :i.» ,. ...L. I, ( :4 . , ,. . < 5,: _. . . . . z .,. "“ ; .; 'n’hr ' ‘ 1 V 13—, ., awh'A_ “,1 “1.“..«2 , ‘ n .‘ r r 1 . . .a . _ _ ‘ ._ u... , a, h J _, N ‘ '5 _, ‘ v F :. , 'v h, .7 . ‘ 4‘;- _‘ , . x; x , .31.. , u . . . , .. ,2 .. _ "1 , A . ..a h .u '. A ... . i , , . N m. u . 1 , J 1-: I :. r. , , ‘ r ._ ; . . . . .ﬁ . . , rJ . :., I ‘ V, sv,._______-_._..:_:>..7;_.;_T t.« n—' n a. r r , :J: I. I; » .n .= . . II\ ' ' J any. ‘_.‘ , 2 Mr .7 . _ . .3 ‘l ,_ g» ..‘ I .a‘ . ,~ L, m .H _ J ,V , --.,-_.' r, 7 , n .T» . 1 H . — , . ”37:-.." \.L. \I Z" W“ ‘ K A [“97 '. .1:..." , .u: ._, Nu L x; ' ,- , . .. a w H _ H _ _. .,. . . .> . 7 wm _, . . . ., l , ,.. ., ,. . m "W”. 5,2 , , ' .3 1 ., . j A . g ‘ ., i. .. . ‘ V.,, Hutu” ﬂ A, 1 ��.g.W- an}, , 3 ‘ \——r —- --m I-L I I I I ' Mr n/f r? l' 2, 7 6 1 ‘. é ' / ./ o -’ I ' _» ’ //,,../ ’ ‘ , * Q 3 5* �W INDIVIDUAL PSYCHIATRIC TREATMENT INDICATIONS Paul H. Wilcox, M.D. Revised Nov. 21, 1953 Li PREDOMINANTLY NEUROTIC if and Org., B.P., F, otherwise IF start Nm, Ag, 3, 0-0, G, HqA, with Sequence Ir, Un, Of, or Par, start with Sequence I III PREDOMINANTLY SCHIZOPHRENIC if and D or Ag, otherwise I5 (Psychosomatic symptOms, anxiety or reactive depression) start start with with Sequence Sequence I PREDOMINANTLY ENDOGENOUS DEPRESSION start with Sequence Sequence Sequence I Sequence E.S.nc. II III Sequence IV E.C.T. COznc. 002 II \/, \ \ ___, 4______e 93 MANIC _, COznc. ___, E.C.T. ___, ___, low E.C.T. 1: Eu if Tr ______+ 602 \ifD ._____, II ifC 1:0 if c __, if t _____, if 'r _, ___, (III) (for termination of trance) 002m. (II) \<: (III) high E.C.T. C02 (IV) E.S.nc. (I) E.S.nc. (I) ifT if t plus 0...? terminate D if _____, E.C.T. (II) Note: Appropriate psychotherapy should accompany all phases of treatment wherever indicated. The goal of therapy is for the patient to have a mild 002 reaction (t) and be essentially symptom-free (O) for an observation period of at least two months. £21 - anxiety increasing Ag - agitation B.P. - systolic B.P. over 170 mm. Hg., systolic c - brief confusion (e.g. only 5 min.) C - prolonged confusion (e.g. more than AS min.) Cf - clinical confusion coznc. - non-coma 002 (whiffs) C02 - coma 002 D - persisting or increasing depression E.S.nc. - non—convulsive electrostimulation E.C.T. - electroconvulsive therapy Eu - euphoria F - marked fear and anxiety A H-A G Ir - Nm 0 — - severe guilt feelings - marked hate and aggressive tendencies marked irritability severe nightmares symptompfree - for 2 mos. or more obsessive-compulsive features Org. - organic changes Par. - paranoid trends O-C s - sleepless tT - mild tension - mounting tension Tr - prolonged trance state Un - unreality feelings ��52 m - �MAX F'INK. M. D. 275 MIDDLE NECK ROAD GREAT NECK. N. Y. HUNTER 7-4542 \; . :\ \ \ . w . .\\\ a h {zitgiisézirié \ ,5:11:15rfie1 v, flhhugavwx.§.1 at»; J. 3.11.. , _ if NDD‘ $5.. . J 3.25.1.5 4.51 1. $313 £511:er “V :2 1! ��a M.“ .7 �-7 r. v my .‘__r,\~. ‘_,_ an" .7 ”amt , 0, .7.— ..w . x 7 , ,...r,_ ‘_— v-4 . . ,_ w “K- mﬂ.w~..—-~_‘nr—._;_i , _ 7 _ 7V -_.-N,...~ . 1,-.. ~..~._.V..,.v .,_‘,.r_._h., V . if"? ��mw "">‘- aw ﬁn ’4_l4 I; Ant“ . ��4...»... ”Mu-L" ��Ft: £13 3"! HM (M) ��i 3 i E .1 i ��. _ a-‘v—{WWG’W’W‘tVF‘r‘Fw—ugfva , WNW—“W “WW. _ , . , . , ‘ W. . , _. ,' , ‘ A,.V,.. 3m, .zwu -..m~w~ W «RM-4mm "F v :i‘\ @ﬁ - A» \\\ 'l ‘3“ l." ..,. ‘ “ \.§;‘.§g was. wig-33;; __ ‘ ' _ ‘ A Em ' axis: .3, ��(L ALLA 4 4T ��;; i ��For creative activity, as possibly, for problem solving, the hyperh alert state must be avoided. In the alerted individual, discrimination is more focused, acute, and differences are sharply maintained. Under such conditions, old pathways are clearly maintained and the possibility of new associations is less. For creative work, pathways must be connected ected before. This can only be accomplished were not con; discrimination is diminished. reverie; by fatigue (creativity late at night); by isolation; by alcohol; etc. Perhaps in the EST situation, the cerebral state induced This ? is if that done by is similar to drowsiness (Surely the EEG - perceptual effects are similar) patient is able to use ("create") available before. and thus the new defenses which were not Also, in the tachistoscopic situation, the presentation is a hyperalerting situation - but, the reverie state (or dream) afterwards, permits of greater elaboration of the memories (greater range of imagery - greater creativity,). I/e3ﬂd �January 7, 1957 Role of Altered Cerebral Motion in Behavioral Change Following Induced convulsions m m, 14.9., Babe” In M; 31.3. m Hm Karin, 31.1). role of altered consciousness in the clinical behavior of epileptioe, patients with mental disorders, and in the diagnosis: of dis-orders of the central nervous system is unclear. Recent studies of the electroshook therapy process amonamtcd the crucial nature of persist.ent alteration in brain fxmction for the behavioral changes induced. In the course of theee studies, an appreoietion was obtained of the types of alteration in behevior induced 120' diffuse cerebral dysfunction; the role of the pmoz‘bid personality in the behavioral pattern; and the smith. 1w of various tests on indiooe of altered brain function. To define and measure the effeotc of alteration in consciousness Pmblem """"‘""'"" (manning rm diffuse control dysfunction) on clinical be. havior patter-no. The Kethod: Subjects on a voluntary paychiatric hospital referred for electro— shock therapy were studied concurrently by psychiatric, psychologic and neuroplwciologic techniol. Alteration in brain function (the demo of organic mental I; sycamo- was measured by four indicee: (a) Eleotroenoophalogm, moored for per cent time delta under nesting and activated conditions; (1:) Diaoriontetion, confabulatm-y responses one language changes following intravenous mobarbital. (c) Dininution in perceptual discrimination of simultaneous tactile threshold stimulation touts. (d) Interference with recall of 3 letter words after interpolated looming of nonsense syllables (”retroactive inhibition of recall") . mound by repeated psychiatric intent and reports of therapists and hospital personnel timing 2) Behavioral ohengec were views with subjects; and after the period of therapy. pmorbid percoaolity was eotimted by Cstructured interviews with relatives and by Rorschach tests (scored for H o reopens”). ROM“! 1) Modification of twavior is related to the dogma and persistence of alteration in hrm function, as measured by the electroencephalogram, amobarbital teats and perceptual discrimination teats. 3) The �in! 0' J c‘u pattern at the induced behavioral change, manifested by ahnnges in lmguags, mood, attitudes and symptom, is related to the preamorbid personality structure. Such behavioral patterns as euphoria, donisl, withdrawal, severe wry loss and disorientation, paranoia, WMrzitability and installed musty, have been obsemd. 3) Various indicss or altered cembrsl function have different sensitivities to modification depending upon the extent and activity (recent or old) at the dysfunction, and the personality of the subject. 2) The ’ leusiem 1) Behaviors]. nodii‘icstian in canditims inducing altered brain fanatics is ths adaptive response of tbs argmism under the conditian of an aims-stint: in the state of camcioumss. 2) has type of adaptive response is dependant upon tbs premorbid pemomiity of tbs subject and the milieu in which the behavior occurs. altered brain function mt be interpreted in tons of thsir sensitivity; their time of application in the ongoing process; and the pmrbid persmlity “the subject. This significance of them observations in tha understanding of epilepsy; the treatment. or mental illness; and in medsfinition 5f altered states of consciousness will be dissusssd. 3) Tests 01‘ Iron tbs Heumplwsiolom‘r Laboratory, Department of Fotperimental Psychiatry, Hillside Hospital, Gian Oaks, New Iork, U.8.A. �January 7, 1957 Therapy of Schizophrenia: Effect of Alteration of Brain Function on Behavior In the course of experimental studies of the mechanism of actidn of electroShock therapy in patients with psychiatric disorders, a hypothesis was elaborated regarding the mode of action of other therapies in patients with schizophrenia. 1t has been demonstrated that the essenp a electroshock is in therapy behavioral change to pre-requisite tial EEG defined by function as of brain delta, loss altered sustained degree of discriminatory ability on perceptual tests, and disorientation followThe behavioral response sodium. amobarbital of administration the ing under the conditions of an altered state of nervous system activity is an adaptive response of the subject, dependent on the premorbid person, ality . who and the environment. Similar factors have been demonstrated as operating in patients Show sustained improvement following insulin coma therapy. studies of drug therapies in schizophrenia demonstrate that the therapeutic efficacy of the newer psychopharmacologic agents demonmechanisms which brain are to the degree to related is directly strably altered. Conclusion: The mode of action of the various physiodynamic therapies (ICT, EST, Drug) is directly related to the degree of sustained alteration in brain function induced; such alteration being defined by changes in the resting and activated electroencephalogram, disorientation tests, and perceptual discrimination tests. , Ongoing ��can ﬁrsthand for the pemeption 01‘ words momma anti aubjem were unable to Mantify m wows with increasing degrees at cerebral 3-) Wmotim, We: in percoptim were highly sex-minted with other boo Moral chug”, inﬂiaaﬁve of an alumni interaction with the omirmmt. Minimum 1) Diffuse alter-nuns: in brain mum, as measured by elactrmcaphalomﬁzm 631%: mad emanation tests after mammal, results in altemtiw at pamytm pat-toms by an increase in threshold, impaired Metamucil: of stimuli, of which the ability to diacriminato a rignre from a. comply: backgromxd in a 5min h) ' ma We! ' 2) Alteration in pemepbim mpmanu sweet an m rather than a speciﬁc as? altered behavioral interaction with the envirmnt, Maialogieal defect, This factor sham be considered in peroeptnal 112.20.00.21. brain lemma as will. nudist {51% Ion-k, ”.34: m W; mar”?! �December 17, 1956 Concept of Cerebral Localization vs Mass Action Effects Certain functions ascribed to 1) CNS are "localizable", as vision, motor power, motor aphasia; While others, as memory, judgment, insight, cal- culation, figure—ground, are non-localizable. (more peripheral than central); have marked effects; and EEG damage The is generally first group are cortical permanent; small lesions is usually not pathological. lesions are generally deep or basal; recovery of function is possible; small lesions have no effect (i.e. a mass action law is applicable) and EEG effects are prominent. The non—localizable It results in a non-localizable lesion - with diffuse dysfunction. is the technic par excellence to study such mass action lesions. 2) EST 3) Psychological measure mass tests of "OMS” are positive to the degree that they action effects rather than focal - except if focal dysfunction interferes with performance as in lesions affecting vision, motor power and speech. h) Concept of Active vs Static Lesions: In studies of head injuries, lobotomy and post operative cases of six or more months duration, the studies reflect localizable (cortical) defects mainly: for the deeper activities nd are longer active. Any defects in fun- ction are expressions of specific cortical localizable damage. In contrast, studies of brain tumors, immediate post-traumatic states, post- (early) are studies of active dysfunction - a combination of the focal and the diffuse defects. The degree of dysfunction depends on the mass lobotomy, and EST effect, plus the localized defect. m away. ”cw-u W7»: 6% 2.2 .-W M- ��«M m a» mum at :1“er bum mum the dun» Mariam mum sum and chm a! me: aluminum; m vat-um a! the mmw‘mpu and tho «the submit ammmmm mammmmﬁg mumammnwmmm. Mmumafmw mun Winemwnuwm at them mm“). mm 1»th mm mu with annWtupmhupmrbm uwamwmmwwmm, the Mine of at a act-Latin Wm m by th"W”, WV. the an dwaﬁmt mm mm»: Mum Mow, m W: m that mum and. at my m Mum; torﬁumohanin WWMemlmm meettheu MWMWMWMNW¢ » �(July 2, 1965) Jan. 3, 1958 HOLE OF ACTION OF BIOCHEMICAL AGENTS The CNS is IN BEHAVIOR dependent upon a umber of enzyme systems for cholinestemseand including fmction, mtabolisn proper acetylcholine, gluoose-pkwsphetase, etc. CNS function and, thereby, affect of that agents variety behavior- is large, since processes in equilibrim may be shifted The in either direction by increasing or decreasing the available quantity of a metabolite . A. For drug action, therefore, the following are considerations in potency: (a) Does a drug affect an enzyme system in a reliable it way? to affect the system? (c) What defenses does organism process to block CNS? in action once limit drug's or (b) Can B. Secondly, get to mile (NS an agent may directly affect the metabolism CNS the dependent upon the is extent that to of a specific system, system? Is the defect thw induced simificant for the netsbolism of CNS underlying behavior? that defenses can body cell into play when system is affected to substitute other energy system? Thus, the variation in drug effects in behavior depend upon: (a) Behavior at onset; and predisposition (personality) to response; (b) Drug dosage - availability to has on an enzyme system; CNS and the effect it �(c) Dependence of organism on specific enzyme - and organismic defenses (i.e.,-~ substitution for affected system) . Whether effect was gmdual (allowing for system ((1) defenses, i.-e . , alternate mtabolic system) or acute (not allowing defense). Imividual diffemnma in response may be due, thus, to differences in: (a) Dosage, mtio S mute of Ministmtim (b) dependence on the affected system (c) adaptive ability to biochemical changes. To these clauses, EEG is a gross approximation and indicator, reflecting the homeostatic balmce in various enzym systems of the CNS. ��Personality-O.M.S. Tests of O.M.S. 2-5-57 The All our tests of changes in cerebral function tapas continuum. degree of cerebral dysfunction at the time of examination will determine which tests will The degree of “ show changes in patterns. cerebral dysfunction is dependent on numerous variables including; Rate of develogment of dysfunction Premorbid state of functioning on the tests employed Stress of the examination- needs and motivation of the subject Localization of the cause of the dysfunction (local vs. diffuse) ' factor, the premorbid state of functioning, as characterized the present evaluations of personality organization by the Rorschach One by test and by interviels, graphic fashion; can be pictured as operating in the following ‘ ��V E F E E F E ;‘ ﬁs‘;’*;)¢¢2\ _ a '“ﬁ‘ �� 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 Research Files and Unpublished Works 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 EEG (notes), 1955-1957 Type The nature or genre of the resource Text Identifier An unambiguous reference to the resource within a given context mfp-03-01-002-3-003 Date A point or period of time associated with an event in the lifecycle of the resource 1955-1957 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 <a href="http://id.loc.gov/authorities/subjects/sh85113021">Research Files</a> and Unpublished Works -- Hillside Hospital, Glen Oaks, NY, 1953-1965 Relation A related resource The Max Fink Collection Description An account of the resource Research papers, files, and related correspondence: EEG notes 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 Research