Speech and Survival

Thomas N. Wise, Marvin P. Fried, Marshall Strome, James H. Kelly, Harry R. Katz, Barbara J. Mcneil, Ralph Weichselbaum, Stephen G. Pauker

Research output: Contribution to journalLetterpeer-review


To the Editor: In the October 22 issue, Dr. McNeil and her colleagues presented an interesting methodologic construct for investigating the trade-off between the quality and the duration of life in patients with laryngeal cancer.1 Their study, however, contains a serious methodologic flaw, which limits any generalization to persons who actually have laryngeal cancer: The subjects in the experiment did not have this disease. A person with such a dread disease will usually have dysphoric affects, e.g., anxiety or depression, which will clearly affect the decision-making' process. “State-dependent learning” is recognized as an important variable in cognitive processes.2 The use.

Original languageEnglish (US)
Pages (from-to)482-483
Number of pages2
JournalNew England Journal of Medicine
Issue number8
StatePublished - Feb 25 1982

ASJC Scopus subject areas

  • Medicine(all)


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