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 journalLetter


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
Publication statusPublished - Feb 25 1982
Externally publishedYes


ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wise, T. N., Fried, M. P., Strome, M., Kelly, J. H., Katz, H. R., Mcneil, B. J., ... Pauker, S. G. (1982). Speech and Survival. New England Journal of Medicine, 306(8), 482-483. https://doi.org/10.1056/NEJM198202253060811