Dr Shock will be in Edinburgh Scotland the next couple of days. Attending the Scottish ECT Accreditation Network Meeting from SEAN.
Will try to keep you posted but posts can be irregular the coming week.
A documentary style animation exploring the experiences of two women with clinical depression and modern electroconvulsive therapy. Animation By Laura Piraino. Music By Ben Cleek.
An incredible good visualization of someone suffering from psychotic depression. Impressive animations.
A superb location (the Grand Marina), in a beautiful town (Barcelona) full of sunshine (31°). A perfect setting for the 3rd Annual Meeting of EFFECT. Highly interested and highly interesting clinicians from all over the world attended the meeting to share experience and gain knowledge.
Read the program and a short summary of the lectures on Electroconvulsive therapy
Electroshock or Electro convulsive therapy is often depicted negatively in Hollywood films. It encourages stigmatization and discourages patients from its use. So if your About To Have ECT? Fine, but Don’t Watch It in the Movies: The Sorry Portrayal of ECT in Film. You can read more about electroshock in Hollywood productions in this prior post on this blog.
If you want some information on video from patients while they are actually undergoing this treatment or want to see an excellent lecture about ECT please have a look at: 9 Videos on ECT.
In newspapers when comparing newspaper reports on ECT and electric defibrillation with a content analysis the articles with mentioning ECT differ from articles with a mention of defribillation.
Even in high standard newspapers the style of language becomes special when they deal with ECT.The articles are strongly biased and lack informations. In contrast to Defibrillation ECT is not generally accepted.Referring to ECT horror pictures of past psychiatry are cited.The language used is biased and discriminative. Referring to Defibrillation technical details are described and the language is neutral.The social representation of ECT is completely negative.
The content analysis was performed on articles in German Newspapers. They traced only few special articles on the subject in the 1994 and 1995 CD.Rom versions of the „Der Spiegel“,The „Frankfurter Allgemeine Zeitung“, the „Neue Zürcher Zeitung“ and the „Berliner Tageszeitung“,although the word „Elektroschock“ was employed 118 times. The word electroshock was mostly used in articles not about ECT. The term was mostly used because of it’s negative connotation in all kinds of subjects.
Why is this important?
The portrayal of ECT is deplorable and with little resemblance to modern practice. It encourages stigmatization and discourages patients from its use. Proponents of ECT will need to rely on tools other than movie or newspaper portrayal to convince those with mental illness about the merits of this treatment.
The next issue in this series about mass media and mental illness will be posted next Tuesday August 19th.
I don’t think I’ve taken a blog to discuss ECT and it’s uses in modern society, but let me just say it is used in the psychiatric community when depression is resistant to the plethora of anti-depressants that are handed out today. It’s an ever continuing cycle and when the meds run out or no longer work, ECT is introduced into the client’s regimen. At some point, I will write more of an expose on ECT, but for now I just want to stick to my experience.
Born in 1942 into a Jewish family in Brooklyn, the teenage Lou Reed was subjected to electroconvulsive therapy to “cure” his homosexuality. He worked as a house songwriter for Pickwick Records before finding cult fame with art-rock band The Velvet Underground. Post-VU, he released a succession of acclaimed albums, most significantly 1972’s ‘Transformer’, whose themes of drug use and cross-dressing chimed with the mood of the glam-rock movement spearheaded by his friend David Bowie.
Since recent I am participating in the update of the guidelines for ECT in The Netherlands. That gave me the privilige to meet patients treated or being treated with ECT, mostly continuation ECT. In a meeting with them a couple of weeks ago they made remarks about the treatment and how the new guideline could improve ECT. Their experience, critique will be used for the new guidelines. Discussing ECT with these hands on experienced patients was a pleasure and very informative.
A week after that I had a meeting with (ex)patients of Mental Health Care and their significant others. Some of them had experience with ECT in the past. Comparable to Lou Reed some of them had been treated in the sixties with ECT for comparable absurd indications. We had a very lively and instructive discussion about ECT in the past and how ECT is used nowadays. To me these meetings are of immense importance, it changes your perspective on what your doing and how your doing it.
This post was inspired by an article on The Independent on Sunday about Lou Reed, Royal Albert Hall, London Beck, Guildhall, Southampton
He reviews a recent performance by Lou Reed of one of his best albums: Berlin.
In the years 2006 and 2007 the rates of usage of ECT in Edinburgh were only 0.82 and 0.88 patients per 10 000 total population. This is approximately a third less than the rate in 2005, and three-quarters less than the rate in 1993
For comparison in Belgium in 2000, the ECT rate was 4.8/10,000 inhabitants. By 2006 it had increased to 6.6/10,000 inhabitants. In Spain in 2007 the ECT rate, measured in patients per 10,000 inhabitants, was 0.61. In Portugal in 2007 the ECT-rate was 0.5-1.2/10.000 inhabitants. In The Netherlands in 2000 it was 0.22 per 10.000 inhabitants
The authors suggest that this might be due to the ECT guideline by the NICE. The guideline published in 2003 was very restrictive in indicating ECT. This guideline was controversial and the Royal College of Psychiatrists subsequently published its own ECT guideline.
The other suggestion that ECT is less needed because of all the other therapies available for treatment of depression is to my opinion nonsense. The authors cite the STAR*D trials to oppose this notion with which I can fully agree. Even after four treatments only 67% of patients remitted from their depression.
I fear less patients with severe depression get the right treatment. It also has implications for clinical research, psychiatric ECT clinics have to join forces in order to be able to do future research with ECT. These are the worries of ECT researchers in Edinburgh with a long and excellent history of ECT research.
I will be in Edinburgh on October 8th attending a meeting of the Scottish ECT Accreditation Network (SEAN) with a Dutch delegation. Will ask them about this development and their opinions there on, will let you know.
Scott, A.I., Fraser, T. (2008). Decreased usage of electroconvulsive therapy: implications. The British Journal of Psychiatry, 192(6), 476-476. DOI: 10.1192/bjp.192.6.476
For months the therapy has been administered without anesthesia because the hospital’s anesthesiologists all fled the city. The World Health Organization has called for a ban on all ECT therapy without anesthesia.
ABC News has a slide show about A Day in a Baghdad Psych Hospital
Vermont, USA (With an interview of Anne Donahue)
Vermont hospitals bring back ECT therapy to treat depression
Hulp Gids, The Netherlands
Found a new recent blog called Electroconvulsive Therapy, all about…. you guessed it.
It has a recent post on cognitive side-effects with ultrabrief stimulus. The results were presented as a poster at the European congress of psychiatry of the AEP in Nice, France, 4-9 April.
We concluded that bifrontal and unilateral ultra-brief pulse ECT are effective treatment techniques that do not cause measurable cognitive side-effects or cognitive complaints.
The author also has a blog called: A day in the life of a shrink. It is in Dutch or should I say Belgian.