| The dangers of electroconvulsive therapy |
The acronym ECT stands for "ElectroConvulsive Therapy" (also called EST, for ElectroShock Therapy) a psychiatric treatment in which electricity
is applied to the head and passed through the brain to produce a grand
mal or major convulsion. The seizure brought about by the electric stimulus
closely resembles, but is more rigorous or strenuous than that found
in idiopathic epilepsy or in epilepsy following a wide variety of insults
to the brain.
Patients given ECT are administered an electric current of sufficient
intensity and duration to produce an acute organic brain syndrome,
characterized by the classic symptoms of disorientation to time, place,
and person; mental deterioration in all intellectual spheres such as
abstract reasoning, judgment, and insight; emotional lability with
extremes of apathy or euphoria; and overall childlike helplessness.
Animal studies show diffuse brain damage following ECT: the most common
findings are petechial or pinpoint hemorrhages throughout the brain and
surrounding blood vessels, as well as areas of gliosis and neuronal
degeneration, with patches of cell death (ghost cells and
neuronophagia). Occasionally larger hemorrhages and edema of the brain
are found. These findings are also seen on human autopsies performed on
ECT patients.
Electroshock treatment
(ECT) was developed in 1938 at a time that lobotomy and insulin coma
therapy were already in use. Pioneer advocates of ECT openly
admitted that it caused irreversible brain damage. In 1979 Dr.
Breggin published the first medical book critical of ECT,
Electroshock: Its Brain-Disabling Effects
(New York: Springer Publishing Company). Dr. Breggin has advocated
the banning of ECT, but it continues to be used extensively in most
psychiatric facilities. In 1985 Dr. Breggin presented as the
scientific expert on the brain-damaging effects of the treatment at
the NIH Consensus Development Conference on ECT.
The best source of
up-to-date information on ECT memory loss and brain damage can be
found in a chapter in Dr. Breggin’s book Brain-Disabling
Treatments in Psychiatry (2008).
The following articles
present some additional details and a historical perspective on the
campaign against ECT.
Articles on Electroshock Therapy (ECT) and its dangers by Dr. Breggin or about his work
The following books by Dr. Breggin provide further information on ECT
Articles on ECT by other researchers (many cited in Dr. Breggin's books and articles)
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Abrams. ECT Benefit Outweighs Risk in Most Cases. Clinical Psychiatry News, June 1984.
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Abrams, R. Electroconvulsive Therapy Second Edition. Oxford University Press 1992.
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Abse, D.W., & John A. Ewing. Transference and Countertransference in Somatic Therapies. Journal of Nervous and Mental Diseases, Vol. 123, p 32-40, January 1956.
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Abse, D.W., & John A. Ewing. Part II-The Attitudes of Shock Therapists. Journal Nervous and Mental Disease, 123, p 36-39, Jan 1956.
Accornero, F. An Eyewitness Account of the Discovery of Electroshock. Convulsive Therapy, 4(I):40-49, 1988.
Alexander, H. Combined Fluphenazine and ECT in Acute Schizophrenia. Disease of the Nervous System, 1962.
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Alpers, B.J. et al. Changes in the Brain After Electrically Induced Convulsions In Cats. Archives of Neurology and Psychiatry, Volume 47, 1942.
Alpers, B.J. The Brain Changes Associated with Electrical Shock Treatment: A Critical Review, Lancet, 66 (1946), 363-369.
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Alpers, B.J. The Brain Changes Associated with Electrical Shock Treatment: A Critical Review. The Journal Lancet, November 1946.
Alpers, B.J. , & Joseph Hughes. The Brain Changes in Electrically Induced Convulsions in the Human. Journal of Neuropathology and Experimental Neurology 1942, Vol.I.
Arnold, O.H., & H. Hoff. Intensive Therapy of the Psychoses in a University Hospital. Current Psychiatric Therapies, 1961.
Arnot, R.E. Recent Memory Loss (produced by ECT) could be compared to erasing a tape recording. Disease of the Nervous System. September 1975.
Avery, D.H. Electroconvulsive Therapy. in Current Psychiatric Therapy, ed. David Dunner, 1993.
Ayd, F.J. Readings and Reflections. Times, April 89, p. 54.
Babayan, E. The Structure of Psychiatry in the Soviet Union. A Note on History, International Unversities Press, Inc. New York 1985.
Beveridge, A.W., & E.B. Renvoize. Electricity: A History of its use in the Treatment of Mental Illness in Britain During the Second Half of the 19th Century. British Journal of Psychiatry (1988), 153, 157-162.
Braatoy, T. Indications for Shock Treatment in Psychiatry. Am J Psychiatry, 104:573-5, March 1948.
Brain Damage Info. Packet, 1-21.
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Brandon, S, et al. Electroconvulsive therapy: results in depressive illness from the Leicestershire trial. British Medical Journal, Volume 288, January 7, 1984.
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Breggin, P.R. Brain Damage From Nondominant ECT. Am J Psychiatry, 143:10, October 1986, p1320-1.
- Breggin, P.R. Electroshock: scientific, ethical, and political issues. International Journal of Risk & Safety in Medicine, 11 (1998) 5–40.
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Breggin, P.R. ECT-Ban Controversy. Clinical Psychiatry News, March 1983.
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Breggin, P.R. Neuropathology and Cognitive Dysfunction From ECT. Psychopharmacology Bulletin, 22(2), 476-479, 1986.
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Breggin, P.R. Disabling the Brain with Electroshock. in Divergent Views in Psychiatry, eds. M. Dongier and E. Wittkower, Harper & Row: Hagerstown, Md., 1981.
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Breggin, P.R. Testimony, Outline of Remarks Before the FDA on the Reclassification of ECT Devices, Nov. 5, 1982.
Brussel, J.A., & Jacob Schneider. The B.E.S.T In The Treatment And Control Of Chronically Disturbed Mental Patients-A Preliminary Report. Psychiatric Quarterly, 25(1)-p.55-64, 1951.
Bindman, S. Brainwashed compensated. Toronto Star, Southam News, Nov. 18, 1992.
Bindman, S. Brainwash victims to get compensation. Toronto Star, Nov 18, 1992.
Bolin, B.J. Fear Reactions in Patients Receiving Electroshock Treatment and the Law of Initial Value. American Journal of Psycholtherapy, Volume XXI, 1967.
Boodman, S.G. Shock Therapy, It's Back, The Washington Post, September 24, 1996.
Boyles, G.J. Concussing the Brain with Electroconvulsive Shock Therapy (ECT): An Appropriate Treatment for Depression and Suicidal Ideation? The Australian Clinical Psychologist, 18(2), 21-27, 1986.
Brody, M.B. Prolonged Memory Defects Following Electro-Therapy. The Journal of Mental Science, Vol. XC, July 1944.
Burstow, B., & Don Weitz. Protest in Support of Allan Memorial Victims, August 25, 1986.
Busto, R., et al. Small Differneces in Intraischemic Brain Temperature Critically Determine the Extent of Ischemic Neuronal Injury. Journal of Cerebral Blood Flow and Metabolism 7:729-738, 1987.
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Calev, A., et al. Distinct memory impairments following electroconvulsive therapy and imipramine. Psychological Medicine, 1989, 19, 111-119.
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Calev, A., et al. Early and Long-Term Effects of Electroconvulsive Therapy and Depression on Memory and Other Cognitive Functions. The Journal of Nervous and Mental Disease, 1991, Vol. 179, No.9.
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Calev, A, et al. ECT and non-memory cognition: A review. British Journal of Clinical Psychology (1995), 34, 505-515.
Cameron, D.G. ECT: Sham Statistics, the Myth of Convulsive Therapy, and the Case for Consumer Misinformation. Journal of Mind and Behavior, 1994, Volume 15, Number 1 and 2, pp 177-198.
Cameron, D.E. Psychic Driving: Dynamic Implant. Am J Psychiat. 112:7, 502-509, Oct. 1957.
Canadian victims take the CIA to court. Globe & Mail, October 1, 1988, D1.
Catalano-Nobili, C, & Giannetto Cerquetelli. Sindrome Di Annichilimento Da Elettroshock E Leucotomia Prefrontale. Rassegua Di Studi Porchration.
Cavazos, J.E., et al. Neuronal Loss Induced in Limbic Pathways by Kindling: Evidence for Induction of Hippocampal Sclerosis by Repeated Brief Seizures. Journal of Neuroscience, May 1994, 14(5): 3106-3121.
Crow, T.J., & Eve C. Johnstone. Controlled Trials of Electroconvulsive Therapy. Electroconvulsive Therapy: Clinical and Basic Research Issues, New York Academy of Sciences, New York, 1986.
Cruvant, B.A. et al. An Institutional Program for Committed Sex Deviants. Washington, D.C..
Collins, A. Blowing their Cover: Canadian victims take the CIA to court. Canadian, page D2.
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Chapter IV: Adverse Effects of ECT, Task Force Report 14, Electroconvulsive Therapy.
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Clinical and Research Reports, Table 1. Age and Serum Cholesterol Levels of 192 Depressed and Normal Subjects, Am J Psychiatry, 140:7, July 1983.
Cohen, D. Challenging the Therapeutic State, Part II. The Journal of Mind and Behavior, Special Edition, Vol. 15, No.1 Winter 1994.
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Committee for Truth in Psychiatry (CTIP) Petition to Maintain the ECT Device in Class III, December, 2003.
Crumpton, E., et al. The Role of Fear in Electroconvulsive Treatment. JNMD, V136, Jan. 1963.
Daniel, W.F., et al. Autobiographical Amnesia with ECT: An Analysis of the Roles of Stimulus Wave Form, Electrode Placement, Stimulus Energy, and Seizure Length, 1982, Biological Psychiatry, Vol. 18, No.1, 1983.
Daniel, W.F., et al. ECT-Induced Hyperactive Delirium and Brain Laterality. Am J Psychiatry 142:4, April 1985.
Daniel, W.F., & H.F. Crovitz. Acute memory impairment following electroconvulsive therapy, Acta psychiatr. Scand. 1983:67:1-7.
Daniel, W.F., et al. The Effects of Modifications on Autobiographical and Verbal Memory. Biological Psychiatry, Vol. 17, No.8, 1982.
Daniel, W.F., et al. The Effects of ECT Modifications on Autobiographical and Verbal Memory. Biological Psychiatry, Vol. 17, No. 8, 1982.
Davis, K. Loss of Life Memory and the science of electroshock therapy. VC Reporter, Ventura County's News & Entertainment Weekly, December 6, 2001.
- Depression and Electroshock, National Affairs, Newsweek, August 7, 1972.
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Diana Rose, B., et al. Patients' perspectives on electroconvulsivetherapy: systematic review, British Medical Journal, 2003, 326(7403):1363.
Dolan, M. Medical Accountability Network's January 26, 2006, letter to Seton.
Dolan, R.J. Neurologic Side Effects of Psychiatric Treatments. Seminars in Neurology, 10(3), September 1990.
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ECT Timed With Disturbing Thoughts. Clinical Psychiatry News, Dec 1975.
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ECT: Controversies and Consensus, Massachusetts General Hospital Newsletter, Biological Therapies in Psychiatry, Volume 8, Number 8, August 1985.
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ECT Info Packet.
Edelson, E. Depression ‘Highly Treatable,' doctors say. Houston Chronicle, December 28, 1988.
Einbinder, S.D. Should ECT Be Prohibited? Controversial Issues In Mental Health. Ed. Stuart A. Kirk, Allyn and Bacon: Boston, 1994.
Elder, J.M. Cameron's treatment best available at the time. Montreal Gazzette, Feb 8, 1993.
Electroconvulsive Therapy- NIMH/NIH Consensus Conference. JAMA, October 18, 1985, Vol. 254, No. 15.
Electro-convulsive Therapy, House of Commons Report, May 26, 1988.
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Electroshock: key element in personality-changing therapy, Roche Report: Frontiers of Psychiatry, November 15, 1972, Vol. 2, No.19.
Electroshock: key element in personality-changing therapy. Frontiers of Psychiatry, Nov. 15, 1972, Vol.2, No.18.
Endler, N.S. The Origins of Electroconvulsive Therapy (ECT). Convulsive Therapy, 4(I):5-23, 1988.
Farnsworth, C.H. Canada Will Pay Guinea Pigs of 50's: Unwitting Recipients of Drug and Shock Treatments to Receive $80,000 Each. The New York Times, Nov 19, 1992, A9.
Ferraro, A., et al. Morphologic Changes in the Brain of Monkeys Following Convulsions Electrically Induced. Journal of Neuropathology and Experimental Neurology, Volume V, 1946.
Ferraro, A., & Leon Roizin. Cerebral morphologic changes in monkeys subjected to a large number of electrically induced convulsions. The American Journal of Psychiatry, Volume 106, Oct 1949.
Fink, M. Cholinergic Aspects of Convulsive Therapy. Journal of Nervous and Mental Disease, 142(5), 1966.
Fink, M., et al. Diseases of the Nervous System: A Practical Journal on Psychiatry and Neurology, Experimental Studies of the Electroshock Process. National Medicine, March 1958.
Finlayson, A.J.R., et al. Hyponatremic Seizure Following ECT. Can. J. Psychiatry Vol. 34, June 1989.
Fisher, C.M. Neurologic fragments. II. Remarks on anosognosia, confabulation, memory, and other topics; and an appendix on self-observation. Neurology 1989; 39:127-132.
Fisher, J.M. Cognitive and Behavioral Consequences of Closed Head Injury. Seminars in Neurology, 5(3) 1985.
Fishman, D.J. Seizures and Aspartame. The Neurology Center Report, Volume 3, Number 3, Fall 1987.
Frank, L.R. Electroshock Quotationary, June 2006.
Frank, L.R. ECT Death Chronology (Additions to “Chronology” in History of Shock Treatment, 1978), 28 March 1995.
Frank, L.R. Shock “Treatment”: A Chronology of Psychiatric Abuse. October 31, 1994.
Frankel, F.H., et al. Electroconvulsive Theraphy, Report of the Task Force on Electroconvulsive Therapy of the American Psychiatric Association. American Psychiatric Association May 1978.
Frankel, F.H., et al. Electroconvulsive Therapy: Report of the Task Force on Electroconvulsive Therapy of the American Psychiatric Association. May 1978, APA: Task Force Report 14.
Freeman, C.P.L., et al. Double-Blind Controlled Trial of Electroconvulsive Therapy (E.C.T.) and Simulated E.C.T. in Depressive Illness. The Lancet, April 8, 1978.
Freeman, C.P.L., & R.E. Kendell. ECT: I. Patients' Experiences and Attitudes. Brit. J. Psychiat. (1980), 137, 8-16.
Freeman, C.P.L., & R.E. Kendell. Patients' Experiences of and Attitudes to Electroconvulsive Therapy. Annals New York Academy of Sciences.
Freedman, D., et al. ECT: II: Patients who Complain. Brit. J. Psychiat. (1980), 137, 17-25.
Friedberg, J. Shock Treatment, Brain Damage, and Memory Loss: A Neurological Perspective. Am J Psychiatry 134:9, September 1977.
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Friedberg, J. Neuropathologic Effects of ECT. Am J Psychiatry 138:8, August 1981.
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Frith, C.D., et al. Electroconvulsive Therapy and Its Effect on Memory. Brit. J Psychiatry 142:610-617, 1983.
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Frith, C.D., et al. Effects of ECT and depression on various aspects of memory. Br J Psychiatry 1983, Jun; 142:610-7.
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Froede, E. &, Steve Baldwin. Toronto public hearings on electroshock: Testimonies from ECT survivors. International Journal of Risk & Safety in Medicine 12 (1999) 181-192.
Fromm-Auch, D. Comparison of Unilateral and Bilateral ECT: Evidence for Selective Memory Impairment. Brit. J. Psychiat. (1982), 141, 608-613.
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Giles, J. Electroconvulsive Therapy and the Fear of Deviance. Journal for the Theory of Social Behavior, 32(1), 2002, p. 61-87.
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Glueck, B.C., et al. Regressive Electric Shock Therapy, Preliminary Report on 100 Cases. Psychiatry 31, 117-136 (Jan.) 1957.
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Goldman, H., et al. Long-Term Effects of Electroconvulsive Therapy Upon Memory and Perceptual-Motor Performance. VA Hospital, Jefferson Barrocks, Mo.
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Gregory, I, & Donald J. Smeltzer. Psychiatry Essentials of Clinical Practice With Examination Questions, Answers, and Comments Second Edition. 1983, 8. Psychotherapeutic Drugs and Electrotherapy.
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Harris, A. Wiswall Hospital: Shock Therapy Abuse. B.A.D., 7(46), November 14, 1972.
Helmuth, L. Boosting Brain Activity From The Outside In. 18 May 2001 Vol. 202, Science. (see also)
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Hibbard, R.W. Humane Techniques in Electroconvulsive Therapy. The West Virginia Medical Journal, November 1960, Vol. 56, No.11.
Horrock, N.M. Drugs Tested by CIA on Mental Patients: Doucments Disclose Use in '58 of LSD in Canadian Hospital. New York Times, August 3, 1977.
Hudson, Wade. ECT Hearing Testimony. 11/27/90.
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Huggins, K., et al. Electroshock with and without Barbiturate Anesthesia: A Study of Patient Preference. Journal of Nervous and Mental Disease, Vol. 138, No.1, January 1964.
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Hunt, J.Mc.V. The Journal of Abnormal and Social Psychology. The American Psychological Association, Volume 46, 1951.
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Janis, I.L. Psychologic Effects of Electric Convulsive Treatment, (II. Changes in Word Association Reactions). The Journal of Nervous and Mental Disease, Vol. III, No.5, May 1950, Series No. 821.
Janis, I.L. Psychologic Effects of Electric Convulsive Treatments (III. Changes in Affective Disturbances). The Journal of Nervous and Mental Disease, Vol. III, No. 5, May 1950, Series No. 821.
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Janis, I.L. Memory Loss Following Electric Convulsive Treatments. Journal of Personality, Volume XVII, September 1948-June, 1949.
Jeffries, J.J., & V.M. Rakoff. ECT As A Form of Restrain. Canadian Journal of Psychiatry, 28, December 1983.
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Jensen, H.P., et al. The Application of Serial Angiography to Diagnosis of the Smallest Cerebral Angiomatous Malformations. The Journal of Nervous and Mental Disease, Vol. 136, No.1, January 1963, Serial No. 962.
Johnstone, E.C., et al. The Northwick Park Electroconvulsive Therapy Trial. The Lancet, December 1980.
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Jones, Y, & Steve Baldwin. ECT: shock, lies and psychiatry. CHANGES, June 1992.
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Karen J. Aubrey v. The Johns Hopkins Hospital, et al., Health Care Providers, July 19, 1991, Baltimore, Maryland.
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Kalinowsky, L.B. Pharmacological, Convulsive and Other Somatic Treatments in Psychiatry. The American Psychiatric Press Textbook of Psychiatry, 2nd ed.
Kalinowsky, L.B. The Danger of Various Types of Medication During Electric Convulsive Therapy, Am J Psychiatry, 112, pp 745-6, 1956.
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Kalinowsey, L.B. ECT in Pregnancy. Am J Psychiatry 141:12, December 1984.
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Kahn, R.L., & Max Fink. Personality Factors in Behavioral Response to Electroshock Therapy. Journal of Neuropsychiatry, September-October 1959, Volume I, No.1.
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Katzenelbogen, S., et al. Electric Shock Therapy Clinical, Biochemical and Morphologic Studies. Archives of Neurology and Psychiatry, 52: 323-6, October 1944.
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Kellner, C.H. The Cognitive Effects of ECT: Bridging the Gap Between Research and Clinical Practice. Convulsive Therapy, 12(3):133-135, 1996.
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Kolb, L., & Victor H. Vogel. The Use of Shock Therapy in 305 Mental Hospitals. ECT: History, July 1942.
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Lambourn, J., & Gill, D. A Controlled Comparison of Simulated and Real ECT, British Medical Journal, vol 282, 31 January 1981.
Lee, R.C., et al. Biophysical Mechanisms of Cell Membrane Damage in Electical Shock. Seminars in Neurology, 15(4), 1995.
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Lerer, B., et al. Effect of Vasopressin on Memory Following Electroconvulsive Therapy. Biological Psychiatry, 18(7), 1983.
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Lerer, B. Electroconvulsive Shock and Neurotransmitter Receptors: Implications for Mechanism of Action and Adverse Effects of Electroconvulsive Therapy. Biological Psychiatry, Vol. 19, No.3, 1984.
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Lerer, B., et al. Electroconvulsive Shock and Brain Muscarinic Receptors: Relationship to Anterograde Amnesia. Life Sciences, Vol. 35, pp.2659-2664, October 16, 1984.
Linda Andre's Electroshock Bibliography.
Linda MacDonald v. Her Majesty the Queen, Code of Ethics of the Canadian Medical Association, 1956, at 16.
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Linington, A., & Brain Harris. Fifty years of electroconvulsive therapy: Value undoubted, mode of action unknown. BMJ, Volume 297, 26 November 1988.
Links to many studies on Electroshock at ect.org.
Lisanby, S.H., et al. The Effects of Electroconvulsive Therapy on Memory of Autobiographical and Public Events. Arch Gen Psychiatry. June 2000;57:581-590.
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Maletzky, B.M. Multiple-Monitored Electroconvulsive Therapy. 1981.
Malitz, S. & Harold A. Sackeim. Electroconvulsive Therapy Clinical and Basic Research Issues. Annals of the New York Academy of Sciences Volume 462.
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Malitz, S., & Harold A. Sackeim. Electroconvulsive Therapy: Clinical and Basic Research Issues. Annals of the New York Academy of Sciences, Vol. 462, 1986.
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Mangaoang, M.A., & Jim V. Lucey. Cognitive rehabilitation: assessment and treatment of persistent memory impairments following ECT, Advances in Psychiatric Treatment vol 13, 90-100 (2007).
Marshall, J.R., et al. An organic psychosis associated with electroconvulsive therapy. Case Report 90 Center for Health Science University of Wisconsin at Madison, February 1980.
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Meldrum, B.S., et al. Epileptic Brain Damage in Adolescent Baboons Following Seizures Induced By Allylglycine. Brain (1974) 97, 407-418.
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Meldrum, B.S., et al. Prolonged Epileptic Seizures in Prmates, Ischemic Cell Change and Its Relation to Ictal Physiological Events. Arch Neurol Vol.28, Jan. 1973.
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Meldrum, B.S., et al. Systematic Factors and Epileptic Brain Damage Prolonged Seizures in Paralyzed, Artificially Ventilated Baboons. Arch Neurol, Vol. 29, Aug 1973.
Memory Impairment in Electroconvulsive Therapy. International Medical News Service.
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Miller, A.L., et al. Factors Affecting Amnesia, Seizure Duration, and Efficacy in ECT. Am J Psychiatry 142:6, June 1985.
Miller, E. Psychological Theories of E.C.T.: A Review. Am J Psychiat. (1967), 113, 301-311.
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Miller, E.C., & Martha Kelly. Diseases of the Nervous System: Electric Shock Therapy-A Misnomer. From the Department of Psychiatry & Neurology, Tulane University, School of Medicine, 1430 Tulane Avenue, New Orleans, Louisiana.
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Morgan, R.F. Relationship of ethnic background, religion, diagnosis, memory, and other variables to presence of Shock “Therapy” History for a sample of hospitalized mental patients: Preliminary Investigation of the lasting effects of shock treatment on behavior. Journal of Psychology, Revista Interamericana De Psicologia, December 1967.
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Moore, J. Canadian psychiatrists develop Beneficial Brain-Washing: Neurotics listen to long-playing records of their private fears under a new treatment called the “dynamic implant”. Weekend Magazine, 5(40), 1955.
Mulit-Monitored Electroconvulsive Therapy Held Safe. Clinical Psychiatry News, 4:6, June 1976, p.2.
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Munk-Olsen, T., et al. All-cause mortality among recipients of electroconvulsive therapy, British Journal of Psychiatry, 190: 435-439 (2007).
Murillo, L.G., & John E. Enner. The Effects of Regressive ECT with Process Schizophrenics. Am J Psychiatry 130:3, March 1973.
Myerson's Lawyer Rips Into Testimony. San Francisco Chronicle, Oct 18, 1988.
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Neubuerger, K.T. Pathological Changes in the Brains of Dogs Given Repeated Electrical Shocks. The America Journal of the Medical Sciences, New Series, 1942, Vol. 204, 381-87.
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Nickson, E. Tales of ordinary madness; How was a woman in therapy for postnatal depression brainwashed by the CIA? The Guardian, Sept 28, 1994.
Oder, F.E. Verbal Patients Who Say Little: A Syndrome of Nondominant-Hemisphere Deficits. Psychiatric Times, January 15, 1994.
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Opton, E.M. ECT: Is It Unsafe and Ineffective? 1985 ECT Concensus Conference.
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Page, L.G.M., & R.J. Russell. Intensified Electrical Convulsion Therapy: In The Treatment of Mental Disorders. April 17, 1948, The Lancet.
Pascoe, H. Why Such Apprehension Over “Shock Treatment”? Canad. M. A. J. November 1, 1959, Vol. 81.
Paulson, G.W. Exacerbation of Organic Brain Disease By Electroconvulsive Treatment. North Carolina Medical Journal, August 1967.
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Pettinati, H.M., & Kathryn M. Bonner. Cognitive Functioning in Depressed Geriatric Patients With a History of ECT. Am J Psychiatry, 141:1, January 1984.
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Philpot, M., et al. Eliciting users' views of ECT in two mental health trusts with a user-designed questionnaire, Journal of Mental Health, 12(4): 403-413 (2004).
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Plaintiff's Preliminary Pretrial Statement, Introduction, Mrs. David Orlikow, et al., v. USA, United States District Court for the District of Columbia, Civil Action No. 80-3163 (JGP), September 12, 1988.
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Popik, P., et al. Electroconvulsive Shock-Induced Impairment of Spatial Learning is Aggravated by Nifedipine. Rapid Preliminary Communication, Pol. J. Pharmacol., 1993, 45, 185-190.
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Powis, T. Paying for the past: A brainwashing victim seeks compensation. Maclean's March 19, 1990.
Price, T.R.P. Short and Long-Term Cognitive Effects of ECT: Part II – Effects On Nonmemory Associated Cognitive Functions. Psychopharmacology Bulletin, Vol. 18, No. 1, January 1982.
Prudic, J., et al. Effectiveness of Electroconvulsive Therapy in Community Settings, Biological Psychiatry, 44, 301-312 (2004).
Radzinski, J.M. Electroshock Therapy Without Muscle Relaxants. Disease of the Nervous System, 1967, Vol. 18.
Reinhart, M.J., & Mohammed Shafu. Profound Regression Following Two Electroconvulsive Treatments. Canad. Psychiat. Ass. J. Vol.12 (1967).
Rice, M. Message to CTIP Members and Supporters, October 13, 1991.
Robertson, H., & Robin Pryor. Memory and cognitive effects of ECT: informing and assessing patients, Advances in Psychiatric Treatment (2006), vol. 12, 228–238.
Robinson, L. Steroid Fails to Prevent Memory Loss After ECT.
Rosenberg, J., & Helen M. Pettinati. Differential Memory Complaints After Bilateral and Unilateral ECT. Am J Psychiatry 141:9, 1984.
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Sackeim, H.A. et al, The
Cognitive Effects of Electroconvulsive Therapy in Community Settings, Neuropsychopharmacology (2007) 32, 244–254.
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Sackeim, H.A., et al. Postictal Excitement Following Bilateral and Right-Unilateral ECT. Clinical and Research Reports, Am J Psychiatry 140:10, October 1983.
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Sackeim, H., et al. Seizure Threshold in Electroconvulsive Therapy: Effects of Sex, Age, Electrode Placement, and Number of Treatments. Archives of General Psychiatry April 1987, Volume 44.
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Sament, S. In Favor of Wider ECT Ban. Clinical Psychiatry News, Vol. 11, No.3, March 1983.
Scoot, A.I.F., & Lawrence J. Whalley. The Onset and Rate of the Antidepressant Effect of Electroconvulsive Therapy: A Neglected Topic of Research. British Journal of Psychiatry (1993), 162, 725-732.
Sherman, C. Former ECT Patients Urge That Procedure Be Abandoned. Clinical Psychiatry News, Vol. 13, No.3.
Silbermann, I. The Psychical Experiences During the Shocks in Shock Therapy. ECT-Brain Disability Hypothesis.
Skrabanek, P. Convulsive Therapy - A Critical Appraisal of its Origins and Value. Irish Medical Journal, 79(6), 1986.
Sobin, C., et al. Predictors of Retrograde Amnesia Following ECT. Am J Psychiatry 152:7, July 1995.
Spanis, C.W., & Larry R. Squire. Memory and Convulsive Stimulation: Effects of Stimulus Waveform. Am J Psychiatry 138:9, September 1981.
Squire, L.R., et al. Retrograde Amnesia and Bilateral Electroconvulsive Therapy Long-term Follow-up. Arch Gen Psychiatry, Vol. 38, Jan 1981.
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Squire, L.R. Memory and Electroconvulsive Therapy. AM J Psychiatry 139:9, September 1982.
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Squire, L.R. Mechanisms of Memory. Vol. 232, 27 June 1986.
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Squire, L.R. Memory Functions as Affected by Electroconvulsive Therapy. Annals New York Academy of Sciences.
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Squire, L.R., & Joyce Zouzounis. ECT and Memory: Brief Pulse Versus Sine Wave. Am J Psychiatry 143:5, 1986.
Squire, L.R., & Pamela C. Slater. Electroconvulsive Therapy and Complaints of Memory Dysfunction: A Prospective Three-Year Follow-up Study. Brit. J. Psychiat. (1983) 142, 1-8.
Squire, L.R., et al. Memory Complaint After Electroconvulsive Therapy: Assessment with a New Self-Rating Instrument. Biological Psychiatry, Vol. 14, No.5, 1979.
Squire, L.R. Memory Functions as Affected by ECT (manuscript).
Sterling, P. Brain Damage and Memory Loss From ECT. Testimony prepared for the Standing Committee on Mental Health of the Assembly of the State of New York, October 5, 1978.
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