PubMed · 5454676
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D Krausman. A constant-current AC shock generator.. https://doi.org/10.1007/bf03000152
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Electroconvulsive therapy (ECT) is a socially contested psychiatric intervention. However, the accounts of professionals involved in its use have rarely been systematically investigated. This study aimed to examine the accounts of clinicians who have used ECT on a routine basis. Eight health professionals (psychiatrists, anaesthetists and psychiatric nurses from a major city in the United Kingdom) with experience of ECT administration were interviewed about the procedure. Discourse analysis was used to interpret the interview transcripts. Interviewees appeared to draw on a repertoire, which constructed ECT recipients as severely ill. This was used to support claims which had the effect of: defining who should receive ECT; warranting the use of urgent physical psychiatric treatments; reformulating distress in biological terms; and discounting the therapeutic value of alternative, non-physical interventions. The interviewees managed concerns about ECT in a variety of ways, for example by: rendering it as a medical procedure with concomitant risks and benefits; downplaying a lack of clarity over its evidence base; and undermining the legitimacy of criticisms. Implications of these findings are discussed.
Taking as its starting point the Italian psychiatric context between the end of the nineteenth century and the first years of the twentieth century, this essay analyses Italian psychiatry's steps towards a new theoretical and therapeutical framework. Focusing on Ugo Cerletti's work on the electric shock, this paper shows how this Italian psychiatric renewal occurred at the same time as a process of internationalization of psychiatric knowledge, practice and problems. Moving from Europe to America, the author describes Cerletti's position towards the wide spread of a merely empirical and technical use of electric shock, and reconstructs an international debate on the divorce of electric shock from research.
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