Treatment FAQ

how was shock treatment used in 1960's

by Hermina Zieme Published 2 years ago Updated 2 years ago
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Shock therapy as a punishment-based treatment for autism was a mainstream treatment method during that period, in which the child was given an electric shock after partaking in an unwanted behavior. The shock administered was painful but not dangerous and theorized to reduce the frequency of that behavior through aversive conditioning.

In the 1950s and 1960s, the widening adoption of modified ECT—which includes the use of a muscle relaxant and general anesthesia—helped bolster acceptance of the treatment. The muscle relaxants eliminated the convulsions associated with seizures and therefore greatly reduced the risk of injuries.Dec 1, 2021

Full Answer

What is the Best Shock Treatment?

Shock Treatment

  1. Lay the Person Down, if Possible. Elevate the person's feet about 12 inches unless head, neck, or back is injured or you suspect broken hip or leg bones.
  2. Begin CPR, if Necessary. For a child, start CPR for children. ...
  3. Treat Obvious Injuries
  4. Keep Person Warm and Comfortable. Loosen restrictive clothing. ...
  5. Follow Up. ...

What is the best treatment for shock?

If the person is not breathing or breathing seems dangerously weak:

  • For a child, start CPR for children.
  • For an adult, start adult CPR.
  • Continue CPR until help arrives or the person wakes up.

Are shock treatments still used?

Shock treatment is now made painless for you through general anesthesia and muscle relaxant drugs, and after decades of use is still the most successful treatment for severe depression. A patient going in for electroshock treatment typically receives eight to twelve treatments during a month"s time.

What is the first aid treatment for shock?

  • Control bleeding with direct pressure
  • Call an ambulance ( 000)
  • If unconscious manage as per the ARC Basic Life Support flow chart
  • Rest the victim in a position of comfort ideally lying down
  • Provide oxygen if available
  • Maintain body temperature
  • Provide reassurance

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Was shock therapy used in the 60s?

ECT use declined in the 1960s and 1970s, but revived starting in the early 1980s. During the years since, there have been a growing number of positive portrayals, often in patient memoirs like Fisher's.

How did they do shock therapy?

Overview. Electroconvulsive therapy (ECT) is a procedure, done under general anesthesia, in which small electric currents are passed through the brain, intentionally triggering a brief seizure. ECT seems to cause changes in brain chemistry that can quickly reverse symptoms of certain mental health conditions.

When did they stop giving electric shock therapy?

The use of ECT declined until the 1980s, "when use began to increase amid growing awareness of its benefits and cost-effectiveness for treating severe depression".

How was ECT used in the past?

Electroconvulsive therapy (ECT), one of the oldest treatment methods in the field of psychiatry, was first introduced 80 years ago in Rome when Ugo Cerletti and Lucio Bini used an electric current to elicit an epileptic seizure for therapeutic purposes[1].

How was depression treated in the 1960s?

Exorcisms, drowning, and burning were popular treatments of the time. Many people were locked up in so-called "lunatic asylums." While some doctors continued to seek physical causes for depression and other mental illnesses, they were in the minority.

Do they still do shock treatment?

But electroconvulsive therapy (ECT) is still being used -- more in Europe than the United States -- and it may be the most effective short-term treatment for some patients with depressive symptoms, a newly published review in the journal The Lancet suggests.

How painful is electric shock therapy?

No, the ECT procedure isn't painful. ECT involves general anesthesia, which means you're asleep while the procedure is happening. After the procedure, you may have some side effects, such as headache, nausea or sore muscles, but these are all normal.

Why is ECT so controversial?

Reasons for Controversy Three reasons are given for the aversion: 1) ECT is considered old-fashioned and politically incorrect; 2) it is forced on the patient; and 3) the memory disturbances are so severe and persistent that no rational human being would undergo this procedure, no matter how well-intended.

What is the difference between electroshock therapy and electroconvulsive therapy?

TMS is an outpatient procedure, in which the patient stays awake the entire time and can be performed in a doctor's office in less than 30 minutes. ECT is a procedure typically administered in a hospital with the patient sedated under anesthesia and can require an inpatient stay.

What was electroshock therapy used for in the 1950s?

Electroconvulsive therapy had changed from being a first-line treatment of depression in the 1940s and 1950s to merely an approach to treatment-resistant depression in the 1990s.

What are the long term effects of electric shock treatment?

Electroconvulsive therapy (ECT) has been controversially associated with long-lasting memory problems. Verbal learning and memory deficits are commonly reported in studies of people with bipolar disorder (BD).

When did shock therapy start?

Electroconvulsive therapy (ECT) is used to treat patients with certain types of mental illness, including severe depression, severe mania, and catatonia. It was first developed in the late 1930s, with the first recorded treatments at McLean Hospital taking place in 1941.

What was electroshock therapy used for in the 1950s?

Electroconvulsive therapy had changed from being a first-line treatment of depression in the 1940s and 1950s to merely an approach to treatment-resistant depression in the 1990s.

Why was shock therapy used in asylums?

Shock Therapies Brought to the United States by Manfred Sakel, a German neurologist, insulin shock therapy injected high levels of insulin into patients to cause convulsions and a coma. After several hours, the living dead would be revived from the coma, and thought cured of their madness.

What were the 4 shock treatment methods used in Europe during the early 1900's for the psychiatric population?

It was one of a number of physical treatments introduced into psychiatry in the first four decades of the 20th century. These included the convulsive therapies (cardiazol/metrazol therapy and electroconvulsive therapy), deep sleep therapy, and psychosurgery.

Do they shave your head for ECT?

During surgery prep, you'll have your head shaved. You may be kept unconscious throughout brain surgery with general anesthesia or stay awake with a local anesthetic used on your scalp. A sturdy frame will hold your head to prevent movement during surgery.

What is electric shock therapy?

Electric shock therapy, better known as electroconvulsive therapy, is used to treat myriad mental illnesses, including severe depression, mania, and schizophrenia . It is not an appropriate choice for individuals living with mental illnesses treated effectively with talk therapy or medication.

How long does electric shock therapy take?

Electric shock therapy is completed over several sessions. These sessions are often administered over two to four weeks, at a rate of up to three sessions per week. Most sessions take between five and ten minutes, but preparation and recovery time can extend treatment time. Electric Shock Therapy Of The Past.

What is the name of the movie that depicts electric shock therapy?

Infamously depicted in the 1975 film One Flew Over the Cuckoo's Nest , electric shock therapy has gained a reputation as a brutal and inhumane punishment for those struggling with their mental health. This film does indeed portray the reality of a small portion of patients from the early days of electric shock therapy treatment.

What is the condition that can cause impulsive behavior?

Mania:Often a symptom of bipolar disorder , this state of hyperactivity can result in impulsive and unsafe decision-making, uncharacteristic behavior, use of drugs or alcohol, or a disconnect from reality. Electric shock therapy can be used to decrease the intensity of these episodes.

What are the side effects of electric shock?

Physical Issues:Directly after electric shock therapy, some patients may experience physical side effects, such as nausea, headaches, jaw tension, or muscle pains. These side effects are typically short-lived and can be treated with over-the-counter medications.

Is electric shock safe?

Like almost all medical procedures, electric shock therapy does have a few notable side effects, although it is largely considered by medical professionals to be safe for patients. Additionally, unlike the past electric shock therapy, today's treatments are much safer and more comfortable for patients.

Can shock therapy help with depression?

Shock Therapy For Depression: Individuals with severe forms of depression may find relief in electric shock therapy. Depression may be accompanied by psychosisor intense suicidal ideation. Depression that is resistant to medications and other treatment also makes an ideal candidate for shock therapy.

What is scopolamine used for?

Soon, curare and scopolamine were being used in conjunction with ECT, and gradually it replaced metrazol and insulin-induced shock. ECT was to begin its long journey as the shock therapy of choice in the majority of hospitals and asylums around the world.

Which is cheaper, metrazol or coma?

From this point on, two camps were firmly established in relation to physiological shock therapy: those who defended insulin coma therapy and those who sided with metrazol-induced convulsions. Metrazol was cheaper, much easier to use and more reliable to induce convulsions.

Why did Cerletti know that an electric shock across the head produced convulsions?

Cerletti knew that an electric shock across the head produced convulsions, because as an specialist in epilepsy, he had done experiments with animals on the neuropathological consequences of repeated epilepsy attacks.

How many cases of schizophrenia were treated with insulin shock?

According to the 1939 study, published for the American Psychiatric Association by John R. Ross and Benjamin Malzberg, among 1757 cases of schizophrenia treated by insulin shock therapy, 11 % had prompt and total recovery, 26.5 % were greatly improved and 26 % had some improvement.

How many people improved after insulin shock therapy?

According to his findings, more than 70 % of his patients improved after insulin shock therapy. Two large studies carried out in the USA in 1939 and 1942 gave him fame and helped his technique to rapidly spread out around the world.

What are the benefits of transcranial electroshock?

One of the unexpected benefits of transcranial electroshock was that it provoked retrograde amnesia, or a loss of all memory of events immediately anterior to the shock , including its perception. Therefore, the patients had no negative feelings towards the therapy, as it happened with metrazol shock.

When was electroconvulsive shock therapy invented?

Electroconvulsive shock therapy, discovered by Ugo Cerletti and Lucio Bini in Rome, in 1937. The advent of treatment of the psychoses by using physiological shock increased the opposition between two schools of thought within psychiatry: the psychological and biological ones. The " psychological school " interpreted mental disease as being due ...

What treatment did Leia Organa use?

Fisher's bravery, though, was not just in fighting the stigma of her illness, but also in declaring in her memoir " Shockaholic " her voluntary use of a stigmatized treatment: electroconvulsive therapy (ECT), often known as shock treatment.

Why did psychiatrists use ECT?

This use of ECT did not last, in part because there was no evidence it did alter anyone's sexuality.

How does ECT work?

ECT works by using electricity to induce seizures. This is certainly a counterintuitive way of treating illness. But many medical treatments, such as chemotherapy for cancer, require us to undergo terrible physical experiences for therapeutic purposes. The conflicts over ECT have other sources.

Why was ECT used in mental hospitals?

There is no question that ECT was benefiting patients then, but there is also a lot of evidence from that period showing that ECT, and the threat of it, were used in mental hospitals to control difficult patients and to maintain order on wards. ECT was also physically dangerous when first developed.

What is the most famous ECT movie?

Many depictions of ECT in film and television have portrayed the therapy as an abusive form of control. Most famous is the film " One Flew Over the Cuckoo's Nest ," in which an unruly patient is subjected to the procedure as a punishment. There is probably no fictional story that so haunts our consciousness of a medical treatment.

How many people receive ECT?

Increasingly, ECT came to be provided with consent, and the use of modified ECT became standard. Now, psychiatrists estimate that about 100,000 Americans receive ECT. With the rise of the age of Prozac, our culture became more comfortable with physical fixes for those illnesses we continue to call "mental.".

What is Carrie Fisher's ashes?

Carrie Fisher's ashes are in an urn designed to look like a Prozac pill. It's fitting that in death she continues to be both brash and wryly funny about a treatment for depression. The public grief over Carrie Fisher's death was not only for an actress who played one of the most iconic roles in film history. It was also for one who spoke ...

How does electroconvulsive therapy work?

Although its exact mechanism of action is unknown, electroconvulsive therapy works by inducing seizure activity via electricity in the frontal lobes of the brain. The treatment itself lasts only several minutes, and a usual course of ECT involves treatment two or three times a week for a few weeks, followed by maintenance therapy on an outpatient ...

What caused the animal to enter an anesthetized coma-like state?

The electricity caused the animal to enter an anesthetized coma-like state. Cerletti wondered whether electricity applied to the heads of human patients would similarly produce anesthesia before provoking convulsions. Electroconvulsive therapy was born.

Where is the original ECT machine?

An original ECT machine used by Cerletti preserved at Museo di Storia della Medicina in Rome. Source: Francesca Pallone, used with permission. Around the same time, Italian neurologist Ugo Cerletti was experimenting with seizure induction in dogs by delivering electrical shocks directly to their heads.

Who invented the ECT device?

In 1938, Cerletti and his psychiatrist colleague Lucio Bini developed the first ECT device and treated their first human patient, a diagnosed schizophrenic with delusions, hallucinations, and confusion. The treatment worked just as planned, and the patient's condition improved markedly.

Who invented electroconvulsive therapy?

Ugo Cerletti (1877-1963), the father of electroconvulsive therapy. Like many treatments in psychiatry and medicine more generally, ECT was discovered serendipitously (see Lieberman & Ogas, 2015). Early asylum keepers recognized that the symptoms of psychotic patients who also suffered from epilepsy seemed to improve after having a seizure.

Does Metrazol cause thrashing?

By this time, however, it was realized that there were a few problems associated with this treatment, most notably, the fact that Metrazol produced violent thrashing convulsions which would commonly result in vertebral fractures. Additionally, the drug would produce a feeling of morbid apprehension before the convulsions began.

Is ECT effective for schizophrenia?

Yet research indicates that nearly 80 years after its discovery, ECT remains the single most effective therapy for treatment-resistant cases of depression and some cases of bipolar affective disorder and schizophrenia.

What age did Sylvia Plath have ECT?

In 1953, at age 20 , the author and poet Sylvia Plath underwent ECT — the same year that my great-grandmother had the treatment.

How old was Carmela when she tried to strangle her daughter?

As her mental health deteriorated over a few months in 1953, Carmela even tried to strangle her 23-year-old daughter, Beatrice (my grandmother), according to two relatives.

Why did ECT fall out of favor?

But by the 1980s, ECT was making its way into mainstream psychiatry again, because many severely depressed people were not responding to medication. Scientific studies of the treatment proliferated as well.

What did Carmela love?

She was short, with a distinct accent that belied her Italian immigrant roots, and had a particular love for cigarettes and coffee. Carmela also loved to gamble; during vacations to Lake Tahoe in the summers, she would sometimes stay out all night at the casino, where the pit bosses called her “Mamma.”.

Where was Carmela admitted to?

Finally, Carmela was admitted to a hospital in the San Francisco Bay Area, likely in Livermore.

What happened to Carmela?

It’s difficult to know exactly what happened nearly 70 years ago when Carmela had ECT. Most of my relatives who were alive at the time have died, and her medical records are long gone. After speaking to three relatives who were alive at the time and two others who have heard stories secondhand, here’s what I’ve managed to piece together.

What is shock therapy?

Treatment for mental illness in those days was fairly limited, but the family doctor suggested that she try a revolutionary new method: “shock therapy,” or electroconvulsive therapy (ECT), which involves using electricity to induce a seizure in the brain.

What treatment did Leia Organa use?

Fisher’s bravery, though, was not just in fighting the stigma of her illness, but also in declaring in her memoir “ Shockaholic ” her voluntary use of a stigmatized treatment: electroconvulsive therapy (ECT), often known as shock treatment.

How does ECT work?

ECT works by using electricity to induce seizures. This is certainly a counterintuitive way of treating illness. But many medical treatments, such as chemotherapy for cancer, require us to undergo terrible physical experiences for therapeutic purposes. The conflicts over ECT have other sources.

Why was ECT used in mental hospitals?

There is no question that ECT was benefiting patients then, but there is also a lot of evidence from that period showing that ECT, and the threat of it, were used in mental hospitals to control difficult patients and to maintain order on wards. ECT was also physically dangerous when first developed.

What was the power of ECT?

Kesey, though, would also have known about ECT’s power to relieve symptoms of mental illness, and one of the characters in the book attests to this. At that time, ECT was also used as a “treatment” for homosexuality, then considered by psychiatrists to be an illness.

How many people receive ECT?

Increasingly, ECT came to be provided with consent, and the use of modified ECT became standard. Now, psychiatrists estimate that about 100,000 Americans receive ECT. With the rise of the age of Prozac, our culture became more comfortable with physical fixes for those illnesses we continue to call “mental.”.

When was the Electroconvulsive Therapy Machine invented?

The conflicts over ECT have other sources. Electroconvulsive Therapy Machine 1945-60. Credit: Science Museum, London Wellcome Images (CC BY 4.0) ECT was invented in Italy in the late 1930s. Psychiatrists had already discovered that inducing seizures could relieve symptoms of mental illness.

What is Carrie Fisher's ashes?

Carrie Fisher’s ashes are in an urn designed to look like a Prozac pill. It’s fitting that in death she continues to be both brash and wryly funny about a treatment for depression. The public grief over Carrie Fisher’s death was not only for an actress who played one of the most iconic roles in film history.

When did metrazol shock therapy stop?

Beyond its terrifying experience, metrazol shock therapy also produced retrograde amnesia. Luckily, the Federal Drug Administration revoked metrazol’s approval in 1982, and this method of treatment for schizophrenia and depression disappeared in the 1950s, thanks to electroconvulsive shock therapy.

What were the mechanical restraints used in asylums?

Asylums also relied heavily on mechanical restraints, using straight jackets, manacles, waistcoats, and leather wristlets, sometimes for hours or days at a time. Doctors claimed restraints kept patients safe, but as asylums filled up, the use of physical restraint was more a means of controlling overcrowded institutions.

How long does it take for a dead person to be revived?

After several hours, the living dead would be revived from the coma, and thought cured of their madness. This process would be repeated daily for months at a time, with doctors sometimes administering as many as 50 to 60 treatments per patient, according to Lieberman.

What is the best treatment for manic episodes?

Hydrotherapy proved to be a popular technique. Warm, or more commonly, cold water, allegedly reduced agitation, particularly for those experiencing manic episodes. People were either submerged in a bath for hours at a time, mummified in a wrapped “pack,” or sprayed with a deluge of shockingly cold water in showers.

What is the most infamous treatment for mental illness?

One of the most infamous treatments for mental illness includes electroconvulsive shock therapy. Types of non-convulsive electric shock therapy can be traced back as early as the 1st century A.D., when, according to de Young, “the malaise and headaches of the Roman emperor Claudius were treated by the application of a torpedo fish — better known as an electric ray — on his forehead.” But their heydey in treating mental illness began in 1938.

When did asylums become notorious warehouses?

While terrifying mental health remedies can be traced back to prehistoric times, it’s the dawn of the asylum era in the mid-1700s that marks a period of some of the most inhumane mental health treatments. This is when asylums themselves became notorious warehouses for the mentally ill.

Does ECT have side effects?

ECT carried less risk of fracture than metrazol shock therapy, and with the use of anesthetics and muscle relaxers in later years, the fracture rate became negligible. It wasn’t without side effects, however, including amnesia as well as increased suicidal tendencies.

What is autism spectrum disorder?

Autism spectrum disorder refers to a range of disorders of brain development. Commonly known as autism, these conditions are characterized by difficulties in social skills, both verbal and nonverbal communication, repetitious movements, delayed child development and other unique strengths and challenges.

How old is too old to have autism?

Although the most obvious symptoms of autism typically appear between 2 and 3 years of age, autism can be diagnosed as early as 18 months in children. Unfortunately, however, the majority of children are not diagnosed until age four.

What were the major historical developments in autism?

Timeline: Major Historical Developments in the Treatment of Autism. 1911 – Eugen Bleuler first uses the term autism to describe symptoms of schizophrenia. 1920s – Electroconvulsive therapy first used to treat symptoms of autism. 1920s – Emergence of dietary restrictions for autism treatment.

What is the treatment for autism?

Because of its association with severe psychiatric illnesses, one of the first treatment approaches for autism was electroconvulsive therapy (ECT). Historically an extremely controversial treatment approach, ECT methods have improved and are currently used to treat psychiatric illnesses such as schizophrenia and bipolar disorder. ECT involves passing small electric currents through the brain to intentionally trigger a brief seizure. The resulting seizure episode is hypothesized to change brain chemistry in a way that reduces mental health symptoms such as severe agitation and self-destructive behaviors. ECT is still used in some cases of autism spectrum disorder, although this is becoming increasingly rare as behavioral therapies have demonstrated greater efficacy.

When was Auditory Integration Training (AIT) first used?

Auditory integration training (AIT) for treating autism was first developed by Guy Bérard, a French physician, in the late 1970s. However, this technique was not commonly recognized until 1991 when a mother of a child of autism published a book, The Sound of a Miracle (Stehli, 1991), citing that AIT had cured her son’s disorder.

Why is autism banned?

Federal Drug Administration (FDA) proposed a ban of the treatment because of ethical concerns regarding potential harm to the child. Also see: Five Easy-to-Implement Behavior Strategies for Children with Autism.

What is Temple Grandin's autism?

Temple Grandin, an individual with a form of high-functioning autism, developed a machine that gave her body squeezing pressure that she was under full control of. This squeeze machine allowed her to have sensory inputs of touch and pressure without having to be touched by another person, which she disliked.

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