A recent statement commissioned by the Indian Association of Private Psychiatry recommends that unmodified electroconvulsive therapy (ECT) should still be used in some settings in India, invoking the principle of beneficence. This paper critically analyses the IAPP statement in terms of both scientific accuracy and ethical principles. It is found that the statement falls short of the ethical principles of beneficence, non-maleficence and justice. It is the duty of psychiatrists and psychiatric associations to offer the best available care to their patients, both on scientific and ethical grounds.
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http://dx.doi.org/10.20529/IJME.2014.023 | DOI Listing |
Discov Ment Health
September 2024
Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Canada.
Over the years, the use of Electroconvulsive therapy (ECT) has gained increasing acceptance as a viable treatment for managing treatment-resistant mental health conditions, and it is known to deliver more rapid therapeutic benefits than most treatment modalities in psychiatry. However, the practice of ECT exhibits significant variability both within and between countries. This review aimed to shed light on the status of ECT in the African context and its implications for mental health care in the region.
View Article and Find Full Text PDFAsian J Psychiatr
January 2024
Institute of Medical Science, 1 King's College Circle, Medical Sciences Building, M5S 1A8 Toronto, ON, Canada; Centre for Addiction and Mental Health, 100 Stokes Street, Toronto, ON, M6J 1H4, Canada; Department of Psychiatry, University of Toronto, 250 College Street, M5T 1R8 Toronto, ON, Canada. Electronic address:
Background: Electroconvulsive therapy (ECT) is a well-accepted intervention for treatment-resistant, serious mental illnesses. Its acceptability, efficacy, and tolerability are well documented in high-income settings, but less so in lower- and middle-income countries (LMICs). This report is a narrative review of ECT practice in the latter setting.
View Article and Find Full Text PDFAsian J Psychiatr
November 2023
Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, India. Electronic address:
Objective: The paper describes the introduction, and early use of chemically and electrically induced convulsive therapies, at the Mysore Government Mental Hospital (MGMH), now the National Institute of Mental Health and Neuro Sciences, Bangalore, India. Cardiazol and ammonium chloride were used at MGMH before the introduction of electroconvulsive therapy (ECT). The study examines the early history, clinical correlates and outcome of convulsive therapies and attempts to contextualize how local conditions influenced implementation.
View Article and Find Full Text PDFJ ECT
September 2022
Department of Psychiatry, Enam Medical College and Hospital, Bangladesh.
Electroconvulsive therapy (ECT) is an established treatment option for severe psychiatric disorders. Electroconvulsive therapy practice began in Iraq in 1946, primarily to treat patients with schizophrenia. Since then, it has developed and expanded to treat mood disorders and major depression.
View Article and Find Full Text PDFJ Anesth Hist
June 2021
Interventional Spine and Pain Physicians, 9645 Grove Circle, North Suite 200, Maple Grove, MN 55369, USA.
The complicated history of modified electroconvulsive therapy (ECT) started back before anesthesia was incorporated when unmodified electroconvulsive therapy was not considered humane. When anesthesiologists started working with psychiatrists, ECT gradually regained acceptance by decreasing the obstacles inherent to this therapy despite the complexities of the anesthetics. However, the sociopolitical and medicolegal factors negatively impacted the use of modified ECT leading to a period of time when it was banned from use in the United States.
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