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Electroconvulsive Therapy and the Fear of Deviance

Bibliographic Data

ID8976016
AuthorsJames Giles (0000-0003-3155-6418, corresponding author)
Year2002
Volume32
Issue1
Pages61-87
Publication date2002-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal for the Theory of Social Behaviour (JOURNAL)
Journal identifiersISSN: 0021-8308 • E-ISSN: 1468-5914
PublisherWiley (PUBLISHER • GB)
DOI10.1111/1468-5914.00176
OpenAlexW1994869447
LanguageEN
References cited63

After reaching the verge of obsolescence, electroconvulsive therapy (ECT) is once again on the increase. There remains, however, no sound theoretical basis for its use. By 1948 at least 50 different theories had been proposed to account for the workings of ECT. Today there are numerous more. Further, there is no good evidence for its therapeutic effectiveness. Although some studies show what are claimed to be positive results, others show significant amount of relapse, even with severe depression (the disorder against which ECT is supposed to be most effective), while even other studies show ECT to have little more effect than a placebo. Finally, there is much evidence for ECTs damaging effects, particularly to cognitive functioning like memory, general intelligence level, and perceptual abilities, and quite possibly to brain functioning. Some studies even suggest that the alleged therapeutic effects of ECT are essentially the effects of organic brain damage. The question, then, is why, despite these problems, does ECT continue to be used? ECTs salient features suggest an answer here. These are the features of dehumanization, power, control, punishment, and others, all of which can be traced back to the fear of deviant psychotic behavior

Cognition · Cognitive psychology · Electroconvulsive therapy · Perception · Psychotherapist · Punishment (psychology · Electroconvulsive Therapy Studies · Neuroscience · Psychology · Psychotherapy Techniques and Applications · Treatment of Major Depression

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Citation velocityhistorical
Highly citedNo

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