Abstract THE WIDE application of electric shock therapy and its modifications, such as curarization, has demanded careful evaluation of its complications and contraindications. Attention has been directed primarily to the problem of the somatic complications of shock therapy (with and without curare), as well as to the definition of the limits of somatic tolerance (contraindications) to these treatments.1 Because of the rigors of shock therapy, there is a very real justification for this preoccupation with somatic sequelae and contraindications. There has been no similar definition of the psychologic complications and contraindications to electric shock therapy or its modifications, at least as reflected in the psychiatric literature. Most studies have been conducted on "organic reaction patterns" following shock therapy, but these studies are largely within the frame of the search for somatic complications. Frosch and associates2 have reported acute psychotic reactions following electric shock but have not considered them in References 1. Osgood, C. W.: Unusual Reactions to Electric Shock , J. Nerv. & Ment. Dis. 100:343 ( (Oct.) ) 1944. 2. Lowinger, L., and Huddleson, J. H.: Complications in Electric Shock Therapy , Am. J. Psychiat. 102:594 ( (March) ) 1946. 3. Pacella, B. L., and Barrera, S. E.: Sequelae and Complications of Convulsive Shock Therapy , Arch. Neurol. & Psychiat. 53:82 ( (Jan.) ) 1945. 4. Frosch, J.; Impastato, D. J.; Ottenheimer, L., and Wortis, S. B.: Some Reactions Seen after Electric Shock Treatment , Am. J. Psychiat. 102:311 ( (Nov.) ) 1945. 5. Brody, M.: Modifications of the Electro-Shock Convulsion by Sodium Pentothal and Curare , J. Nerv. & Ment. Dis. 102:357 ( (Oct.) ) 1945. 6. Millet, J. A. P., and Mosse, E. P.: On Certain Psychological Aspects of Electro-Shock Therapy , Psychosom. Med. 6:226 ( (July) ) 1944.
Archives of Neurology & Psychiatry – American Medical Association
Published: Sep 1, 1949