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IMPAIRMENT OF MENTAL FUNCTION DURING ELECTRIC CONVULSIVE THERAPY

IMPAIRMENT OF MENTAL FUNCTION DURING ELECTRIC CONVULSIVE THERAPY Abstract EXPERIENCE with electric shock treatment leaves no doubt in the mind of the clinician of the seriousness of impairment of mental function in patients subjected to this procedure. The severe mental disintegration caused by extensive shock treatment hinders all but the most superficial psychotherapy and, in addition, gravely interferes with the patient's social and occupational adjustment. Yet it is difficult to find a psychological test which would unequivocally and quantitatively express the obvious clinical deficiency. Rylander1 used a number of selected psychological tests to ascertain impairment of function of the frontal lobes following lobotomy and found the score of the Noun Enumeration Test persistently diminished as long as 28 months following the surgical procedure. It was therefore considered of interest to apply this test to patients receiving electric shock therapy. METHODS Patients treated by electric shock on an ambulatory basis were tested by a word-naming test one-half hour preceding References 1. References 2 and 3. 2. Rylander, G.: Personality Analysis Before and After Frontal Lobotomy , A. Res. Nerv. & Ment. Dis., Proc. (1947) 27:691, 1948. 3. Zubin, J., and Barrera, S. E.: Effect of Electric Convulsive Therapy on Memory , Proc. Soc. Exper. Biol. & Med. 48:596, 1941. 4. Mayer-Gross, W.: Retrograde Amnesia , Lancet 2:603, 1943. 5. Alexander, L.: Effect of Electroshock on a "Normal" Person Under Recent Stress , Am. J. Psychiat. 109:696, 1953. 6. Liberson, W. T.: Study of Word Association Processes: II. Reactions to "Average Emotional" and "Average Neutral" Words in Normal and Abnormal Populations: Effect of Electric Convulsive Therapy , Digest Neurol. & Psychiat., Inst. of Living , 13:671, 1945. 7. Michael, S. T.: Impotence During Electric Shock Therapy , Psychiatric Quart. 25:24, 1951. 8. Michael, S. T.: Electric Shock Treatment and the Menstrual Cycle , A. M. A. Arch. Neurol. & Psychiat. 71:198, 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

IMPAIRMENT OF MENTAL FUNCTION DURING ELECTRIC CONVULSIVE THERAPY

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Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1954.02320390092009
Publisher site
See Article on Publisher Site

Abstract

Abstract EXPERIENCE with electric shock treatment leaves no doubt in the mind of the clinician of the seriousness of impairment of mental function in patients subjected to this procedure. The severe mental disintegration caused by extensive shock treatment hinders all but the most superficial psychotherapy and, in addition, gravely interferes with the patient's social and occupational adjustment. Yet it is difficult to find a psychological test which would unequivocally and quantitatively express the obvious clinical deficiency. Rylander1 used a number of selected psychological tests to ascertain impairment of function of the frontal lobes following lobotomy and found the score of the Noun Enumeration Test persistently diminished as long as 28 months following the surgical procedure. It was therefore considered of interest to apply this test to patients receiving electric shock therapy. METHODS Patients treated by electric shock on an ambulatory basis were tested by a word-naming test one-half hour preceding References 1. References 2 and 3. 2. Rylander, G.: Personality Analysis Before and After Frontal Lobotomy , A. Res. Nerv. & Ment. Dis., Proc. (1947) 27:691, 1948. 3. Zubin, J., and Barrera, S. E.: Effect of Electric Convulsive Therapy on Memory , Proc. Soc. Exper. Biol. & Med. 48:596, 1941. 4. Mayer-Gross, W.: Retrograde Amnesia , Lancet 2:603, 1943. 5. Alexander, L.: Effect of Electroshock on a "Normal" Person Under Recent Stress , Am. J. Psychiat. 109:696, 1953. 6. Liberson, W. T.: Study of Word Association Processes: II. Reactions to "Average Emotional" and "Average Neutral" Words in Normal and Abnormal Populations: Effect of Electric Convulsive Therapy , Digest Neurol. & Psychiat., Inst. of Living , 13:671, 1945. 7. Michael, S. T.: Impotence During Electric Shock Therapy , Psychiatric Quart. 25:24, 1951. 8. Michael, S. T.: Electric Shock Treatment and the Menstrual Cycle , A. M. A. Arch. Neurol. & Psychiat. 71:198, 1954.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Mar 1, 1954

References