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CLINICAL ASPECTS OF COMBINED PSYCHIATRIC TREATMENTS
DÉSIRÉ ANNAU
Am J Psychiatry 1955;111:734-742.
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Abstract

Clinical observations led the author to the following conclusions:1. Present-day psychiatric treatment methods have no specific, but have, to a certain degree, selective actions.2. Electroconvulsive treatment relieves all forms of depressions and is able to alleviate emotional pressure.3. Nonconvulsive electric treatment relieves anxiety and thus makes the patient amenable to productive psychotherapy.4. Insulin coma treatment acts on an ideational level, thus enabling the patient to correct paranoid ideas.5. Double electric shock treatment is necessary in highly emotionally disturbed states.6. Combined treatments are indicated when different mechanisms are at work in creating psychotic symptoms.The author believes that these and similar clinical observations open many avenues to fruitful research, and that proper indications for treatment methods, together with satisfactory management of the hospital environment, would greatly improve our therapeutic results.

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