Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Am J Psychiatry 1951;108:264-270.
View Author and Article Information

The Fetterman Clinic, Cleveland, Ohio.

text A A A
PDF of the full text article.

1. The immediate results of ECT are generally excellent, providing marked relief of symptoms in many psychoses. This relief amounts to a recovery in a high percentage of depressed patients.2. A 10-year follow-up of 65 patients in whom depression was the cardinal difficulty reveals that 45 were relatively well, 16 moderately or slightly improved, and 4 unchanged or worse up to the time of the last contact.3. Recurrences are common. Thirty-two of the depressed patients have had recurrences requiring further courses of treatment. After subsequent therapy, 18 were relatively well and the condition of 14 was fair or poor.4. Electrocoma therapy does not accelerate or retard recurrences.5. The immediate complications were few and relatively insignificant compared to the benefits obtained. The 9- to 10-year follow-up revealed no cumulative complications; we did not encounter epilepsy, spinal deformities, or mental deterioration due to the treatment.6. During the 9-to 10-year study there were 9 deaths, the first occurring 1 year and the last 10 years after treatment, from causes unrelated to the treatment.7. Ambulatory ECT is effective. Properly administered by a competent psychiatrist with critical patient selection, it saves time, money, prestige, and suffering and enables a smoother integration of electrocoma therapy with other methods of treatment.8. Present-day treatment makes it possible to administer ECT in a relatively safe, comfortable manner, removing the psychological atmosphere of shock.9. Electrocoma therapy has proved valuable in the prevention of suicides.10 Finally, electrocoma therapy has proved itself to be the outstanding addition to psychiatric therapy in the fifth decade of the present century. It is not a static, but a growing technique, which is being modified and improved and which should continue to help psychotic patients until newer and better procedures are introduced.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Web of Science® Times Cited: 6

Related Content
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 1.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 62.  >
APA Practice Guidelines > Chapter 0.  >
APA Practice Guidelines > Chapter 0.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 11.  >
Topic Collections
Psychiatric News
APA Guidelines
PubMed Articles