The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. As described in the Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences.

Please read the entire Privacy Policy and Terms of Use. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.

×
ArticleNo Access

NON-CONVULSIVE ELECTRIC (FARADIC) SHOCK THERAPY OF PSYCHOSES ASSOCIATED WITH ALCOHOLISM, DRUG INTOXICATION AND SYPHILIS

A Psychosomatic Approach in the Treatment of "Reaction of Delirium"
Published Online:https://doi.org/10.1176/ajp.99.3.364

Psyche and soma, interrelated, contribute to the "reaction of delirium" in toxic-organic psychoses. Delirious behavior is determined more by the type of personality of the individual than by the somatic changes in the brain.

Since the psychogenic psychoses showing delirious behavior appear to respond best to shock therapy, this method was employed in the treatment of acute toxic-organic psychoses. Non-convulsive electric (faradic) shock therapy, a safe, simple and, inexpensive procedure, was given daily in conjunction with psychotherapy and the usual routine therapeutic measures. Thus "reaction of delirium" and the underlying organic disturbances were treated concurrently.

In 67 cases of psychoses associated with alcohol and other drug intoxications, the duration of "reaction of delirium" was definitely shortened.

In five cases of psychoses associated with syphilis of the central nervous system (general paresis), the acute delirious reactions responded favorably to this type of treatment. One patient showed complete remission. Subsequent malarial therapy given to the other four patients failed to produce further striking clinical or serological improvement.

This preliminary study indicates that in "reaction of delirium" (toxic-organic psychoses) more effective results can be obtained by administering non-convulsive electric (faradic) shock therapy in conjunction with the customary routine medical procedures. Further investigations are being made.

Access content

To read the fulltext, please use one of the options below to sign in or purchase access.