Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T08:43:52.244Z Has data issue: false hasContentIssue false
  • English
  • Français

Anterior Bifrontal ECT: A Clinical Trial

Published online by Cambridge University Press:  29 January 2018

Richard Abrams  and
Michael Alan Taylor
Richard Abrams
Affiliation:
Department of Psychiatry, New York Medical College, 5 East 102nd Street, New York, N.Y., 10029, U.S.A
Michael Alan Taylor
Affiliation:
Department of Psychiatry, New York Medical College, 5 East 102nd Street, New York, N.Y., 10029, U.S.A
Get access Rights & Permissions [Opens in a new window]

Extract

Unilateral ECT (U/ECT) produces therapeutic generalized convulsions with less amnesia and confusion than classical bilateral ECT (B/ECT). The clinical effects of these two methods have recendy been compared (Abrams et al., 1972) and reviewed (Abrams, 1972), with the conclusion that U/ECT is less effective than B/ECT in the treatment of depressed patients. Generalized seizures are induced with both methods, and we considered the possibility that the therapeutic advantage for B/ECT lay in its bilateral stimulation of the brain. An opportunity to evaluate the effects of bilateral stimulation exclusive of the temporal lobes arose at the suggestion of Inglis (1970) that seizures induced with treatment electrodes placed over the front of the head should improve mood but have less effect on memory than the other techniques.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 122 , Issue 570 , May 1973 , pp. 587 - 590
Copyright
Copyright © Royal College of Psychiatrists, 1973 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrams, R. (1967). ‘Daily administration of unilateral ECT.’ American Journal of Psychiatry, 124, 384–6.CrossRefGoogle ScholarPubMed
Abrams, R. (1972). ‘Recent clinical studies of ECT.’ Seminars in Psychiatry, 4, 3–12.Google Scholar
Abrams, R., Fink, M., Dornbush, R., Feldstein, S., Volavka, J., and Roubichk, J. (1972). ‘Unilateral and bilateral ECT: effects on depression, memory, and the electro-encephalogram.’ Archives of General Psychiatry, 27, 88–91.Google Scholar
Hamilton, M. (1960). ‘A rating scale for depression.’ Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.CrossRefGoogle ScholarPubMed
Inolis, J. (1970). ‘Shock, surgery and cerebral asymmetry.’ British Journal of Psychiatry, 117, 143–8.Google Scholar
Milner, B. (1966). ‘Amnesia following operation on the temporal lobe’, in Amnesia (ed. Whitty, and Zangwill, ). London.Google Scholar
Wechsler, D. (1945). ‘A standardized memory scale for clinical use.’ Journal of Psychology, 19, 87–95.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.