Electroconvulsive Therapy Summary and Reviews

Electroconvulsive Therapy
by Richard Abrams

Electroconvulsive Therapy
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Book Summary Information

Author: Richard Abrams
Edition: Hardcover
Audio: English (Unknown); English (Original Language); English (Published)
Published: 1997-01-15
ISBN: 0195109449
Number of pages: 382
Publisher: Oxford University Press, USA

Book Reviews of Electroconvulsive Therapy

Book Review: ECT from an expert's view
Summary: 3 Stars

Electroshock therapy, or ECT as it is called these days, dates to early in the 20th century and has a reputation for being, well, bad for patients. Abrams' book is apparently the definitive textbook for physicians/ psychiatrists/ psychologists looking to learn the techniques and trappings. The third edition was published in 1997 and is still current. Primarily, the text describes the use of ECT in elderly patients with histories of psychosis or depression previously unresponsive to chemical treatment. Critics have questioned the motive behind this text, suggesting it is purely financial and to encourage a practice in which he has personal economic interest. (Abrams has also led seminars on the subject, and rumor has it he controls a portion of the company that manufactures ECT equipment.)

Concerning the content of the book: Abrams knows what he's talking about. He is the acknowledged expert in ECT, and if anyone is qualified to write a book about it, it is he. However, the text does not touch heavily enough (in my opinion) on the downside of ECT - the potential for very serious side effects and complications, including permanent memory loss, organic brain dysfunction, and even death. The clinical information is pertinent, and the format is understandable and logical. I didn't see the earlier editions of this text, but the chapters noted as being new do indeed contain relevant information.

For any professional interested in ECT in practice or even in theory, this is a valuable resource, but it should be balanced with a dissenting voice. Unfortunately, research on this issue tends to be lopsided and incomplete, with experts like Abrams claming very high success rates, and former patients giving anecdotal evidence of severe and long-lasting aftereffects.

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