Adachi Takuya, Masumura Toshiaki, Arai Minoru, Adachi Naoto, Akazawa Shigeru, Arai Heii
Department of Psychiatry, Juntendo University Hospital, Tokyo, Japan.
J ECT. 2006 Sep;22(3):226-7. doi: 10.1097/01.yct.0000230361.58497.8f.
Two patients with personality disorder and depression attempted to self-administer electroconvulsive therapy with a homemade device. The patients showed no proper psychopathological improvement after these attempts. Both of the patients' temples were seriously burned, and one of them required skin grafting. Both patients rejected to have reasonable psychosocial support, and followed a cult mental health manual in attempting to self-administer electroconvulsive therapy. To our knowledge, this is only the second report of its kind. The intractable psychopathology, poor interpersonal skills, and misleading information seemed to lead to the self-harm behaviors of our 2 patients.
两名患有人格障碍和抑郁症的患者试图使用自制设备自行进行电休克治疗。在这些尝试后,患者并未出现适当的精神病理改善。两名患者的太阳穴均严重烧伤,其中一人需要进行皮肤移植。两名患者都拒绝接受合理的心理社会支持,而是遵循一本邪教心理健康手册试图自行进行电休克治疗。据我们所知,这是此类情况的第二例报告。难治性精神病理学、较差的人际交往能力以及误导性信息似乎导致了我们这两名患者的自残行为。