Rasmussen Keith G, Lineberry Timothy W
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN 55905, USA.
J ECT. 2007 Jun;23(2):109-13. doi: 10.1097/yct.0b013e318048a1b8.
It is the authors' experience in our large, tertiary care electroconvulsive therapy (ECT) practice that some patients seem to demand continued ECT treatment, although the opinion of their clinicians is that ECT has not been beneficial. In this paper, through representative case examples, we outline some of the reasons why such patients request ECT and some of the reasons for their reported benefit other than true clinical improvement. We argue that some ECT patients are primarily motivated by the primary or secondary gain of being medical patients and that this needs to be considered by the clinician so as not to administer the treatments unnecessarily.
根据作者在大型三级医疗电休克治疗（ECT）实践中的经验，一些患者似乎要求持续进行ECT治疗，尽管其临床医生认为ECT并无益处。在本文中，我们通过具有代表性的病例，概述了此类患者要求进行ECT治疗的一些原因，以及除真正的临床改善之外他们所报告的获益的一些原因。我们认为，一些接受ECT治疗的患者主要是受成为患者所带来的一级或二级获益的驱使，临床医生需要考虑到这一点，以免不必要地进行治疗。
