Morrison Lisa
Past Mental Health Consumer, MidCentral DHB and Registered Nurse, Community Health, Palmerston North, New Zealand.
Australas Psychiatry. 2009 Apr;17(2):164-7. doi: 10.1080/10398560802596090.
The aim of this paper is to consider electroconvulsive therapy (ECT) in the 21st century and whether it should be a treatment of last resort from the perspective of someone who has received the treatment in recent years.
It seems that informed consent, the introduction of advance directives and the improved delivery of ECT have done little to ease people's fear, with a lot of people still believing ECT to be an extreme form of treatment and only a last resort option. The idea of any treatment being considered 'last resort' in mental health care gives the impression that it is the most radical and worst treatment available - thus we leave it until last to try. Yet for many people, including myself, the treatment is a valid and preferred option with minimal side effects.
本文旨在从近年来接受过该治疗的人的角度,探讨21世纪的电休克疗法(ECT)以及它是否应作为最后的治疗手段。
似乎知情同意、预先指示的引入以及ECT实施方式的改进,在缓解人们的恐惧方面收效甚微,很多人仍然认为ECT是一种极端的治疗方式,只是最后的选择。在精神卫生保健中,任何治疗被视为“最后的手段”,这种观念给人的印象是它是最激进、最糟糕的可用治疗方法——因此我们把它留到最后才尝试。然而,对许多人来说,包括我自己,这种治疗是一种有效的、副作用最小的首选治疗方法。