McDonald Andrew, Walter Garry
Westminster Adult Services, Central and North West London NHS Foundation Trust, UK.
Int Rev Psychiatry. 2009 Jun;21(3):200-6. doi: 10.1080/09540260902747888.
Electroconvulsive therapy (ECT) has featured in Hollywood films for sixty years. Film depictions continue to exert a powerful and predominantly negative effect on public attitudes towards the treatment. From review of the 22 currently available films that directly refer to ECT the main themes identified are described. While initially portrayed as a dramatic but effective psychiatric intervention, ECT on film has come to stand for something quite different, representing the brutal and generally futile attempts of society to control and suppress the individual, gathering along the way a hackneyed cinematic grammar that emphasizes its inhumane and punitive nature. The film representation now has little in common with ECT as currently practised, such that filmmakers portraying ECT appear influenced more by films such as One Flew Over the Cuckoo's Nest than by evidence of the safety and effectiveness of ECT as a psychiatric treatment. Filmgoers with no personal or professional exposure to the treatment may fail to make the distinction between the demands of film narrative and clinical reality.
电休克疗法（ECT）在好莱坞电影中出现已有60年。电影描绘继续对公众对该疗法的态度产生强大且主要为负面的影响。通过对目前可获取的22部直接提及ECT的电影进行回顾，描述了所确定的主要主题。虽然ECT最初被描绘成一种戏剧性但有效的精神科干预手段，但在电影中它已代表了截然不同的东西，体现了社会控制和压制个体的残酷且通常徒劳的尝试，在此过程中还形成了一套陈腐的电影语法，强调其不人道和惩罚性的本质。电影中的呈现与目前实际应用的ECT几乎没有共同之处，以至于描绘ECT的电影制片人似乎更多地受到《飞越疯人院》这类电影的影响，而非ECT作为一种精神科治疗方法的安全性和有效性的证据。没有个人或专业接触过该疗法的电影观众可能无法区分电影叙事的要求与临床现实。
