Montgomery John H, Vasu Devi
Dr. Montgomery is from Mississippi State Hospital, Whitfield, Mississippi.
Psychiatry (Edgmont). 2007 Oct;4(10):30-9.
Convulsive therapy and its progeny, electroconvulsive therapy (ECT), were originally used for the treatment of catatonic schizophrenia, and there is little doubt that ECT remains an effective intervention for the treatment of schizophrenia. However, current practice tends to favor the use of ECT in severe or treatment refractory affective disorders, and its use in schizophrenia and other nonaffective (atypical) psychotic disorders has become controversial.CASE REPORTS HAVE SUGGESTED A ROLE FOR ECT IN TWO SPECIFIC ATYPICAL PSYCHOTIC DISORDERS: Cotard's syndrome and cycloid psychosis. In this article, we review the atypical psychotic disorders and report a series of five case examples that signify the role of ECT in atypical psychotic presentations, particularly when the symptoms resemble those found in Cotard's syndrome and cycloid psychosis.
惊厥疗法及其衍生的电休克疗法（ECT）最初用于治疗紧张型精神分裂症，毫无疑问，ECT仍然是治疗精神分裂症的有效干预措施。然而，目前的做法倾向于在严重或治疗难治性情感障碍中使用ECT，而其在精神分裂症和其他非情感性（非典型）精神病性障碍中的应用已引发争议。病例报告表明ECT在两种特定的非典型精神病性障碍中发挥作用：科塔尔综合征和环性精神病。在本文中，我们回顾了非典型精神病性障碍，并报告了一系列五个病例，这些病例表明ECT在非典型精神病性表现中的作用，特别是当症状类似于科塔尔综合征和环性精神病中的症状时。
