McCall W V
Department of Psychiatry, Duke University Medical Center, Durham, NC.
South Med J. 1989 Mar;82(3):345-51. doi: 10.1097/00007611-198903000-00017.
Several surveys during the 1970s showed a decline in the use of electroconvulsive therapy (ECT). Psychosurgery, insulin coma, and continuous sleep treatment are widely assumed to be in total disuse. This is the first comprehensive survey on the use of physical treatments in psychiatry in the southern United States. Seventy-five percent of 315 surveys sent to psychiatric medical directors and chief residents were returned. ECT was used in 89% of training hospitals, 57% of Veterans Administration hospitals, and 44% of private hospitals, but only 19% of state hospitals within the last year. None of the 19 state hospitals begun since 1970 had started ECT services. Moreover, state hospitals abandoned ECT at a higher rate than private hospitals. The lack of this service in the public sector is a result of sociolegal pressure rather than lack of confidence or enthusiasm for ECT. The other physical treatments were reported to be in almost total disuse.
20世纪70年代的几项调查显示，电休克疗法（ECT）的使用有所减少。人们普遍认为精神外科手术、胰岛素昏迷疗法和持续睡眠疗法已完全不再使用。这是美国南部首次关于精神病学中物理治疗使用情况的全面调查。发送给精神科医疗主任和住院总医师的315份调查问卷中有75%得到了回复。在过去一年中，89%的培训医院、57%的退伍军人管理局医院和44%的私立医院使用了ECT，但只有19%的州立医院使用了ECT。自1970年以来新建的19家州立医院中，没有一家开展ECT服务。此外，州立医院放弃ECT的比例高于私立医院。公共部门缺乏这种服务是社会法律压力的结果，而不是对ECT缺乏信心或热情。据报道，其他物理治疗几乎已完全不再使用。
