Richa S, De Carvalho W
Service de psychiatrie, département de psychiatrie, faculté de médecine, Hôtel-Dieu de France, université Saint-Joseph, Beyrouth, Liban; UMR ADÉS 7268 - AMU/ EFS/ CNRS, Aix-Marseille université, espace éthique méditerranéen, 27, boulevard Jean-Moulin, 13005 Marseille, France.
37, avenue Victor-Hugo, 75116 Paris, France.
Encephale. 2016 Dec;42(6):594-597. doi: 10.1016/j.encep.2015.04.005. Epub 2016 May 20.
ECT or electroconvulsive therapy (ECT) is a therapeutic technique invented in 1935 but which was really developed after World War II and then spreading widely until the mid 1960s. The source of this technique, and some forms of stigma including films, have participated widely to make it suspect from a moral point of view. The ethical principles that support the establishment of a treatment by ECT are those relating to any action in psychiatry and are based on the one hand on the founding principles of bioethics: autonomy, beneficence, non-malfeasance, and justice, and on the other hand on the information on the technical and consent to this type of care.
ECT即电休克疗法,是一项于1935年发明的治疗技术,但实际上是在二战后得到发展,随后广泛传播直至20世纪60年代中期。这项技术的起源以及包括电影在内的一些污名化形式,在很大程度上导致它从道德层面受到质疑。支持采用ECT进行治疗的伦理原则,与精神病学中的任何行为相关,一方面基于生物伦理学的基本原则:自主性、有益性、不伤害和公正,另一方面基于有关此类治疗的技术信息和同意。