The Need for Positive Alternatives to Psychiatry's Brain-Damaging Approaches

Why ElectroConvulsive 'therapy' is bad for your brain - as if the term itself didn't tell you.

COMMENT 1 - FROM IAN PARKER

COMMENT 2 - FROM AL SIEBERT

COMMENT 3 - FROM AL SIEBERT

COMMENT 4 - FROM AL SIEBERT

COMMENT 5 - FROM BAKER, T.

COMMENT 6 - POWER & OPPRESSION **** EXAMINATION - FROM MICHEL FOUCAULT

WEB SITE ADDRESSES

COMMENT 1 - FROM IAN PARKER

Just in the last week in the UK, MIND issued a report on ECT. There was a review in the Guardian. There is a self-help group called ECT Anonymous, 14 Western Avenue, Riddleston, Keighley, West Yorks, BD20 5DJ. I know people who had their heads smashed against the windscreen in car crashes, and felt fine after a couple of weeks. I`m (almost) surprised psychiatrists haven`t tried it as a cure for depression.
Have you ever wondered why people who have had their brains shot through with high voltage by a psychiatrist will tell you that it 'worked` and that they feel much better now thankyou doctor. It could be, couldn`t it, something to do with them not wanting it to happen again?

Ian Parker - Discourse Unit,Bolton Institute, Deane Road ,Bolton BL3 5AB UK - email: I.A.Parker@Bolton.ac.uk


COMMENT 2 - FROM AL SIEBERT

Years ago, when I was working at NPI at the U. of Michigan Hospital, I was director of a research project that compared the effects of bilateral ECT with unilateral ECT. Dr. Raymond Waggoner, the Dept. Chair, had obtained a research grant to bring Dr. Stanley Cannicott over from England to demonstrate a bilateral technique he had developed. Cannicott had found that by inducing the seizure in the non-dominant hemisphere the pts recovered from the treatment very quickly with no loss of memory. This was especially valuable for physicians, accountants, professors and others who rely on memory for their work. We set up test and control groups in psychiatric hospitals in the Ann Arbor area. The results established beyond the .01 level that patients receiving traditional bilaterally induced ECT showed organic impairment while the unilateral pts did not.
Early one Monday morning I let myself into the locked adult female ward of a private hospital. As I walked down the hall, a woman I hadn't seen before rushed up to me. She was about 50, dark complexion, black hair with some gray, looked matronly. She said "Please help me. I'm not supposed to be here! My husband and son put me here! Please help me."
"I have no authority to do anything here," I told her. "Why are you here in the mental hospital?"
"My husband put me here. I said I would divorce him. I warned him before to stop being bossy. He always bossed me around. He came home from work Friday and was bossy again. I got mad. The last straw. I yelled and screamed at him. I said, 'Get out! Leave me alone. I divorce you!' He yelled at my oldest son to get the car out. He grabbed me and said I am crazy to divorce him. He wrestled me to the car. He threw me on the floor and held me down. He ordered my son to drive me to this place. Please help me! I'm not crazy. My husband, he's crazy. They won't let me telephone. I can't call friends or my sister. Please help."
Two aides came over. They took hold of her arms and led her into a small lounge where all the patients were held during shock treatments. An aide said to me "She's a bad one. Tried to escape twice this weekend. Made it out to the lawn once. Nothing but trouble, saying she's not crazy. Stirring up the patients."
When the "Shock Team" arrived in the ward dayroom the nurse called for the woman first. The aides led her toward the treatment table. She began to struggle. She yelled "No! What are you doing to me?"
"You need treatment for your illness," the psychiatrist said.
"I'm not crazy! I don't want treatment!" Five aides, all husky, wrestled her onto the table and held her down. The psychiatrist injected the muscle relaxant into her arm. "No! I don't want treatment!" The nurse pressed the rubber strip with the two electrodes down tight over her forehead. "You need this treatment, "the psychiatrist said. "You are mentally ill." "No! I'm not crazy!" I saw the psychiatrist turn the dials to increase the voltage and the duration of the shock. He turned back to her and smiled. The last thing she heard before he pressed the button was his voice insisting, "You are mentally ill."I watched the convulsions rack her body. It was at this same hospital only a few days before, that I had been in an elevator with one of the other psychiatrists who owned the hospital and had this conversation:
He asked "How is the research going?"
I said "We're getting significant results. The data support the unilateral technique. There's no brain damage and the depressions are lifting. Have you asked the nurses and aides for their reactions? They're amazed at the difference. And when I go in to do my memory test, some of the bilateral patients plead with me to be allowed to have the 'good kind.'"
"I've seen all that," he said. "But franklyŠ" He looked around even though we were alone in the elevator. He leaned close and whispered, "ŠI make some of my patients brain damaged on purpose. They aren't so resistant to directions that way. They follow my orders better when they're confused and dependent."
What shocked me the most was that when I talked about these experiences with a psychiatry instructor back at NPI, he wasn't surprised or alarmed. Psychiatrists know that these things happen and remain silent about it. Go find out for yourself, Ian, if you dare. Find out why psychiatry is the only medical specialty that must have police protection from its ex-patients when it holds conferences.

Al Siebert - e-mail: asiebert@thrivenet.com - a thriving story of the month at the THRIVEnet website: http://www.thrivenet.com/


COMMENT 3 - FROM AL SIEBERT

About 20 years ago John Friedberg, M.D., a neurology resident in a California hospital, became increasingly dismayed at all the evidence documenting neurological and organic damage caused by ECT. He attempted to change the system from within by writing a professional research article that he presented to the psychiatry department. The result was that he was fired from his position, declared mentally ill, and told he needed treatment.
Friedberg wrote a book titled "Shock Treatment is Not Good For Your Brain," Glide Publications, 1976. Chapter three, "The Evidence Against Electroconvulsive Therapy," has a footnote that says "This chapter is a revision of the paper that got me fired. It is intentionally detailed and meticulously referenced to assure as watertight a case as possible against ECT."

Al Siebert


COMMENT 4 - AL SIEBERT

When Leonard Roy Frank was 30 years old he started on a spiritual quest. His parents became so disturbed by what he was saying, feeling, and thinking they had him committed. He was forced, against his will, to submit to an intense series of ECT and insulin coma that left him with permanent memory loss. Because of that experience, he dedicated himself to preventing the same thing from happening to others and has worked to eliminate ECT for over thirty years. Frank is very bright, articulate, and thorough. In 1978 he published what is now a classic book, The History of Shock Treatment. This is not likely to be in any psychiatric or clinical psychology library, but it is loaded with excellent documentation. I telephoned him to see if he still has copies. He does. The price is $14 plus $3 for P&H. His address is 2300 Webster Street, San Francisco, CA 94115. A more recent, short version of his perspectives on ECT is in an article titled "Electroshock: Death, Brain Damage, Memory Loss, and Brainwashing" in Challenging the Therapeutic State: Critical Perspectives on Psychiatry and the Mental Health System, a special issue of The Journal of Mind and Behavior, Editor David Cohen, Volume 11, Numbers 3 and 4, Summer and Autumn, 1990. Frank's arguments against ECT also appear in a chapter titled "Should ECT Be Prohibited?" in a book titled Controversial Issues in Mental Health, Edited by S.A. Kirk and S.D. Einbinder, Allyn and Bacon, 1994.

Al Siebert


COMMENT 5 - BAKER, T.

(1995). The minor issue of electroconvulsive therapy. Nature Medicine, 1 ,199-200.

ECT was first applied to human patients in Italy following a fortuitous observation that restless and frantic animals being led to the slaughterhouse were rendered calm and manageable following application of a stunning bolt of electrical current. ... However, use of the treatment is not restricted to desperate cases. Nor is it restricted to consenting patients. Last year, in the United Kingdom, an average of four or five treatments were administered to approximately 22,000 psychiatric patients and APPROXIMATELY 2,000 PATIENTS DID NOT CONSENT TO THE PROCEDURE.* ... Other patients are told that IF THEY DO NOT CONSENT THEY WILL BE 'SECTIONED' or made the subject of a mental health order. In the United Kingdom it is possible to use Mental Health Legislation to confine patients who are clinically deemed to be a danger to themselves or others and to compel such treatment as may be recommended by two consultant psychiatrists and endorsed by a mental health board. Others who have undergone compulsory or coercive ECT talk of being assaulted or broken down in a routine and legalized clinical abuse. Even more worrying is the use of ECT on children.... I have ... heard of a 14-year-old rape victim who was treated with ECT against both her and her parents wishes. This girl suffered from a classical post traumatic stress disorder, which would respond to a combination of safe milieu and psychotherapy. A RECENT BRITISH STUDY REVEALED THAT 60 CHILDREN UNDER 16 YEARS OF AGE HAVE BEEN TREATED WITH ECT IN THE PAST DECADE, ALTHOUGH MANY CONSIDER THIS AN UNDERESTIMATE.* ... (P)atients have experienced inadequate anaesthesia and have therefore been conscious, but incapable of signalling their conscious state ... ECT also has more routine side effects, the most common of which is memory loss, often
accompanied by an inability to properly integrate new information. ....Poor training, poor equipment, poor consent procedures and poor preparation of patients have all continued. (199) .... Under these circumstances the question of treating children with ECT is a particularly serious concern. I know of no condition in the field of psychiatry of the young that requires ECT rather than an alternative treatment. It is of major concern that THE GROWING CHILD'S BRAIN MIGHT BE IRREVERSIBLY DAMAGED BY THE REPEATED PASSAGE OF AN ELECTRICAL CURRENT. THERE HAS BEEN NO RESEARCH THAT HAS SPECIFICALLY ADDRESSED THE QUESTION OF WHETHER YOUNG
BRAINS CAN SAFELY TOLERATE THIS ASSAULT. And this, for a procedure that is so poorly understood that it is next to impossible to provide reliable information before asking for consent. .... In the United Kingdom, The National Association for Mental Health has called for a ban on the use of ECT in children under 18 years and a ban on all compulsory use of ECT. I would extend that to all patients who are unable to provide consent due to their mental state. Most importantly, without a well-organized and funded national audit we may never learn under what circumstances ECT is and is not effective and whether the clinical successes are won at the expense of the patients (sic) memory and integrity My own opinion is that this scrutiny would reveal that the procedure is now redundant and far too costly in human terms. It is noteworthy that PSYCHIATRISTS IN HOLLAND AND GERMANY HAVE BANNED ECT.


Power & Oppression

The abuses perpetrated upon individuals in these extracts about ECT rightly provoke indignation, anger and repulsion in readers who may never have considered that such things happen in our ‘caring’ society, in hospitals, between doctors and the patients they pretend to be ‘caring’ about.

It is useful to put such abuses in another perspective by considering the power mechanisms of control, surveillance and punishment at other more pervasive levels - at levels which impinge upon all of you everyday. To encourage you to reflect on this, have a look at the following observations of Michel Foucault on the mechanism of the ‘examination’ - something which we all undergo in many different situations in our daily living - in the form of interviews for jobs; being inducted into a military organization; going for an appointment to see your family doctor or going to hospital; undertaking school or university examinations; etc.

Foucault provokes some important reflections on the way that power and knowledge is intertwined to reduce persons to controllable ‘objects’ - to depersonalise and to degrade.

Michel Foucault

The Examination

"The examination combines the techniques of an observing hierarchy and those of a normalising judgement. It is a normalising gaze, a surveillance that makes it possible to qualify, to classify and to punish. It establishes over individuals a visibility through which one differentiates them and judges them. That is why, in all the mechanisms of discipline, the examination is highly ritualised. In it are combined the ceremony of power and the form of the experiment, the deployment of force and the establishment of truth. At the heart of the procedure of discipline, it manifests the subjection of those who are perceived as objects and the objectification of those who are subjected. The superimposition of the power relations and knowledge relations assumes in the examination all its visible brilliance. ....

One often speaks of the ideology that the human ‘sciences’ bring with them, in either discreet or prolix manner. But does their very technology, this tiny operational schema that has become so widespread [from psychiatry to pedagogy, from the diagnosis of diseases to the hiring of labour], this familiar method of the examination, implement, within a single mechanism, power relations that make it possible to extract and constitute knowledge? ....

One of the essential conditions for the epistemological ‘thaw’ of medicine at the end of the eighteenth century was the organisation of the hospital as an ‘examining’ apparatus. The ritual of the visit was its most obvious form. ....The old form of inspection, irregular and rapid, was transformed into a regular observation that placed the patient in a situation of almost perpetual examination. ....

The examination introduced a whole mechanism that linked to a certain type of the formation of knowledge a certain form of the exercise of power.

1. The examination transferred the economy of visibility into the exercise of power. Traditionally, power was what was seen, what was shown, and what was manifested and, paradoxically, found the principles of its force in the movement by which it deployed that force. ....

Disciplinary power, on the other hand, is exercised through its invisibility; at the same time it imposes on those whom it subjects a principle of compulsory visibility. In discipline, it is the subjects who have to be seen. Their visibility assures the hold of the power that is exercised over them. It is the fact of being constantly seen, of being able always to be seen, that maintains the disciplined individual in his subjection. And the examination is the technique by which power, instead of emitting the signs of its potency, instead of imposing its mark on its subjects, holds them in a mechanism of objectification. In this space of domination, disciplinary power manifests its potency, essentially, by arranging objects. The examination is, as it were, the ceremony of this objectification. ....

Discipline, however, had its own type of ceremony. It was not the triumph, but the review, the ‘parade’, an ostentatious form of the examination. In it the ‘subjects’ were presented as ‘objects’ to the observation of a power that was manifested only by its gaze. They did not receive directly the image of the sovereign power; they only felt its effects - in replica, as it were - on their bodies, which had become precisely legible and docile. ....

‘Very good’, Grand Duke Mikhail once remarked of a regiment, after having kept it for one hour presenting arms, ‘only they breathe’.

2. The examination also introduces individuality into the field of documentation. The examination leaves behind it a whole meticulous archive constituted in terms of bodies and days. The examination that places individuals in a field of surveillance also situates them in a network of writing; it engages them in a whole mass of documents that capture and fix them. The procedures of examination were accompanied at the same time by a system of intense registration and of documentary accumulation. A ‘power of writing’ was constituted as an essential part in the mechanisms of discipline. ....

3. The examination surrounded by all its documentary techniques, makes each individual a ‘case’. A ‘case’ which at one and the same time constitutes an object for a branch of knowledge and a hold for a branch of power. The case is no longer, as in casuistry or jurisprudence, a set of circumstances defining an act and capable of modifying the application of a rule; it is the individual as he may be described, judged, measured, compared with others, in his very individuality; and it is also the individual who has to be trained or corrected, classified, normalised, excluded, etc. ....

The disciplinary methods ...lowered the threshold of describable individuality, and made of this description a means of control and a method of domination. It is no longer a monument for future memory, but a document for possible use. And this new describability is all the more marked in that the disciplinary framework is a strict one; the child, the patient, the madman, the prisoner, were to become, with increasing ease...the object of individual descriptions and biographical accounts. This turning of real lives into writing is no longer a procedure of hero-isation; it functions as a procedure of objectification and subjugation. ....

The examination as the fixing, at once ritual and ‘scientific’, of individual differences, as the pinning down of each individual in his own particularity ... clearly indicates the appearance of a new modality of power in which each individual receives as his status his own individuality, and in which he is linked by his status to the features, the measurements, the gaps, the ‘marks’ that characterise him and make him a ‘case’.

Finally, the examination is at the centre of the procedures that constitute the individual as effect and object of power, as effect and object of knowledge. It is the examination which by combining hierarchical surveillance and normalising judgement, assures the greater disciplinary functions of distribution and classification, maximum extraction of forces and time, continuous genetic accumulation, optimum combination of aptitudes and, thereby, the fabrication of cellular, organic, genetic and combinatory individuality. With it are ritualised those disciplines that may be characterised in a word by saying that they are a modality of power for which individual difference is relevant. ....

The individual is no doubt the fictitious atom of an ‘ideological’ representation of society; but he is also a reality fabricated by this specific technology of power that I have called ‘discipline’. We must cease once and for all to describe the effects of power in negative terms; it ‘excludes’, it ‘represses’, it ‘censors’, it ‘abstracts’, it ‘masks’, it ‘conceals’.

In fact, power produces; it produces reality; it produces domains of objects and rituals of truth. The individual and the knowledge that may be gained of him belong to this production. "

Extracts from Michel Foucault. [1982]. Discipline and Punish: The Birth of the Prison. p.p.184-194. England: Peregrine Books.


WEB SITE ADDRESSES

[1] Juli - My interest in mental health is as a consumer/survivor. I consider myself both of those. A survivor because I've survived some horrific abuse at the hands of the system.

I won't go into the abuse I've seen and experienced. I'm sure it will come out later. I've survived it, and it's made me determined to work in psychiatric rights. I'm involved in the KL vs. Edgar et al lawsuit (their star witness) in Illinois brought by the ACLU against Illinois for its horrid state psych hospitals. And they said "Cuckoo's Nest" was a thing of the past. Ha.

I'm also a survivor of ECT...and I've got lots to say on the subject. I was coerced into ECT myself two and a half years ago. My then-shrink gave me a choice....have ECT or hit the road. Even though his treatments were not working, I felt dependent on him, and was terrified of being without a doctor. Later, I learned that there were many more medications to try. He just didn't give them a chance. And ECT is a large (and more profitable) part of his practice.
I have spent the last two years, since my own disastrous experience with ECT, researching the treatment and industry, and talking with thousands of ECT recipients. Coercion is very real, as is a lack of trying other methods before resorting to ECT.Look at the California stats, and see how many elderly are getting it. There's a big jump once patients turn 65...because Medicare pays for it. Stats in the other states are the same.
Juli
Never doubt that a small group of thoughtful, committed citizens can change the world, indeed, it is the only thing that ever has...Margaret Mead

Shocked! Home Page: http://www.i1.net/~juli/shocked.html
I Must Be Mental! http://www.i1.net/~juli/mental.html

Be sure to read the following article at the "Shocked" web site Juli Lawrence created.

ECT: Sham Statistics, the Myth of Convulsive Therapy, and the Case for Consumer Misinformation. by Douglas G. Cameron The Journal of Mind and Behavior. Winter and Spring 1994, Vol. 15, Nos. 1 and 2, Pages 177-198.

Also be sure to read "Does Electroconvulsive Therapy Prevent Suicide?" from Convulsive Therapy Journal. This study showed that ECT does NOT have an effect on suicide rates. The authors of the study called its results "disappointing."

[2] web: http://www.efn.org/~dendron

David Oaks, co-coordinator Support Coalition International 454 Willamette, Suite 216 PO Box 11284 Eugene, OR 97440-3484 USA e-mail: dendron@efn.org - web: http://www.efn.org/~dendron

[3] American anti-psychiatry info - Pseudoscience, Psychobabble, and Psychology

http://academic.uofs.edu/student/rmr7/links.html

[4] English Anti-Psychiatry site

http://ourworld.compuserve.com/homepages/Duncan_Double/

[5] Psychological Activism

http://www.carleton.ca/~rthibode/activism.html

[6] Of Related Interest - DOE Human Radiation Experiments Home Page

http://raleigh.dis.anl.gov/

[7] DENDRITE alert on human rights in psychiatry March 23, 1997 - please redistribute

from Support Coalition - dendron@efn.org

[8] Al Siebert, Ph.D. Author of *The Survivor Personality* . Read a thriving story of the month at the THRIVEnet website: http://www.thrivenet.com/.


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