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In this article for the Huffington Post, Bruce Levine explores the ethics of subjecting children to ECT.
"Are We Really Okay with Electroshocking Toddlers?"
Date Published:
Author: Bruce Levine
Source: Huffington Post
For the original article, please click here.
"Of all tyrannies a tyranny sincerely exercised for the good of its victims may be the most oppressive." -- C.S. Lewis
Psychiatry's "shock doctrine" is quite literally electroshock, and its latest victims are - I'm not kidding - young
children.
On January 25, 2009, the Herald Sun, based in Melbourne,
Australia, reported, "Children younger than four
who are considered
mentally disturbed are being treated with controversial electric shock
treatment." In
Australia, the use of electroconvulsive therapy (ECT) is
increasing, and the Herald Sun's report on "Child Shock
Therapy" stated that last year "statistics record 203 ECT treatments on
children younger than 14 -- including
55 aged four and younger."
Many Americans think that ECT has gone the way of bloodletting, but
it continues to be regarded by
American psychiatry as a respected
treatment, especially for patients who are "treatment resistant" to
drugs.
Though ECT for young children is nowhere near as common as for
adults, most states in the U.S. do not
prohibit ECT for kids.
California does prohibit ECT for children under the age of 12 but
allows children
between 12 and 15 to receive ECT if three psychiatrists are in favor of it.
You might think that before any child receives a series of 70 to 170
volts of brain zappings and is thrown
into epilepsy-like seizures,
every other nontraumatic therapy would have been attempted. You might
think
that before using ECT, in addition to trying every type of
psychotherapy, there would also be an exhaustive
effort to find a
therapist with whom a kid might genuinely connect. You might think all
this, but you would be
wrong.
It is not unusual for psychiatrists to
simply prescribe one drug, then another drug, then several drug
combinations (called "cocktails"), and if those fail, recommend ECT. The disproportionate use of ECT on
women, especially older women,
once made it a feminist issue, but I heard no feminist opposition when
Kitty
Dukakis recently came out positively about her own ECT.
Psychiatry is well aware of its historical bad press
about ECT,
including Sylvia Plath's nightmarish ordeal, so today ECT is far more
pleasant to observe. Patients
are administered an anesthetic and a
muscle relaxant prior to ECT so they don't writhe in agony as seizures
are induced. However, the effects on the brain have not changed. There are various modern ECT techniques.
However, the scientific
reality is that for all of these techniques, without evidence of any
brain malignancy, the
brain is damaged. Neurologist Sidney Sament
describes the process:
"After a few sessions of ECT the symptoms are those of moderate cerebral contusions . . . Electroconvulsive therapy in effect may be defined as a controlled type of brain damage produced by electrical means . . . In all cases the ECT 'response' is due to the concussion-type, or more serious, effect of ECT. The patient 'forgets' his symptoms because the brain damage destroys memory traces in the brain, and the patient has to pay for this by a reduction in mental capacity of varying degree."
In January 2007, the journal Neuropsychopharmacology
published an article about a large-scale study on the
cognitive effects
(immediately and six months later) of currently used ECT techniques.
The researchers found
that modern ECT techniques produce "pronounced
slowing of reaction time" and "persisting retrograde
amnesia" (the
inability to recall events that occurred before the traumatic event)
that continue six months after
treatment.
While ECT proponents admit to collateral damage, especially memory
loss, they claim that it is an effective
treatment. However, a Kitty
Dukakis testimonial is not exactly science. With respect to preventing
suicide, the
Journal of Affective Disorders in 1999
("Retrospective Controlled Study of Inpatient ECT: Does it Prevent
Suicide?") reported, "We failed to demonstrate that ECT had prevented
suicide in hospitalized patients."
Longtime ECT critic, psychiatrist
Peter Breggin, in the International Journal of Risk & Safety in Medicine
in 1998
("Electroshock: Scientific, Ethical, and Political Issues"),
reported that at establishment psychiatry's "Consensus
Conference on
ECT" in 1985, ECT advocates were unable to come forth with one
controlled study showing
that ECT had any positive effect beyond four
weeks, and that many other ECT studies showed that it had no
positive
effect at all. The heretical Breggin added, "That ECT had no positive
effect after four weeks confirms
the brain-disabling principle, since
four weeks is the approximate time for significant recovery from the
most
obvious mind-numbing or euphoric effects of the ECT-induced acute
organic brain syndrome." Breggin's
"brain-disabling principle" is that
even when ECT does "work," it works only temporarily -- the same way
that
a blow by a sledgehammer or an acid trip might temporarily
disconnect one from the reality of one's life and
the sources of one's emotional pain.
Psychiatry will always find celebrities such as Kitty Dukakis who
swear by ECT, but the American public
rarely hears about those
celebrities who have cursed their ECT. In Papa Hemingway, A.
E. Hotchner recounts
the sad end to Ernest Hemingway's life. Hemingway
became extremely depressed, was medicated and
ultimately given ECT; but
he became even more depressed and complained about the effects of the
electroshock, "Well, what is the sense of ruining my head and erasing
my memory, which is my capital, and
putting me out of business?" In
1961, after a second series of ECT, Hemingway used his shotgun to
commit
suicide.
If you feel sorry for Hemingway, then what kind of emotional
reaction do you have upon discovering that
last year 203 Australian children -- including 55 aged four and younger -- received ECT?
Bruce E. Levine, Ph.D., is a clinical psychologist and author of Surviving America's Depression Epidemic: How to Find Morale, Energy, and Community in a World Gone Crazy (Chelsea Green Publishing, 2007).


