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History Of Electroconvulsive Therapy In The United Kingdom
Electroconvulsive therapy (ECT, in the past sometimes called electric convulsion therapy, convulsion treatment or electroplexy) is a controversial psychiatric treatment in which seizures are induced with electricity.Carney S and Geddes J (2003) Editorial: electroconvulsive therapy. ''British Medical Journal'' 326: 1343-4. ECT was first used in the United Kingdom in 1939 and, although its use has been declining for several decades, it was still given to about 11,000 people a year in the early 2000s.Electroconvulsive therapy: survey covering the period from January 2002 to March 2002, ''Statistical Bulletin 2003/08''. Department of Health. In contemporary psychiatric practice, ECT is used mainly in the treatment of depression. It is occasionally used in the treatment of other disorders such as schizophrenia. When undergoing modern ECT, a patient is given an anaesthetic and a muscle relaxant. A brief-pulse electric current of about 800 milliamperes is passed between two electrodes on ...
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Electroconvulsive Therapy
Electroconvulsive therapy (ECT) is a psychiatry, psychiatric treatment where a generalized seizure (without muscular convulsions) is electrically induced to manage refractory mental disorders.Rudorfer, MV, Henry, ME, Sackeim, HA (2003)"Electroconvulsive therapy". In A Tasman, J Kay, JA Lieberman (eds) ''Psychiatry, Second Edition''. Chichester: John Wiley & Sons Ltd, 1865–1901. Typically, 70 to 120 volts are applied externally to the patient's head, resulting in approximately 800 amperes, milliamperes of direct current passing between the electrodes, for a duration of 100 milliseconds to 6 seconds, either from temple to temple (bilateral ECT) or from front to back of one side of the head (unilateral ECT). However, only about 1% of the electrical current crosses the bony skull into the brain because skull Electrical impedance, impedance is about 100 times higher than skin Electrical impedance, impedance. The ECT procedure was first conducted in 1938 by Italian psychiatrist Ugo C ...
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The Lancet
''The Lancet'' is a weekly peer-reviewed general medical journal and one of the oldest of its kind. It is also the world's highest-impact academic journal. It was founded in England in 1823. The journal publishes original research articles, review articles ("seminars" and "reviews"), editorials, book reviews, correspondence, as well as news features and case reports. ''The Lancet'' has been owned by Elsevier since 1991, and its editor-in-chief since 1995 has been Richard Horton. The journal has editorial offices in London, New York City, and Beijing. History ''The Lancet'' was founded in 1823 by Thomas Wakley, an English surgeon who named it after the surgical instrument called a lancet (scalpel). Members of the Wakley family retained editorship of the journal until 1908. In 1921, ''The Lancet'' was acquired by Hodder & Stoughton. Elsevier acquired ''The Lancet'' from Hodder & Stoughton in 1991. Impact According to the ''Journal Citation Reports'', the journal has a 202 ...
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Mental Health Act 1983
The Mental Health Act 1983 (c.20) is an Act of the Parliament of the United Kingdom. It covers the reception, care and treatment of mentally disordered people, the management of their property and other related matters, forming part of the mental health law for the people in England and Wales. In particular, it provides the legislation by which people diagnosed with a mental disorder can be detained in a hospital or police custody and have their disorder assessed or treated against their wishes, informally known as "sectioning". Its use is reviewed and regulated by the Care Quality Commission. The Act was significantly amended by the Mental Health Act 2007. A white paper proposing changes to the act was published in 2021 following an independent review of the act by Simon Wessely. History The Madhouses Act 1774 created a Commission of the Royal College of Physicians with powers to grant licences to premises housing "lunatics" in London; justices of the peace were given thes ...
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Royal College Of Psychiatrists
The Royal College of Psychiatrists is the main professional organisation of psychiatrists in the United Kingdom, and is responsible for representing psychiatrists, for psychiatric research and for providing public information about mental health problems. The college provides advice to those responsible for training and certifying psychiatrists in the UK. In addition to publishing many books and producing several journals, the college produces, for the public, information about mental health problems. Its offices are located at 21 Prescot Street in London, near Aldgate. The college's previous address was Belgrave Square. History The college has existed in various forms since 1841, having started as the Association of Medical Officers of Asylums and Hospitals for the Insane. Bewley (2008), p. 10. In 1865 it became the Medico-Psychological Association. Bewley (2008), p. 2. In 1926, the association received its royal charter, becoming the Royal Medico-Psychological Association. In ...
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British Journal Of Psychiatry
The ''British Journal of Psychiatry'' is a peer-reviewed medical journal covering all branches of psychiatry with a particular emphasis on the clinical aspects of each topic. The journal is owned by the Royal College of Psychiatrists and published monthly by Cambridge University Press on behalf of the college. The journal publishes original research papers from around the world as well as editorials, review articles, commentaries on contentious articles, short reports, a comprehensive book review section and correspondence column. The editor-in-chief is Professor Kamaldeep Bhui. The complete archive of contents from 1855 to the present is available online. All content from January 2000 on is made freely available 1 year after publication. History The journal was established in 1853 as the ''Asylum Journal,'' changing title in 1855 to the ''Asylum Journal of Mental Science'' and changing title again to ''Journal of Mental Science'' from 1858 to 1963, when it obtained its prese ...
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Canada
Canada is a country in North America. Its ten provinces and three territories extend from the Atlantic Ocean to the Pacific Ocean and northward into the Arctic Ocean, covering over , making it the world's second-largest country by total area. Its southern and western border with the United States, stretching , is the world's longest binational land border. Canada's capital is Ottawa, and its three largest metropolitan areas are Toronto, Montreal, and Vancouver. Indigenous peoples have continuously inhabited what is now Canada for thousands of years. Beginning in the 16th century, British and French expeditions explored and later settled along the Atlantic coast. As a consequence of various armed conflicts, France ceded nearly all of its colonies in North America in 1763. In 1867, with the union of three British North American colonies through Confederation, Canada was formed as a federal dominion of four provinces. This began an accretion of provinces an ...
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McGill University
McGill University (french: link=no, Université McGill) is an English-language public research university located in Montreal, Quebec, Canada. Founded in 1821 by royal charter granted by King George IV,Frost, Stanley Brice. ''McGill University, Vol. I. For the Advancement of Learning, 1801–1895.'' McGill-Queen's University Press, 1980. the university bears the name of James McGill, a Scottish merchant whose bequest in 1813 formed the university's precursor, University of McGill College (or simply, McGill College); the name was officially changed to McGill University in 1885. McGill's main campus is on the slope of Mount Royal in downtown Montreal in the borough of Ville-Marie, with a second campus situated in Sainte-Anne-de-Bellevue, west of the main campus on Montreal Island. The university is one of two members of the Association of American Universities located outside the United States, alongside the University of Toronto, and is the only Canadian member of the Glob ...
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Donald Ewen Cameron
Donald Ewen Cameron ( – ) was a Scottish-born psychiatrist. He is largely known today for his central role in unethical medical experiments, and development of psychological and medical torture techniques for the . He served as president of the American Psychiatric Association (1952–1953), Canadian Psychiatric Association (1958–1959), American Psychopathological Association (1963), Society of Biological Psychiatry (1965) and the World Psychiatric Association (1961–1966). Cameron was involved in administering electroconvulsive therapy and experimental drugs, including poisons such as curare and hallucinogens such as lysergic acid diethylamide, to patients and prisoners without their knowledge or informed consent. Some of this work took place in the context of the Project MKUltra program for the developing of mind control and torture techniques, psychoactive poisons, and behavior modification systems. Decades after his own death, the psychic driving technique he developed ...
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St James' Hospital, Portsmouth
St James' Hospital is a mental health facility at Milton, Portsmouth, Hampshire, England. It is managed by Solent NHS Trust. The main structure is a Grade II listed building. History The hospital, which was designed by George Rake in the Gothic Revival architecture, Gothic Revival style using a dual pavilion layout, opened as the Portsmouth Borough Asylum in September 1879. A sanatorium for the treatment of infectious diseases was completed in 1879 and the wards were extended in 1895. Four detached villas, designed by A. E. Cogswell, Albert Cogswell, were added in 1908. It became the Borough of Portsmouth Mental Hospital in 1914 and was requisitioned for military use during the World War I, First World War. After service as an Emergency Medical Service facility during the World War I, Second World War, it joined the National Health Service as St James' Hospital in 1948. After the introduction of Care in the Community in the early 1980s, the hospital went into a period of decline a ...
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Bolam Test
''Bolam v Friern Hospital Management Committee'' 9571 WLR 582 is an English tort law case that lays down the typical rule for assessing the appropriate standard of reasonable care in negligence cases involving skilled professionals such as doctors. This rule is known as the Bolam test, and states that if a doctor reaches the standard of a responsible body of medical opinion, they are not negligent. ''Bolam'' was rejected in the 2015 Supreme Court decision of ''Montgomery v Lanarkshire Health Board'' in matters of informed consent. Facts Mr Bolam was a voluntary patient at Friern Hospital, a mental health institution run by the Friern Hospital Management Committee. He agreed to undergo electro-convulsive therapy. He was not given any muscle relaxant, and his body was not restrained during the procedure. He flailed about violently before the procedure was stopped, and he suffered some serious injuries, including fractures of the acetabula. He sued the committee for compensation. H ...
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Curare
Curare ( /kʊˈrɑːri/ or /kjʊˈrɑːri/; ''koo-rah-ree'' or ''kyoo-rah-ree'') is a common name for various alkaloid arrow poisons originating from plant extracts. Used as a paralyzing agent by indigenous peoples in Central and South America for hunting and for therapeutic purposes, curare only becomes active when it contaminates a wound. These poisons cause weakness of the skeletal muscles and, when administered in a sufficient dose, eventual death by asphyxiation due to paralysis of the diaphragm. Curare is prepared by boiling the bark of one of the dozens of plant sources, leaving a dark, heavy paste that can be applied to arrow or dart heads. In medicine, curare has been used as a treatment for tetanus or strychnine poisoning and as a paralyzing agent for surgical procedures. History The word 'curare' is derived from ''wurari'', from the Carib language of the Macusi of Guyana. It has its origins in the Carib phrase "mawa cure" meaning of the Mawa vine, scienti ...
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St Bernard's Hospital, Hanwell
St Bernard's Hospital, also known as Hanwell Insane Asylum and the Hanwell Pauper and Lunatic Asylum, was an asylum built for the pauper insane, opening as the First Middlesex County Asylum in 1831. Some of the original buildings are now part of the headquarters for the West London Mental Health NHS Trust (WLMHT). Its first superintendent, Dr William Charles Ellis, was known in his lifetime for his pioneering work and his adherence to his "great principle of therapeutic employment". Sceptical contemporaries were amazed that such therapy speeded recovery at Hanwell. This greatly pleased the visiting Justices of the Peace as it reduced the long term cost of keeping each patient. Under the third superintendent John Conolly the institution became famous as the first large asylum to dispense with all mechanical restraints. The asylum is next to the village of Hanwell but parochially was in Southall (officially in the 1830s the northern precinct (chapelry) of Norwood). It is about 8 ...
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