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----- Original Message ----- 
From: [log in to unmask]
To: [log in to unmask]
Sent: Saturday, January 29, 2011 3:11 AM
Subject: [OZMad] from Eileen in NYC: NZ and UK review of ECT, for FDA 
meeting now

Scientific Review Showing ECT To Be Ineffective And Unsafe Submitted To FDA 
On Eve Of Its ECT Hearings
24 Jan 2011

For decades the FDA has allowed electroconvulsive therapy (ECT) to be used 
without requiring any proof of safety or efficacy. On January 27 and 28 the 
FDA is finally holding hearings into the safety and effectiveness.

Professors John Read (University of Auckland - NZ) and Richard Bentall 
(University of Liverpool - UK) have just submitted their review of the 
research literature - published last month in the international scientific 
journal Epidemiologia e Psychiatria Sociale.

The review, of all relevant studies over 60 years, show only very minimal 
evidence for improvement during the treatment period and no evidence for 
improvement afterward. It also found no evidence that it prevents suicide.

Read and Bentall (both clinical psychologists with many years experience of 
working with severely distressed patients) also summarized "strong evidence" 
for "persistent and, for some, permanent brain dysfunction." They concluded 
that "the cost-benefit analysis for ECT is so poor that its use cannot be 
scientifically justified." They further stated, "The continued use of ECT 
therefore represents a failure to introduce the ideals of evidence-based 
medicine into psychiatry."

Professor Read:
"The findings of this review suggest that campaigns by ECT recipients all 
over the world to ban ECT are supported by the lack of scientific evidence 
that it is safe or effective. Certainly the fears of ECT-induced memory 
loss, so often dismissed as 'subjective memory loss' by ECT proponents are, 
according to the research, well-founded in fact."

"The dwindling number of psychiatrists who still use this procedure, which 
sends 150 volts through brain cells equipped to deal with tiny fractions of 
one volt are, no doubt, well-intentioned, but the research just does not 
support them."

"If we took a rational, evidence-based approach to the controversy about ECT 
it would be abandoned, as have other treatments once thought to be 
effective, such as rotating chairs, surprise baths and lobotomies."

Professor Bentall:
"The very short- term benefit gained by a small minority cannot justify the 
risks to which all ECT recipients are exposed. The use of ECT therefore 
represents a failure to introduce the ideals of evidence-based medicine into 
psychiatry. It seems there is resistance to the research data in the ECT 
community, and perhaps in psychiatry in general."

Source:
University of Auckland - NZ


Article URL: http://www.medicalnewstoday.com/articles/214539.php
Main News Category: Psychology / Psychiatry
Also Appears In:  Neurology / Neuroscience,  Regulatory Affairs / Drug 
Approvals,



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