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Published Online: July 1950

SQUARE WAVES (BST) VERSUS SINE WAVES IN ELECTROCONVULSIVE THERAPY

SPENCER BAYLES, EWALD W. BUSSE, and FRANKLIN G. EBAUGHAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 107, Number 1

https://doi.org/10.1176/ajp.107.1.34

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Abstract

1. A report on our first year's experience with the Liberson-Offner Brief Stimulus technique for electroconvulsive therapy is presented in comparison with conventional sine wave technique.

2. Clinical study shows these methods to be equally effective in so far as observable improvement is concerned.

3. Electroencephalographic studies indicate the brief stimulus therapy method produces a significant reduction in post treatment electrocortical disturbance. The evidence at present does not permit a statement of the presence or absence of irreversible brain changes.

4. It is postulated that the electrocortical disturbance is of no favorable or adverse significance in the clinical course. The amount of confusion produced seems similarly to be of little or no clinical significance.

5. We have observed a greater incidence of fractures of the spine following treatment with brief stimulus therapy and conclude from this and from direct observation that the physical violence of the seizures is no different with either method.

6. As an incidental observation, it seems that electroconvulsive therapy is of value in the treatment of schizophrenics and that this value does not depend upon the presence of depression in the schizophrenic symptomatology.

7. Finally, we do not find any overwhelming evidence to indicate preference for either type of stimulator in clinical practice, although certain aspects of either method may be more or less objectionable in relation to the immediate feelings of given patients.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 107 • Number 1 • July 1950

Pages: 34 - 41

PubMed: 15419332

History

Published in print: July 1950

Published online: 1 April 2006

Authors

Details

SPENCER BAYLES

The Colorado Psychopathic Hospital, University of Colorado Medical Center, Denver, Colo.

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EWALD W. BUSSE

The Colorado Psychopathic Hospital, University of Colorado Medical Center, Denver, Colo.

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FRANKLIN G. EBAUGH

The Colorado Psychopathic Hospital, University of Colorado Medical Center, Denver, Colo.

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SQUARE WAVES (BST) VERSUS SINE WAVES IN ELECTROCONVULSIVE THERAPY

Abstract

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