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Published Online: May 1965

CLINICAL EVALUATION OF UNILATERAL EST

WINSTON L. MARTIN, HAMILTON F. FORD, EUGENE C. McDANALD, JR., and MARTIN L. TOWLERAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 121, Number 11

https://doi.org/10.1176/ajp.121.11.1087

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Abstract

This study was an attempt to determine clinically the therapeutic efficacy and degree of memory impairment of unilateral ECT as compared to bilateral ECT. Two groups of 20 patients were given a course of 10 EST, one group unilaterally and the other bilaterally.

The comparison of these two groups would indicate that the desirable benefit of ECT is the same for both types of treatment but with considerably less memory impairment with unilateral treatment.

If these results are valid, unilateral ECT might be employed more effectively in the treatment of outpatients, patients who depend upon their memory to function professionally, patients wth some organic memory impairment, patients who show marked confusion and memory loss, or paranoid and phobic patients who become upset because of the memory loss and confusion of bilateral treatment.

Possibly, with unilateral treatment, patients could be treated more rapidly and thus decrease time required in the hospital and time for the convalescence period necessitated by bilateral ECT.

EEGs done before and after ECT disclosed unilateral cerebral dysrhythmia on those patients who received unilateral EST and bilateral dysrhythmia in those patients who were treated bilaterally. This finding is probably related to the difference in memory function between the two groups.

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Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 121 • Number 11 • May 1965

Pages: 1087 - 1090

PubMed: 14283304

History

Published in print: May 1965

Published online: 1 April 2006

Authors

Affiliations

WINSTON L. MARTIN

112 North Blvd., Galveston, Texas

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HAMILTON F. FORD

112 North Blvd., Galveston, Texas

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EUGENE C. McDANALD, JR.

112 North Blvd., Galveston, Texas

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MARTIN L. TOWLER

112 North Blvd., Galveston, Texas

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CLINICAL EVALUATION OF UNILATERAL EST

Abstract

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