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Published Online: June 1951

PROGNOSES AND PSYCHOLOGICAL SCORES IN ELECTROCONVULSIVE THERAPY, PSYCHOSURGERY, AND SPONTANEOUS REMISSION

Publication: American Journal of Psychiatry

Abstract

1. The rate of improvement between ECT and ECT controls is not significantly different. There is a similarity between the psychological pretesting structure of both the improved ECT populations (those who were shocked and improved and those who improved spontaneously).
2. Patients undergoing lobotomy show the highest correlations between pretest scores and ratings of clinical improvement. Tests of memory and abstraction are especially important in this group.
3. Certain tests of memory, abstraction, and motor function were found to yield significant biserial coefficients of correlation for all clinical groups except lobotomy control patients. Of the Rorschach signs studied, only the number of rejections was found to yield consistently significant chi-squares for all clinical groups.
4. Study of the rationale of the most predictive tests indicates that common elements exist between them that should be further explored.
5. The findings of this paper suggest that the psychological test structure of patients be carefully scrutinized either before they are made to undergo treatment or before they are considered poor candidates for treatment procedures.

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Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 926 - 931
PubMed: 14829621

History

Published in print: June 1951
Published online: 1 April 2006

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ISIDOR W. SCHERER
Chief Clinical Psychologist, VA Neuropsychiatric Hospital.

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