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- 2023-4-21
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P1. 介紹ECT療法, 對治療憂鬱症有效但有爭議性(會有癲癇的可能性)
P2. 介紹ECT的背景知識, 當時尚未改良對身體的傷害導致一些大眾文化將其描繪為不人道的刑罰
P3. ECT經過改良(肌肉鬆弛劑+鎮定劑), 癲癇的可能性降低成頂多手腳顫抖, 介紹ECT的優勢
P4. 末段仍再度提醒ECT目前還是有爭議性, 許多人有記憶喪失的症狀。有醫生認為記憶喪失是因為嚴重的憂鬱症而非ECT造成
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P1.
1. Context: ECT is a controversial psycho treatment – passing electricity through the brain
2. Elaborate:
ECT induces seizure– unified process (X) and remains numerous investigations
ECT is effective against severe depression – while has its risk
P2.
1. Background: the inception of ECT in 1938 – negative conception of the procedure
2. Elaborate:
ECT is unmodified – uncontrolled seizures -> spine and teeth damage
ECT be portrayed as punitive, cruel, overused, and violative of patients' legal rights in books and movies
P3.
1. Modification:
the muscle relaxant succinylcholine -> muscle contractions(X)
patient + anesthetic only seizure may be the rhythmic movement of the patient's hand or foot
2. Advantage:
a. used in depressed patients for whom psychotherapy and medication prove ineffective
b. considered when there is an imminent risk of suicide – faster than antidepression
3. Intermediate: how ECT work is not known – repeated applications affect several neurotransmitters in the brain
P4.
1. Reminder: ECT is still controversy – many patients report loss of memory
2. Some doctors: memory malfunction may reflect the type of amnesia(from severe depression)
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