Posted by Psychquackery on July 31, 2003, at 9:22:01
In reply to Re: citation, posted by rod on July 31, 2003, at 7:21:06
> "[Are convulsions necessary for the antidepressive effect of electroconvulsive therapy: outcome of repeated transcranial magnetic stimulation]"
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9333558&dopt=Abstract
>
>
> A note: Sismotherapy (ST)= electroconvulsive therapy
>
> ...However, recent preclinical data using attenuation, and clinical findings using reiterated transcranial magnetic stimulation (rTMS), suggest that it may not be necessary to provoke a clonic convulsion in order to achieve the beneficial psychotropic and anticonvulsant effects of ST...You should have looked at who did that study. They are all rTMS researchers. One of them "George MS" is Dr. Mark George who is a Neuropsychiatrist from the Medical University of South Carolina. He is probably the leading overall proponent for the MIBS (Minimally Invasive Brain Stimulation) modalities for refractory depression. He is a very good psychiatrist...I have actually personally used Dr. George as my psychiatrist for a short period several years ago.
But very few would agree with that study. No ECT doctor would agree with it. In short, that study is false...seizures are required to get a really powerful theraputic effect from ECT. And thats just the way it is, like it or not.
Dr. George is personally biased against ECT. He even told me so in his office. He made fun of ECT, he said it worked but in his words "but oh my God the side effects of it." The guy is trying to find ways to treat severe and refractory depression with a better side effect profile basically without resorting to ECT. Which is very honorable and admirable that we have individuals doing research like that. But its very doubtful rTMS will ever achieve the totally proven efficacy of old fashioned ECT.
No seizure...it aint gonna work.
Igor
poster:Psychquackery
thread:246432
URL: http://www.dr-bob.org/babble/20030728/msgs/246984.html