Treatment of Methamphetamine Dependence with Electroconvulsive Therapy (ECT) in Iran: A Critical Note.
| Autor: | Roshanaei-Moghaddam B; Tehran University of Medical Sciences, Tehran Iran, Iranian National Center for Addiction Studies (INCAS), Tehran, Iran., Pauly MC; University of Washington Department of Psychiatry and Behavioral Sciences. United States. |
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| Jazyk: | angličtina |
| Zdroj: | Iranian journal of psychiatry [Iran J Psychiatry] 2014 Jul; Vol. 9 (3), pp. 184-7. |
| Abstrakt: | Objevtive: This comment article reviews the literature to explore whether the use of ECT for the treatment of methamphetamine dependence can be justified by scientific rationale and/or evidence. Method: This article reviews the literature on the use of ECT in addictive disorders. It describes a patient with methamphetamine dependence treated with ECT. It then offers a historical review of the moral and ethical difficulties encountered in the treatment of addictive disorders. It proposes a dynamic understanding as to why clinicians might deploy such brutal actions in the face of hopeless and emotionally intense encounters. Results: We found no scientific evidence or justification for ECT as a treatment of methamphetamine dependence or as the first line treatment for methamphetamine-induced psychiatric comorbidities. Conclusion: the current available evidence does not support using ECT for the treatment of addictive disorders, and hence is unethical, unacceptable and inhumane and warrants immediate social and political attention. |
| Databáze: | MEDLINE |
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