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Electroconvulsive and Neuromodulation Therapies Edited by Conrad M. Swartz. Cambridge University Press. 2009. £50.00 (hb). 648pp. ISBN: 9780521883887

  • Klaus P. Ebmeier (a1)
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Electroconvulsive and Neuromodulation Therapies Edited by Conrad M. Swartz. Cambridge University Press. 2009. £50.00 (hb). 648pp. ISBN: 9780521883887

  • Klaus P. Ebmeier (a1)
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eLetters

Helpful for trainees in understanding controversy

Conrad M Swartz, Psychiatrist
12 May 2010

In reviewing "Electroconvulsive and Neuromodulation Therapies" Dr. Klaus Ebmeier wrote that he would not recommend it to trainees because it "requires critical sifting." So do most papers published in leading psychiatry journals--and more so for papers in humble journals.

Rather, this book uniquely helps psychiatry trainees by elucidating shortcomings and internal inconsistencies in traditional psychiatry. For example, my chapter on "Electricity and ECT" explains how the ECT stimulusdose is not correctly expressed as charge or energy. All other books present incorrect physics. Likewise my chapter on "ECT or Antipsychotic Drugs" recognizes that antipsychotic drugs are typically used in evading ECT for antidepressant-resistant melancholia. This chapter enumerates psychological and medical side-effects of antipsychotics, in comparison with ECT. Similar discussions can not be found elsewhere, and there’s nothing quirky except that I used verifiable science.

In the USA the prestigious Institute of Medicine detailed how psychiatry trainees do not receive adequate instruction in scholarly critique (Abrams et al., 2003). Without the skill to critique the psychiatric practitioner can only accept the views of authorities and pharmaceutical firms.

The vision of "Electroconvulsive and Neuromodulation Therapies" is topresent critique and controversy along with summary and standard practice,to promote quality improvement. Dr. Ebmeier has plainly seen this vision. So should our trainees.

REFERENCES

Abrams MT, Patchan K, Boat TF (eds.) for Institute of Medicine. Research Training in Psychiatry Residency: Strategies for Reform. Washington, DC: The National Academies Press, 2003.

Swartz CM (ed) Electroconvulsive and Neuromodulation Therapies. London: Cambridge University press, 2009.

Conrad M. Swartz, Ph.D., M.D., phone (360)597-3754, fax (773)751-2055, email: conrad.swartz@yahoo.com
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Conflict of interest: None Declared

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