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paytonjjonestoday at 1:12 AM4 repliesview on HN

I don't know the details here but I am a psychologist.

The "electric shock" normally used in psych studies is tiny, it's like the equivalent of one of those little toy prank buzzers. You couldn't possibly hurt someone with it, this is really a non-issue.

Related side note: Electroconvulsive therapy uses much larger electric shocks but, administered safely by a clinic, is extremely safe, has relatively minor side effects compared to e.g. SSRIs, and is very effective for severe depression. It's a huge shame that it's undeserved reputation prevents it from being more popular. Blame "One Flew Over the Cuckoo's Nest" for its inaccurate portrayal.


Replies

nightpooltoday at 1:59 AM

ECT can be very, very unsafe. 70% of patients experience some form of memory loss and at least 30% of patients experience self-reported permanent memory loss. The rate of major adverse cardiac events found in a 2019 meta-analysis was 1 in 39 patients. For the people that it helps, I'm happy they've found relief, but it's a tool with significant costs and I know a fair amount of people who underwent it as children or otherwise were pressured to undergo it and I don't know any of them who have a positive impression of it.

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Waterluviantoday at 1:22 AM

For what it’s worth, I wasn’t even thinking about the physical danger when I was… shocked… that you only need a one hour online course. It’s that they’re interacting with people in a somewhat clinical way as an implicit authority. The shock would obviously cause discomfort and therefore stress (or why even do it).

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lostlogintoday at 1:29 AM

> Electroconvulsive therapy uses much larger electric shocks but, administered safely by a clinic, is extremely safe, has relatively minor side effects Blame "One Flew Over the Cuckoo's Nest" for its inaccurate portrayal.

YMMV. I’ve encountered people who have had ECT forced on them whilst inadequately sedated. They have been older/elderly but it would be a mistake assuming it’s always without causing harm.

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Nursietoday at 4:08 AM

> Electroconvulsive therapy uses much larger electric shocks but, administered safely by a clinic, is extremely safe, has relatively minor side effects compared to e.g. SSRIs, and is very effective for severe depression.

The evidence base for these claims appears to be missing.

https://theconversation.com/no-evidence-that-ect-works-for-d...

It's liked by some practitioners, not by others, but actual studies in this area are low quality, didn't follow up with longer term checks, and are generally inadequate.

"The failure to find any meaningful long-term benefits compared to placebo groups are particularly distressing."