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ELECTROSHOCKING ELDERLY PEOPLE: ANOTHER PSYCHIATRIC ABUSE

Submitted by on December 4, 2008 – 12:54 pm 5 Comments | 1,253 views

“Electroshock is violence.” Ramsey Clark, former U.S. Attorney General, in an invited address at the Annual Meeting of the American Association in New York City, May 1983.

“If the body is the temple of the spirit, the brain may be seen as the inner sanctum of the body, the holiest of places. To invade, violate and injure the brain, as electroshock unfailingly does, is a crime against the
spirit and a desecration of the soul.” – Leonard Roy Frank, shock survivor, editor and writer, 1991

Electroshock appears to be increasingly prescribed as a treatment for “clinical” depression and other so-called mental disorders. Women and , particularly old women, are its chief targets–more
damning evidence of psychiatry’s sexism and ageism. In the United States during the last ten years, an estimated 100,000 people have been shocked each year. In Canada, perhaps as many as 10,000 people, again mostly women, have been electroshocked each year, but nobody knows for sure because Health and Welfare Canada and the provincial health ministries do not publish ECT statistics, some of which are available on request.

Besides, ECT statistics are notoriously inaccurate and unreliable, because collection methods differ from province to province and state to state; hospitals aren’t required to keep accurate ECT records and not all
hospitals are required to report ECT to provincial health ministries or state mental health departments.

I have discovered some recent shock statistics in Ontario which point to alarming trends:the increasing use of ECT and the targeting of women and the elderly for electroshock. Consider these statistical highlights:

1) In 1993-94, 11,360 shock treatments were administered to approximately 1,600 people in Ontario’s general, community and psychiatric hospitals – an average of seven shocks per patients. In 1994-95, 12,865 shocks were administered to over 1,500 people, a 12 per cent increase.

2) Most electroshock (over 80 per cent) in Ontario is administered in the public general hospitals, not provincial or private psychiatric hospitals.

3) Over 40 per cent of electroshock has been administered to people 60 years and older during the last five years.

4) In 1994-95, 97 elderly people, including 72 women (60 years and older), were subjected to 1,023 shocks in Ontario’s provincial psychiatric hospitals – a high average of approximately 10 shocks per patient. In
Toronto’s Queen Street Mental Health Centre, over 70 per cent of the shock patients are from its psychogeriatric unit.

5) In 1993-94, approximately 600 elderly people (60+ years) were subjected to 4,033 electroshocks in Ontario’s general and community psychiatric hospitals.

6) In the provincial psychiatric hospitals, the number and proportion of elderly people (65+ years) shocked grew from 70 (33 per cent) in 1990-91, to 82 (40 per cent) in 1993-94, to 44 per cent in 1994-95.

7) Among elderly and other ECT patients, significantly more women than men are electroshocked: two to three timnes more women than men have been electroshocked in both Canada and the United Stastes for many years.

8- During 1994-95 in the provincial psychiatric hospitals, 72 per cent of elderly shock patients (75+ years) were women, and significantly more
ECT was administered to an elderly woman than an elderly man (average 10.9 ECTs vs. 8.7 ECTs).

9) Women in their eighties and nineties have been electroshocked in general, community and provincial psychiatric hospitals in Ontario. In 1993-94, a total of 102 shocks were administered to at least 10 women of 85 years and older in general and community psychiatric hospitals. In 1994-95, at least 14 women of 80 years and older were subjected to 158 shocks in eight provincial psychiatric hospitals,an average of 11 ECTs per patient.

10) During 1994-95 in Ontario, the estimated cost of one electroshck treatment, including physicians’ fees, drugs, use of a hospital bed and nursing care, was $400. The (under) estimated total cost for all ECT that year was well over $1,000,000.

Two very common psychiatric myths state: first, that electroshock can prevent or greatly reduce the risk of suicide in people diagnosed with “clinical depression” or “bipolar affective disorder”; and second, that
electroshock is safe and effective for old and physically ill people.

The first myth was exposed at least six years ago by Dr.Donald Black and four colleagues. This study involving more than 1,000 depressed patients in Iowa found that there were no significant differences in the
suicide rate among the various groups treated with electroshock, and no treatment. However, the higher percentage of deaths among the shock patients (85 per cent higher at two-year follow-up than the non-shock patients) clearly implicates shock as a contributing factor in their deatths (Black et al.,1989).

Regarding the second myth, Drs.David Kroessler and Barry Fogel’s longitudinal study involving sixty-five depressed patients 80 years and older found that for the ECT group, 27 per cent died within one year
following the “treatment”, but only 4 per cent of the “medicated” group died. In addition, one patient died after undergoing two ECTs. In other words, this study together with several previous ones, clearly show that
electroshock threatens people’s survival, especially if they are old and sick (Kroessler and Fogel, 1993).

Deaths related to or caused by electroshock are usually attributed to medical conditions, not reported or simply covered up in the medical-psychiatric literature. For exmple, only six or seven ECT-related
deaths in Canada have been reported in the Canadian medical-psychiatric journals during the last fifty years. No doubt a serious underestimate or cover-up. Nevertheless, respecred shock investigator and psychiatric critic, Dr. Peter Breggin, has estimated the general ECT death rate as one death for every 1,000 patients shocked, and a much higher rate of one death per 200 for elderly patients. However, in its official
shock-promoting booklet the American Psychiatric Association claims the ECt death rate from shock is !1 in 10,000″ patirents and that only “1 in 200” patients suffer permanent (APA,1990). The Canadian
Psychiatric Association also claims there have been virtually no deaths or medical complications from electroshock in Canada, despite the fact that approximately 500 shock-related deaths and many more serious medical complications (e.g.,cardiac arrest, other serious heart problems, permanent epileptic seizures, brain damage) have been reported in the English langugage medical-literature for over 50 years since the early 1940s when electroshock was first introduced in Canada and the United States.

Together with many shock survivors and other shock critics, Peter Breggin wants electroshock banned, because psychiatrists routinely fail to warn patients about the serious risks of permanent memory loss and brain damage (a serious violation of informed consent), and because elderly, sick and frail patients are being increasingly targeted for electroshock. He explained his position in a recent phone interview with me last March:

“The escalating rate of shocking the elderly is one reason why I   have come out in recent years for a complete ban on the treatment.   The elderly are less able to defend themselves against shock
treatment, and their brains are more susceptible to devastating damage.”   (Breggin, 1996)

Leonard Roy Frank, an electroshock-insulin shock survivor living in San Francisco, shock critic, author and editor,insists that “ECB – electroconvulsive brainwashing” is a more accurate term. He agrees with
Breggin and asserts, “the studies indicate that it’s the elderly who are getting the most shock, and they’re the most vulnerable, not only physically but politically” (Frank, 1996). A 1989 report from California’s
Department of Mental Health supports Frank’s assessment; it reveals that 48 per cent of the 2,503 people shocked that year in the state were 65 years and older. Frank claims the figure is currently over 50 per cent and climbing.

women and elderly patients is also on the rise in England. For example, in a 1993 critique, patients’ rights advocate Alison Cobb reports that “…women are the majority of ECT patients (about 70 per
cent), half are over 65 years of age. …59 per cent of the 100 (in the study) … were aged over 65, the oldest being 92 years. Given the vulnerability of older people’s memory and cognitive abilities, this has
to be a grave cause of concern…”,(Cobb,1993).

Douglas Cameron, another outspoken shock survivor, critic and co-founder (with Diann’a Loper) of the World Association of Electroshock survivors based in Texas, is extremely critical of the alleged safety of
psychiatry’s modern shock machines, which can deliver as much as 300 to 400 volts of electricity to the brain:

“All modern day Sine Wave and Brief Pulse ECT devices are more powerful than early instruments. Modern day Brief Pulse suprathreshold devices have not proved safer than Sine Wave suprathreshold devices. Side
effects have been >convincingly identified as products of electricity. These facts warrant the elimination of all ECT machines from the marketplace” (Cameron,1994).

Since 1995, there has been growing public protest against the only shock machine in Whitehorse in The Yukon, stored in Whitehorse General Hospital. Apparently, the shock machine hasn’t zapped anybody in
Whitehorse (yet). The Second Opinion Society (SOS), the Yukon’s self-help advocacy group in Whitehorse, isn’t waiting. SOS has been organising rallies and marches against the machine.

More than fifteen years ago in Toronto’s Sunnybrook Hospital (a teaching, research and veteran’s hospital affiliated with the University of Toronto), psychiatrists Harry Karlinsky and Kenneth Shulman were
electroshocking elderly people. Most were in their 70s, some in their 80s. Karlinsky and Shulman (1984) reported having electroshocked thrity-three elderly atients (62-85 years old). At a follow-up study six months later, after having been subjected teo an average of 9 ECTs, only one-third of ther patients “were doing well”. Karlinsky and Shulman concluded that “clinically one is compelled to use ECT on an urgent or demand basis”. Compelled? In my recent phone interview with Dr.Shulman, chief psychiatrist at Sunnybrook, he said that electroshock is still administered to old people but only “from time to time, a relatively small
number.” He couldn’t say how many, but recalled the average age of his elderly shock patients is “73 or 74”. Shulman added he has “never heard” of any deths or serius medical crises from ECT at Sunnybrook or any other hospital in Canada. The ECT “mortality rate”, he added, was “similar to that for (general) anaesthesia”. He insisted that electroshock “remains an effective treatment for some debilitating and life-threatening
depressions”, and claimed the only ECT risk was “short-term memory loss”. He also asserted that electroshock is not controversial, and claimed that most patients “completely recover”. Shulman explained the use of electroshock on the elderly in these terms: “If we didn’t use ECT, these people would suffer tremendously and be at risk of dying”.

It is difficult to find any study to support the common psychiatric claim that electroshock prevents suicide or minimises the suicide risk. Further, the relapse rate from shock is over 60 per cent, which, according
to the American Psychiatric Association, still greatly minimises permanent memory loss, brain damage and death from ECT (APA,1990).

Some elderly patients have also been electroshocked at Toronto’s Clarke Institute of Psychiatry. Apparently nobody knows how many, partly because no accurate,up-to-date ECT statistics are kept at the Clarke,
according to Dr. Barry Martin, head of its ECT Unit. In a recent phone interview I had with Dr. Martin, he speculated that a total of “about 100 courses” were administered at the Clarke in 1995. Each course consists of 8-10 ECTs, at least 80-90 people were electroshocked last year. According to Dr.Martin, the main reason for shocking old people is, “severe depression that has not responded to medication” (e.g.,antidepressants).
Martin estimated the ECT death rate as “3-4 per 100,000 ECTs”, similar to that for “general anaesthesia”, and said he was “not aware” of any ECT-related deaths in Canada or anywhere else.

During a 15-month period in 1993-94, eight people died in Texas,”within two weeks of receiving electroshock”; over half were elderly patients (Smith, 1995).The Texas elderly death rate from ECT at that time was probably higher than 1 in 200.

Some very courageous shock survivors and advocacy groups are fighting back and want electroshock abolished in the United States and Canada. For example, 81-year-old Lucille Austwick successfully refused to be shocked while languishing in a Chicago nursing home a couple of years ago (Fegelman, 1995). While confined in the home, Austwick was depresseed, had stopped eating and was becoming frail, so a psychiatrist wanted to shock her. She repeatedly refused the “lifesaving:” treatment which she called
“bullshit”, and received strong legal support from the Illinois Guardianship Commission and other advocates across the United States. Last September, the Appellate Court “reversed the trial court’s ruling” which
had ordered a series of ECTs for her two years earlier.

Psychiatrists and other medical staff at St.Mary’s Hospital in Madison, Wisconsin were found to be violating the human rights of several elderly patients subjected to electroshock against their will (Oaks, 1995). Sparked by the courageous whistleblowing of psychiatric nurse Stacie Neldaughter, who was “fired after refusing to directly assist with a shock treatment”, several women shock survivors and anti-shock activists
organised a public protest outside the hospital in September 1994. In January 1995, the Wisconsin Coalition for Advocacy issued a detailed and scathing 75-page report based on its own investigations, which documented serious violations of informed consent and other rights involving at least eight elderly women patients.
In Toronto from 1983 to 1992, there have been several anti-shock protest demonstrations, particularly in front of the Clarke Institute of Psychiatry and Queen Street Mental Health Centre. Non-violent civil
disobedience (“sit-ins”) were also held in the office of at least two Ontario health ministers, organised by the Ontario Coalition to Stop Electroshock (succeeded by Resistance Against Psychiatry). During a
non-violent public demonstration against electroshock in front of the Clarke in May 1988, shock survivor Jack Wild and I were charged with “trespass” and arrested while trying to hand out alternative and accurate
shock information to patients on one ward during visiting hours. We were arrested on the ward while engaged in a non-violent sit-in, fined over $50 each and lost our court appeals (Phoenix Rising, 1998).

Unfortunately, there have been no shock cases in Canada since “Mrs.T.” in 1983 (Weitz,1994). The “Mrs.T.” case involved a young, allegedly suicidal but cxompetent women who firmly and repeatedly refused
shock while being asked to consent by both her psychiatrist and a regional review board while incarcerated in Hamilton Psychiatric Hospital. Although the case lost, “Mrs.T.” was not electroshocked. The national publicity and public outcry arising over the fact that people in Canada could still be shocked against their will led to a few important amendments in Ontario’s Mental Health Act, which now prohibits electroshock or other treatment for any person who refuses. However, electroshock can still be adminsitered against the will of an “incapable” person if he or she did not instruct a substitute decision-maker otherwise while capable. (Note: The judge’s decision in a 1997 Ontario court case involving a mother’s refusal to consent to shock for her “incapable” daughter” is pending.)

In March 1994 at a public City Hall meeting before the Toronto Mayor’s Committee on Aging (TMCA), I presented some alarming ECT statistics from the Ontario government’s Ministry of Health which showed
that a disproportionately large number of people being electroshocked in Ontario’s psychiatric facilities were elderly people (over 40 per cent) and women (over 65 per cent). In one Final Report, the Committee recommend that, “the Chair of the TMCA should be asked to write to the Minister of Health to inform her of the data on ECT and the deep concern of the TMCA about the apparent misuse of this therapy.”

There is still no law banning electroshock in Ontario, Canada or the United States for elderly people or anybody else. However, some states have outlawed shock for young children. For example, Texas has banned shock for children under 16 years old, and California banned it for children under 14. There are no such age restrictions in Canada.

I believe that electroshocking old people is elder . Electroshock is a crime against humanity. It should be abolished.

[acknowledgement – My sincere thanks to Lenard Roy Frank for his valuable editorial assistance.]

Don Weitz

References

American Psychiatric Association (1990). The practice of >electroconvulsive therapy. Washington: APA.

Black,D.W., Winokur,G., Mohandoss,E., Woolson,R.F. and Nasrallah,A. (1989) “Does treatment influence mortality in depressives?” Annals of Clinical Psychiatry, 1(3), 165-173.

Breggin,P.R. personal communication in March 1996. Also see: Breggin, Toxic Psychiatry (St. Martin’s Press,1991), and Breggin, Disabling Treatments in Psychiatry (Springer Publishing Co,1997)

California Department of Mental Health (1989). Electroconvulsive therapy (ECT) report. Sacramento,California.

Cameron,D.G. “ECT:sham statistics, the myth of convulsive therapy and the case for consumer misinformation”. Journal of Mind and Behaviour, 15(1-2),177-198.

Clark,R (1983) From an invited address during the annual meeting of the American Psychiatric Association in New York, May 1983.

Cobb,A. (1993) Safe and effective? MIND’s views on psychiatric drugs, ECT and psychosurgery. London: MIND Publications.

Fegelman,A. (1995) “Forced shock therapy faces key legal test”. Chicago Tribune, May 2, 2995.

Frank,L.R. (1991). “San Francisco puts electroshock on public trial:feature report”. The Rights Tenet, Winter 1991.

Frank,L.R. (1996) Personal communication on February 28, 1996.    Karlinsky,H. and Shulman,K. (1984). “The clinical use of electroconvulsive therapy in old age”. The Journal of American Geriatric
Society, 32, 83.

Kroessler,D. and Fogel,B.S. (1993) “Electroconvulsive therapy for major depression in the oldest old”. The American Journal of Geriatric Psychiatry, 1(1),30-37.

Oaks,D. (1995) :”Zap back against forced shock”. Dendron, 36,1-5.   Phoenix Rising (October 1988). “Toronto Protesters Arrested for Trying to Distribute Shock Information”, 22-23.

Smith,M. (1995) “Eight in Texas die after shock therapy in fifteen mnonth period”. The Houston Chronicle, March 7, 1a.

Weitz,D. (1984) “Shock case: a defeat and victory”. Phoenix Rising, 4,3/4,28a-30a.

Biographical note: Don Weitz is a psychiatric survivor, antipsychiatry and antipoverty activist in Toronto. He is co-founder of the former antipsychiatry magazine Phoenix Rising, former board member of Support
Coalition International (a coalition of approximately 100 survivor and human rights advocacy organizations in 14 countries), and co-founder of the Coalition Against Psychiatric Assault (CAPA). He is also host-producer of “Antipsychiatry Radio” on CKLN (88.1FM) in Toronto. This unique program airs around 6:30pm on the last Friday every month.

Source: capa.oise.utoronto.ca/electroshocking.doc

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5 Comments »

  • nurse says:

    As a health care provider, I’ve witnessed ECT and followed case studies in the late 90’s and did a little research. Long term benefits were ineffective and side effects, particularly memory
    loss was problematic for patients. The cases I followed and the
    Psychiatric field at that time would only consider ECT for the chronically depressed who didn’t benefit from pharmocolgoy and thearpy
    and would NEVER be administered without the expressed consent of
    the patient.

    Performing ECT on ‘wards’ via Probate court appointed guardianships violates the Patient’s Bill of Rights Act and Constitutional Rights. This practice brings Psychiatry and Probate Court/Guardianship to a new level of abuse. Lobotomizing the elderly and stealing their assets.

    An ‘evil’ sickness has crept its way into a once free society.

  • It just keeps getting worse for the elderly. No one wants to grow old, of course, but now it’s just plain scary!

    The elderly are often forced into nursing homes against their will, their home and possessions sold (also against their will) and given psychotropic drugs to give the appearance of dementia when in fact they have been forced to wear a “chemical straightjacket”.

    All this is done with the “blessing” of the court through unlawful and abusive guardianships, which are a national epidemic.

    You think if you follow your attorney’s advice, plan for your old age by executing advance directives, you’ll be ok? Nope. What they don’t tell you is that lawless courts roll over advance directives every day – devestating families and bank accounts.

    Anyone who becomes vulnerable is a target. The kicker is each of us will become vulnerable at some time in our lives.

    Visit NASGA at http://www.StopGuardianAbuse.org and read victims’ stories for yourself.

    Forewarned is forearmed!

    Yours,
    Elaine Renoire
    NASGA

  • Nicolaas Vegt says:

    Hi there,
    I have been drugged for 23 years and got off the drugs safely with a professional retired ex operation theater nurse who had compassion on me as I could not even operate a cell phone at the time she discovered me. Moreover that I discovered her and I am a Canadian citizen living overseas. when are we going to be recognized victims in the courts as I am wanting closure to this abuse. It is very hard for me to rid myself of the daily reality of the horrors that I have suffered under the care of the System. It still is very much shoved under the carpet by the Canadian Government. It took me the better part of two and a half years to get of these horrible drugs and even my family wanted back then to keep me on it as they never knew anything about it and in my book that is also victimizing the family too, as they really did care for me as I went through difficult times back then and these drugs only compounded the problem for me. The withdrawal was one of the most excruciatingly painful thing that I have ever had to go through and it is not recognized by anyone who cares about abuse other than a few survivors of the same as there are millions that are out there I know who had the same horrors or worse as I did. I want someone to write me on this to address the compensation as I am really hoping that there is some of it out there and I am not getting any of the money at all. 23 years of my life is nothing to bock at.

    I am not going away easily about this and be swept under the rug like trash as I don’t deserve to be treated like yesterday’s garbage.
    Sincerely
    Nicolaas Vegt

  • doug says:

    I have been of a variety of potent psychiatric drugs for over 12 years. On my own, without consulting anyone I took myself off everything cold-turkey in November of 2009. Next week will be my sixth month of detox. I still have not had my normal sleep cycle return yet and I am still in the throws of detox. I am hoping that in 6 more months I will completely recover, but it has taken you 2.5 years so I don’t know. I was on a huge dose of Ritalin and an enormous dose of a nasty thing called lamictal. Before lamictal, I was on wellbutrin and paxil. I won’t bore you with all the details of how brutal my detox has been, just be aware that the fatigue, crippling depression and muscle tension are all part of the process of weaning myself off of the poison. Thor Nystrom wrote an article for Rolling Stone magazine called ‘To hell and back’. It is easy to find on the net if you type in the above info. His story gave me the courage to cold-turkey everything. I am a tennis and racquetball professional and words can’t describe how messed up my coordination and timing got when I was on this crap. I pray that I don’t have tardive dyskensia as my mouth and tongue always ‘feel’ weird, but getting better each day. There is an army of us out there, victims of the psyche system who are having the courage to regain our lives and tell our story. I hope to be one of the best combo tennis and racquetball players in the world for my age, and show everyone how I could only have this success OFF the drugs. I have played poorly for the past decade with a horribly tight back and with miserable coordination and balance. I am now fully convinced that all of these difficulties are the direct result of the ill-communicated side effects of the poison I ingested. Each day I slowly return to the real me, but new levels of detox and new horrors in terms of what was stolen from me emerge. I am a very happy person because even though I don’t really have a career or relationship, I was dead and I am slowly coming back to life and I will make sure the rest of my life is fully devoted to helping other people learn about the dangers and consequences of using these drugs and what they can do to a person.

  • vicky says:

    From 2003 to 2004 i had 60 shock treatments.At a surgery center in Loma Linda Ca.I was in my mid 40’s at the time.I regret ever having them.And they never helped anyway.The only thing they did was erase my memory,I remember almost nothing of my 2 children growing up!! I was not aware this would happen, i was told that i (might)have some memory loss but,was told it would eventually come back. Not true.I have been off all meds which i was on for 20 years and i was told i could never get off of them.I took all kinds of psych.drugs everyday for 20 years.Now i have T.D.And I’ve been off all the meds. for 3 years and never felt better.While on the meds. i gained 100 lbs. I’ve lost it with diet and exercise alone.I wish i had never had the shock treatments!!!