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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Related Experiment Video

Updated: Oct 13, 2025

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Shell Shock: The Response of UK Neurology.

Raphael D Howard1, Robin S Howard2

  • 1Department of History, Birkbeck College, University of London, London, United Kingdom.

European Neurology
|November 17, 2021
PubMed
Summary

The UK

Area of Science:

  • Neurology
  • Psychiatry
  • Military Medicine

Background:

  • World War I exposed soldiers to unprecedented trauma, leading to widespread neurological and psychological issues.
  • Medical staff gained experience treating trauma patients in base hospitals and specialist facilities.

Observation:

  • Initial treatments for trauma-related conditions varied widely, including supportive care, psychoanalysis, and electroconvulsive therapy.
  • Therapeutic approaches evolved towards immediacy and frontline care, emphasizing expected recovery.

Findings:

  • The management of "shell shock" (now understood as post-traumatic stress disorder) in the UK evolved significantly during and after World War I.
  • Disparate treatment methods, from supportive care to radical therapies like electric shock, were employed.
Keywords:
FaradismShell shockShock therapy

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Implications:

  • Experiences with "shell shock" have profoundly influenced contemporary understanding of functional neurological disorders and post-traumatic stress.
  • This historical review highlights the UK's evolving response to combat trauma and its lasting impact on psychiatric and medical practice.