Dergi Ara >>
Yıl:2018; Cilt: 11; Sayı: 1>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2018;11(1):1-4
Elektrokonvülzif Terapinin Tarihçesi
M Uğur
İstanbul
Psikiyatri tarihinde on altıncı yüzyılda yaşayan bir hekim olan Paracelsus psikoz ve mani vaka'larını tedavi etmek maksadıyla onlarda Kafur (camphor) kullanmak suretiyle epilepsi nöbeti ortaya çıkarmıştır. On dokuzuncu yüzyılda Leopold von Augenbrugger'in de gene Kafur ile konvulsiyon yaparak psikoz vakalarında tedavi girişiminde bulunduğuna dair tarihi bilgiler bulunmaktadır. Bu uygulamalar 1930'lu yıllara gelindiğinde terkedilmiş ve o günkü psikanaliz akımlarından istifade edilmek istenmiştir. Tam sonuç alınamayınca da dört önemli somatik tedavi metodu psikiyatrinin gündemine girmiştir. Bunlar sırasıyla insülin koma tedavisi, metrazol tedavisi, lobotomi (psikocerrahi), elektrokonvülzif terapilerdir. Bu derlemede elektrokonvülzif terapinin tarihçesinden bahsedilecektir.
History of Electroconvulsive Therapy
Paracelsus, a physician who lived in 16th century, developed convulsive seizures by using camphor to treat psychosis and mania cases. In 19th century, Leopold von Augenbrugger had said to produce convulsions with Kafur to treat psychosis cases:In 20th century, psychoanalytic methods was tried for treatment. When the exact result could not be obtained from payschoanalysis, four important somatic treatment methods entered the psychiatric agenda. These are insulin coma therapy, metrazol therapy, lobotomy (psycho-surgery), electroconvulsive therapy respectively. In this review history of electroshock treatment will be discussed.

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