In Doctors of Deception, Linda Andre examines the claims made for shock treatment and exposes them for what they are: public relations, not science.
Shock treatment (also known as electroconvulsive therapy, or ECT) was invented in an era where literally anything could be done to mental patients; there were no laws mandating consent, no rights protections, no government agencies overseeing human experimentation. In fact, in the 1940s leading figures in American psychiatry openly advocated killing---“euthanasia”---of people considered mentally ill.
But in the 1970s, the shock industry faced what it saw as challenges to its profitable practice: Courts in state after state ruled that mental patients must give their consent to treatment and had the right to say no to shock in some cases. The invention of the CAT-scan meant that it was now possible to investigate the effects of shock in vivo, settling the question of whether it damaged brains once and for all. And finally, in 1976 the Food and Drug Administration was given authority to regulate the machines used to give shock, including a mandate to investigate its safety.
The American Psychiatric Association--- in the form of a small
self-selected cartel of doctors who owned or worked for the shock
machine manufacturers---put all its resources into lobbying against a safety investigation of ECT. Much like the tobacco companies, the industry substituted a masterful public relations campaign for scientific research.
Former patients who had experienced permanent extensive amnesia and cognitive disability from ECT organized to lobby for a
scientific safety investigation, even offering their own brains to the
FDA for study. This battle between ex-patients and doctors, unparalleled in the
history of medicine, went on for over a generation. Previously
unpublished documents from the FDA archives tell the dramatic story:
ex-patients with nothing but truth on their side, doctors substituting
power and prestige for the scientific evidence they refused to produce,
taking every opportunity to dismiss their critics as mentally ill.
In the end no safety investigation of ECT’s permanent
effects on the brain was done, and has not been done to this day. Instead, the
industry continued its public relations campaign. Its spokesmen, while not
revealing their financial ties to the shock machine companies, established themselves in key
research positions, accepting tens of millions of federal research dollars for
themselves and deciding who else would (or would not) get funding; in this way
they were able to determine what was published on shock treatment and thus what
was “true.” The end result of this is that today, despite laws in all states mandating
consent, shock is commonly forced on patients who refuse it, since judges
believe the statements of the shock doctors that it is harmless.
As well, the industry spokesmen easily swayed a media with
little interest in fact-checking the statements of presumed experts that shock
was perfectly safe. As one reporter from the New York Times told the author:
“Do you expect me to believe that doctors
lie?”
They did, and they do; and Doctors of Deception names
names, spelling out exactly who, what, when, where, how, and why.