I 34â€"1 36) report on a case of a 32-year-old woman in whom it was not possible to induce a seizure despite 15 ECT applications. The author's are to be corn mended on the changes in technique such as the move from unilateral to bilateral, reduction in methohexi tone dosage, extensive pre-oxygenation and the use of chlorpromazine, all of which were designed to alter fit threshold.
A case report of a 37-year-old woman with Munchausen syndrome which differs in many respects from the classical picture is described. Attempts are made to examine the motives behind the syndrome and to make a link with the common pattern of deliberate self-harm.
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