With bilateral ECS, the number of ECSs administered is a more important variable than the ECS dose in weakening a strong, recently acquired, noxious memory; this finding may have important clinical implications. Higher stimulus intensity marginally increases motor seizure duration at the first ECS but does not influence the decrease in seizure duration across repeated ECSs.
How a treatment is presented may influence reactions to it and, hence, its acceptability. We therefore suggest that ECT is better described as electrostimulatory therapy than as electroconvulsive therapy or electroshock therapy. We further suggest that discussions on ECT should emphasize the stimulatory effects of the treatment and downplay parallels with epilepsy. In an age of political correctness, political correctness should be applied to the description of ECT.
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