DSSSB Public Health Nurse - 2015
Mental Health Nursing
Easy
The first therapeutic use of electricity-induced seizures in the treatment of mental disorders is related to?
Appeared in: DSSSB Public Health Nurse - 2015
Explanation
- Ugo Cerletti and Lucio Bini are credited with pioneering the use of electricity to induce seizures for therapeutic purposes in 1938.
- Their method, known as Electroconvulsive Therapy (ECT), involved applying an electric current to the head, which was found to be a more reliable and safer method than the chemical induction methods used previously.
- The first treatment was administered in Rome to a patient with schizophrenia, who showed significant improvement.
- This innovation marked a major milestone in the history of somatic treatments in psychiatry and quickly spread worldwide.
Why Other Options Were Wrong
- Option B: D. Goldman was a psychiatrist but is not credited with the invention or pioneering of Electroconvulsive Therapy.
- Option C: Harold A. Sackeim is a modern-day researcher. While he has made significant contributions to the understanding and refinement of ECT, he was not involved in its initial development in the 1930s.
- Option D: Sigmund Freud is the founder of psychoanalysis, a school of thought focused on talk therapy and understanding unconscious conflicts. His work is entirely separate from the field of somatic (physical) treatments like ECT.
Related Visual
Clinical Relevance
- Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing History of Electroconvulsive Therapy (ECT) in acute care settings.
- Understanding the history of ECT helps nurses appreciate its evolution and its place in modern psychiatry as a highly effective treatment for specific, severe conditions.
- Nurses play a crucial role in the ECT process, including patient education, pre-procedure preparation (e.g., NPO status, consent), monitoring during the procedure, and post-procedure recovery care (e.g., monitoring vitals, orientation, and managing confusion).
- What if the patient asks if ECT is like what they saw in the movie 'One Flew Over the Cuckoo's Nest'? The nurse should explain that modern ECT is very different. It is performed under general anesthesia with a muscle relaxant, so the patient is asleep, feels no pain, and does not experience the violent physical convulsions depicted in the film. This helps alleviate patient anxiety and correct misconceptions.
How to Approach the Question
- First, identify the core concept of the question: the origin of 'electricity-induced seizures' as a therapy.
- Scan the options to see if any names are familiar in the context of medical history, specifically psychiatry.
- The question is a factual recall question. You need to match the invention (ECT) with the inventors.
- Differentiate between the pioneers of a treatment (Bini & Cerletti), modern researchers in the same field (Sackeim), and founders of entirely different psychiatric schools of thought (Freud).
- Even if unsure, you can often eliminate incorrect options. Sigmund Freud is famously associated with psychoanalysis, not physical treatments, making him an unlikely answer.
Concept Tested & Keywords
- Concept Tested: History of Electroconvulsive Therapy (ECT)
- Stem keywords: first therapeutic use, electricity-induced seizures, mental disorders
- Lead-in keywords: related to
Question ID
Qm71k1iyN1JGHbizR0ve5K
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 15171-15173, 11159-11161
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 2292-2294
Practise the full DSSSB Public Health Nurse - 2015
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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