COVER PAGE -- TITLE PAGE -- COPYRIGHT PAGE -- DEDICATION -- PREFACE -- CONTENTS -- 1: HISTORY OF ELECTROCONVULSIVE THERAPY -- Electroconvulsive Therapy in the United States -- The Future of Electroconvulsive Therapy -- 2: EFFICACY OF ELECTROCONVULSIVE THERAPY -- Experimental Data -- Clinical Considerations -- Choice and Timing of Electroconvulsive Therapy -- Mania -- Schizophrenia -- Symptomatic Psychoses -- Neuroses and Personality Disorders -- Delirium -- Use of Electroconvulsive Therapy in Children and Adolescents -- Nonpsychiatric Indications for Electroconvulsive Therapy -- 3: PREDICTION OF RESPONSE TO ELECTROCONVULSIVE THERAPY -- Delusional (Psychotic) Depression -- Schizophrenia -- Dexamethasone Suppression Test -- 4: THE MEDICAL PHYSIOLOGY OF ELECTROCONVULSIVE THERAPY -- Cerebral Physiology and Metabolism -- Cerebral Electrographic Events -- Interictal EEG Change and Treatment Response -- The Sleep Electroencephalogram -- Cerebral Metabolism: Blood Flow, Oxygen Consumption, and Glucose Uptake -- Glucose Metabolism -- Blood-Brain Barrier -- Do Persistent Brain Changes Occur? -- Kindling -- Brain Studies in Man -- Neurochemical Studies -- Summary -- Cardiovascular Physiology and Metabolism -- 5: ELECTROCONVULSIVE THERAPY IN THE HIGH-RISK PATIENT -- Management of Cardiovascular Risks -- Treatment of the High-Risk Geriatric Cardiac Patient -- Management of Central Nervous System Risks -- Craniotomy, Cerebral Trauma, and Skull Defect -- Other Risk Factors -- 6: THE ELECTROCONVULSIVE THERAPY STIMULUS, SEIZURE INDUCTION, AND SEIZURE QUALITY -- Energy -- Charge -- Seizure Induction -- Stimulus Waveform -- Ultrabrief Stimuli -- Constant Current, Constant Voltage, or Constant Energy? -- The Seizure Threshold -- Stimulus Dose and Parameters in Relation to Efficacy -- Cognitive Effects of High-Dose Unilateral ECT.

Cognitive Effects of Long Stimulus-Train Duration -- Relation of Stimulus Parameters to Seizure Efficacy -- Clinical Utility of Computer-Derived Ictal EEG Measures -- 7: TREATMENT ELECTRODE PLACEMENT: BITEMPORAL, UNILATERAL, BIFRONTAL -- Left Unilateral Electroconvulsive Therapy -- Bifrontal ECT -- Miscellaneous Treatment Electrode Placements -- Electrode Placement Recommendations -- 8: TECHNIQUE OF ELECTROCONVULSIVE THERAPY: THEORY -- Training -- The Electroconvulsive Therapy Unit -- The Pretherapy Workup -- Medical Consultation -- Consent -- Seizure Monitoring -- Electrocardiographic Monitoring -- Protection of Teeth and Tongue -- Unilateral ECT and Hemispheric Dominance -- Impedance Testing -- Stimulus Selection -- Oxygenation -- Administration of Anesthetic Agents -- The Seizure -- Postictal Care -- Frequency and Number of Treatments -- Record-Keeping -- Maintenance Electroconvulsive Therapy -- Ambulatory Therapy -- Treatment Complications and Their Management -- Drug Interactions -- 9: TECHNIQUE OF ELECTROCONVULSIVE THERAPY: PRAXIS -- 10: MEMORY AND COGNITIVE FUNCTIONING AFTER ELECTROCONVULSIVE THERAPY -- Delirium -- Effects on Memory -- Effects of Subconvulsive Stimulation -- Comparison with Antidepressant Drugs -- Subjective Memory Dysfunction -- The Early Studies (1963-1983) -- The Recent Studies (1984-1996) -- Prediction of Post-ECT Cognitive Impairment -- Management of Memory Impairment -- Does ECT Cause Persistent or Permanent Memory Impairment? -- 11: NEUROBIOLOGICAL CORRELATES AND MECHANISMS -- Data From Animal Studies -- Human Data -- Prolactin -- Thyrotropin, Thyrotropin-Releasing Hormone -- Corticotropin-Releasing Factor, Corticotropin, and Cortisol -- Growth Hormone -- Oxytocin, Vasopressin, and Associated Neurophysins -- Endorphins -- Neuroendocrine Challenge Tests -- Mechanisms of Action -- The Anticonvulsant Hypothesis.

The Seizure Generalization Hypothesis -- Prefrontal Model -- 12: PATIENTS' ATTITUDES, MEDICOLEGAL CONSIDERATIONS, AND INFORMED CONSENT -- Patients' Attitudes Toward Electroconvulsive Therapy -- Increased Awareness of Patients' Rights -- Biomedical Ethics and Electroconvulsive Therapy -- Malpractice Litigation -- The Risk of Litigation -- Appendix: Consent for Electroconvulsive Therapy -- 13: TRANSCRANIAL MAGNETIC STIMULATION THERAPY (TMS) -- Stimulus Generation and Parameters -- Anatomical Site of Stimulation -- Selection of Dosage -- Clinical Indications and Efficacy -- Systematically Conducted Open Trials -- Studies Including a Sham-rTMS Control Group -- Clinical Trials of rTMS in Other Disorders -- Safety and Side-Effects of rTMS -- Summary and Conclusions -- Magnetoconvulsive Therapy -- REFERENCES -- INDEX -- NOTES.