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2019 ECT MOVIES Kopie Zutphen,23.11.2017 Based on a true story? ECT in international movies andTV programs pascal sienaert AcCENTAcademic Centrum voor ECT en neuromodulatie upc ku leuven,campus kortenberg [email protected] Methods . • • allmovie.com • subzin.com,phrases in movies & series • PubMed • (inter)national ECT-practitioners Results 60 MOVIES 85 25 SERIES 8 2 52 MOVIES 75 23 SERIES 57 SCENES 25 SCENES +3 82 SCENES +4 89 About to have ECT? Fine,but don't watch it in the movies... Walter and McDonald.PsychiatricTimes 2004,21(7) The problem is that ECT lends itself beautifully to cinematic dramatization. Shorter & Healy,2007 ShockTherapy:A history of ElectroconvulsiveTreatment in Mental Illness. Rutgers University Press,New Brunswick,New Jersey,London. a promising (?) start... The Snake Pit Anatole Litvak 1934 1938 1948 ‘Why are you electrocuting me?’ Virginia Cunningham writer psychotic episode written consent by proxy The Snake Pit Anatole Litvak 1948 Template • frantic music • unmodified • violent motor seizure > Olivia de Havilland inThe Snake Pit Anatole Litvak,1948 The Caretakers - Hall Bartlett - 1963 ECT as a metaphor for the repressive disciplinary approach in psychiatry anti-psychiatry La Meglio Gioventu,MarcoTullio Giordana,2003 ’the biggest beast in the celluloid ECT jungle’ McDonald &Walter,2009 One Flew Over the Cuckoo’s Nest - Milos Forman - USA,1975 The Caretakers 1963 Anna, child… 1976 1972 Ciao! Manha; an Shock Treatment T 1964 he FiHh Floor 1978 1974 Caged Heat Shock Corridor …. 1964 Frances 1982 1975 One flew Family Life - Ken Loach - UK1971 Sandy Ratcliffe as Janice Baildon Movies Series Total N=57 N=25 N=82 N % N % N % Modified 13 22.8 8 32 21 25.6 Unmodified 42 73.7 17 68 59 72 2 3.5 0 0 2 2.4 Not shown (or Unclear) • Repeated stimuli • Without losing consciousness • Smallville -Alfred Gough,Miles Millar 2004 - 3 stimuli! • The Simpsons - Matt Groening 2005 - 2 stimuli! Caged Heat Requiem for a dream A love to keep Demme 1974 Aronofsky 2000 Claver 2006 8 stimuli! 3 stimuli! 3 stimuli aversive therapy Electrodeplacement NS Movies N 52 2 0 2 1 N=57 % 92.9 3.5 0 3.5 1.7 Series N 21 2 1* 1 0 N=25 % 84 8 4 4 0 Total N 73 4 1* 3 1 N=82 % 89 4.9 1.2 3.6 1.2 *Left UL Mouth Guard Movies Series Total N=57 N=25 N=82 47 23 70 80.7% 92% 85.4% Royal Pains - S03E10 -A little art,a little science,2011 During the stimulus there are no facial contractions.We only witness mild myoclonic movements of the fingers.Surprisingly,no bite block is used in an otherwise truthful depiction,probably to actually make ECT look more attractive and less frightening (Sienaert,2016). Movies Series Total Indications N=57 N=25 N=82 N % N % N % Depression 9 15.8 5 20 14 17 suicidality, catatonia Psychosis et al 16 28.1 5 20 21 25.6 Behavioral Correction 9 15.8 1 4 10 12.2 Torture 8 14.0 3 12 11 >13.4 Erasing memories 1 1.8 7 28 8 9.7 Homosexuality 2 3.6 1 4 3 3.6 Other 14 24.6 5 20 status epilepticus, delirium, 19 23.2 substance abuse, amnesia, exorcism Indications Movies N=57 Behav Corr Series N=25 12% Total N=82 Torture 13% Psychosis Erasing memories 24% 9% Homosexuality 3% Depression Other 16% 22% Other status epilepticus,delirium, substance abuse,amnesia A TRUE STORY In 1928 ECT was not invented yet….. Child’s Play Stonehearst Asylum House on Haunted hill From Beyond 1988 2014 1999 1986 The Wolfman Lies Wrong Turn 4 1984 Amnesiac 2010 1985 2011 1984 2014 Um, so if I can just, uh, get your John Hancock… we'll get underway* Movies Series Total N=57 N=25 N=82 N % N % N % Yes (or Implied) 8 14 11 44 19 23.2 By proxy 9 15.8 0 0 9 11 Not shown (or Unclear) 6 10.5 1 4 7 8.5 No / Coercive 34 59.6 13 52 47 57.3 Written 2* 3.5 1 4 3* 3.6 * Requiem for a dream Requiem for a Dream Darren Oronofsky USA - 2000 Um,so if I can just,uh,get your John Hancock…we'll get underway ECT in the young Wizard of Oz - Butcher Boy - Solace Je me souviens -Tarnation - 15 ParkAvenue The Jacket - Brainstorm - Dark Shadows Dr Worley’s Electric Healing! ReturnTo Oz -Walter Murch - 1985 sequel to theWizard of Oz -Victor Fleming - 1939 Je me souviens,André Forcier,Canada,2009 The Butcher Boy,Neil Jordan,Ireland,1997 if I start laughing while it’s happening, it's because I’m enjoying breaking you down Nurse Pam (June Diane Raphael) The League - 2014 - S06E04 - When Rafi Met Randy ECT as a memory erasing t ool… Behav Corr 12% Torture 13% Psychosis Erasing memories 24% 9% Homosexuality 3% Depression Other 16% 22% No memory,noAmy,no problem! Broken heart syndrome House MD,Words and deeds, 2007 Hollywood has frightened the shit out of everybody about ECT. Louis Linn in:Shorter & Healy,2007 ShockTherapy:A history of ElectroconvulsiveTreatment in Mental Illness. Rutgers University Press,New Brunswick,New Jersey,London. USA Howard Gordon &Alex Gansa based on Israeli series Prisoners ofWar S01 (2011) - S07 (2018) Push the button and run… Patrick’s Day -Terry McMahon - Ireland - 2015.
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