Ann Med Psychol
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Review Historical Article
[Towards the rehabilitation of maintenance electroconvulsive therapy?].
ECT is a reliable treatment of serious affective disorders more efficacious than antidepressants either used alone or combined with mood stabilizers or neuroleptics. Recurrent affective disorders refractory to all treatments presently available have been tentatively treated by prophylactic ECT since the beginning of ECT. In this study, 16 cases of recurrent affective disorders treated with maintenance ECT are discussed. ⋯ ECT failed to improve 4 patients. Indications and inclusion criteria of maintenance ECT are defined. Good responses in cases refractory to all other treatment strategies are promising but still require prospective studies, difficult to implement, in order to confirm the efficacy of maintenance ECT.
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Historical Article
[Psychiatry and institution. Psychiatrists and prostheses].
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The experience of exile is the result of the interaction between the protagonists of this human tragedy and the society of refuge. The ambivalence of the refugee and his family is due to the loss of the original narcissistic supports and the need to assert the new situation. The article explains the characteristics of the experience of exile, at the individual and family level, and underlines the double challenge which has to be accepted by the exile and his family as well as by the society of refuge.