We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters to the Editor |

Electrode Placement and Electroconvulsive Therapy: A Search for the Chimera

Max Fink, MD; Samuel Bailine, MD; Georgios Petrides, MD
Arch Gen Psychiatry. 2001;58(6):607-608. doi:.
Text Size: A A A
Published online


To achieve an adequate antidepressant effect with right unilateral (RUL) electrode placement ECT, equivalent to that of bilateral (BL) electrode placement, the authors of 2 reports find it necessary to increase the stimulating energy at least 5-fold above the seizure threshold (ST).%1,2 They recommend that ECT now be done with unilateral electrode placement after first determining the ST and delivering subsequent treatments with energies at 6 × ST. The authors see their findings as resolving a 30-year controversy. The discussant, Richard Abrams, MD, agrees and reminds us that to achieve the benefits of this modification in practice, we need relief from arbitrary Food and Drug Administration (FDA) rulings that artificially limit the energy output of US ECT devices.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





June 1, 2001
Harold A. Sackeim, PhD; W. Vaughn McCall, MD
Arch Gen Psychiatry. 2001;58(6):608-609. doi:.
June 1, 2001
Richard Abrams, MD
Arch Gen Psychiatry. 2001;58(6):609. doi:.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...