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Patients’ Attitudes, Medicolegal Considerations, and Informed Consent

2002· book-chapter· en· W4388065760 on OpenAlexaboutno aff
Richard Abrams

Bibliographic record

Venuenot available
Typebook-chapter
Languageen
FieldMedicine
TopicElectroconvulsive Therapy Studies
Canadian institutionsnot available
Fundersnot available
KeywordsApprehensionIncidence (geometry)Memory impairmentPsychologyInformed consentQuarter (Canadian coin)PsychiatryClinical psychologyMedicineCognitionAlternative medicine

Abstract

fetched live from OpenAlex

Abstract Gomez (1975) was the first to examine the incidence and severity of subjectively experienced side effects of ECT. She tried to understand why, as she believed, “many patients and their relatives view the prospect of ECT with horror.” She interviewed 96 patients, most of them depressed, 24 hours after each treatment, for a total of 500 consecutive treatments, of which 420 were given with bilateral electrode placement. The self-reported incidence of side effects was remarkably low: Muscle pain topped the list at 8.2%, with subjective memory impairment and headache occurring only about 3% of the time. Surprisingly, subjective complaints were no less frequent in patients receiving unilateral compared with bilateral ECT. The aspect of ECT most disliked by patients who were interviewed after they had received 3 or 4 ECTs related primarily to fear—most frequently, a fear of permanent impairment of memory or intellectual abilities, followed about equally by fear of entering the ECT room, fear of death or serious damage, and the apprehension experienced while simply waiting to receive treatment. A quarter of the sample expressed no special fear or dislike of ECT.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.325
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0050.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.042
GPT teacher head0.284
Teacher spread0.242 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2002
Admission routes1
Has abstractyes

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