NAMI Promotes
Misinformation
The National Alliance for the Mentally Ill (NAMI) is knowingly
distributing misinformation about ECT and memory loss. Repeated
attempts at communication regarding this issue have been ignored by
NAMI, indicating that the organization cares little about the truth,
and only about the continued spread of falsifications about ECT.
The article in question, "All
About ECT," is used by NAMI to 'replace myth with fact.' It
actually contributes to continued myths on ECT, rather than
correcting them. And it misinforms the public it claims to educate,
by attributing a widely used statistic to a credible source.
The article states that one half of 1 percent of ECT patients
suffer severe memory loss. This is the famous "1 in 200"
statistic that is widely circulated in promotional materials from
ECT manufacturers and the American Psychiatric Association. The
article says the figure comes from the NIH (although incorrectly
calls it NIMH, confusing two federal agencies) Consensus
Conference Statement on ECT.
In reality, the NIH Statement says that "research conducted
as long as 3 years after treatment has found that many patients
report that their memory was not as good as it was prior to the
treatment."
Nowhere in the statement, does the "1 in 200," or one
half of 1 percent, statistic occur. Instead, it says
"many" report memory loss lasting 3 year. One half of 1
percent implies a very negligible amount, while many implies a
considerable sum and percentage.
In June 1985, the National Institutes of Health, in conjunction
with the National Institute of Mental Health, convened a Consensus
Development Conference on Electroconvulsive Therapy. There, findings
were presented regarding ECT, and for two days, discussions
followed. A consensus panel representing psychiatry, psychology,
neurology, psychopharmacology, epidemiology, law, and the general
public considered the scientific evidence and agreed on a number of
issues, including the risks of ECT.
The Conference developed an official statement on these issues,
"The National Institutes of Health Consensus Development
Conference Statement."
The "1 in 200" statistic is not included in the
statement for one reason: it is not a valid statistic. Yet it is the
statistic used in public relations materials for the ECT
manufacturers, and in many informed consent forms. And it is the
statistic that the American Psychiatric Association quotes.
Activists have known for a long time that this statistic was
suspect. But recently, others have begun to question its validity.
Journalists have uncovered facts that show the number has no basis
in research, but is a number that researchers came up with based on
their best guesses.
And recently, Dr. Max Fink, ECT researcher, practitioner and
consultant to ECT manufacturers, admitted that he is responsible for
the statistic. He claims it comes from a survey he did, in which he
placed ads in newspapers, asking for participants. The problem is,
as Fink has said, that he cannot remember what newspapers, or when
he placed the ads. And he claims to have lost the data.
The American Psychiatric Association has also ignored requests
for clarification on this matter. It continues to refuse to provide
a source for the "1 in 200" figure.
Whether NAMI's incorrect attribution is a deliberate attempt to
add credibility to an invalid statistic, or a simple, yet enormous,
mistake, is something that only NAMI officials can fully explain.
"All About ECT" is excerpted from the book
"Overcoming Depression" by Dr. Demetris Popolos.
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