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Pivotal Mental States: Difference between revisions
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When people think of Electroconvulsive Therapy (ECT) they often think of the process depicted in the film ''One Flew Over the Cuckoo's Nest. A lone patient with electrodes attached to their head convulsing in pain... T''his was an over dramatisation, the modern process is far from what was depicted. Since its introduction in the 1930's, various changes to pulse width, dosing and duration, electrode placement and anesthesia have made the treatment almost unrecognisable<ref>'''Electroconvulsive therapy: a selected review'''. ''Am J Geriatr Psychiatry''. Greenberg RM, Kellner CH. 2005;13(4):268–81.</ref>. Research has shown that 64% to 87% of patients with severe MDD respond to ECT, with response rates as high as 95% for patients with MDD with psychotic features<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193538/</ref>. Furthermore, in otherwise healthy patients with intellectual disability, a retrospective chart review performed at Cambridge university has shown that 79% showed a positive outcome following ECT<ref>https://www.cambridge.org/core/journals/the-psychiatrist/article/use-of-ect-in-patients-with-an-intellectual-disability-review/B2CD9151E5A2B9462BD80175E63A9CB0</ref>. There is some evidence to suggest that ECT causes similar long and short term effects to psychedelics in some in vivo case studies<ref>Psychotic symptoms as a complication of electroconvulsive therapy – a case report Anna Antosik-Wójcińska, Magdalena Chojnacka, Łukasz Święcicki Affective Disorders Unit, Second Department of Psychiatry, Institute of Psychiatry and Neurology in Warsaw</ref><ref>'''ECT associated musical hallucinations in an elderly patient''': a case report. ''Ann Gen Psychiatry'' 5, 10 (2006). Janakiraman, R., Wildgoose, K. & Seelam, K. <nowiki>https://doi.org/10.1186/1744-859X-5-10</nowiki></ref><ref>'''LSD-Like Flashbacks Associated with ECT'''. Convuls Ther. Russ MJ, Gold JM. . 1987;3(4):296-301. PMID: 11940932. Accessed on 4th July 2022 via: https://pubmed.ncbi.nlm.nih.gov/11940932/</ref>. | When people think of Electroconvulsive Therapy (ECT) they often think of the process depicted in the film ''One Flew Over the Cuckoo's Nest. A lone patient with electrodes attached to their head convulsing in pain... T''his was an over dramatisation, the modern process is far from what was depicted. Since its introduction in the 1930's, various changes to pulse width, dosing and duration, electrode placement and anesthesia have made the treatment almost unrecognisable<ref>'''Electroconvulsive therapy: a selected review'''. ''Am J Geriatr Psychiatry''. Greenberg RM, Kellner CH. 2005;13(4):268–81.</ref>. Research has shown that 64% to 87% of patients with severe MDD respond to ECT, with response rates as high as 95% for patients with MDD with psychotic features<ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193538/</ref>. Furthermore, in otherwise healthy patients with intellectual disability, a retrospective chart review performed at Cambridge university has shown that 79% showed a positive outcome following ECT<ref>https://www.cambridge.org/core/journals/the-psychiatrist/article/use-of-ect-in-patients-with-an-intellectual-disability-review/B2CD9151E5A2B9462BD80175E63A9CB0</ref>. There is some evidence to suggest that ECT causes similar long and short term effects to psychedelics in some in vivo case studies<ref>Psychotic symptoms as a complication of electroconvulsive therapy – a case report Anna Antosik-Wójcińska, Magdalena Chojnacka, Łukasz Święcicki Affective Disorders Unit, Second Department of Psychiatry, Institute of Psychiatry and Neurology in Warsaw</ref><ref>'''ECT associated musical hallucinations in an elderly patient''': a case report. ''Ann Gen Psychiatry'' 5, 10 (2006). Janakiraman, R., Wildgoose, K. & Seelam, K. <nowiki>https://doi.org/10.1186/1744-859X-5-10</nowiki></ref><ref>'''LSD-Like Flashbacks Associated with ECT'''. Convuls Ther. Russ MJ, Gold JM. . 1987;3(4):296-301. PMID: 11940932. Accessed on 4th July 2022 via: https://pubmed.ncbi.nlm.nih.gov/11940932/</ref>. | ||
=== Blue Marble Effect === | === Blue Marble Effect === | ||
Astronauts looking | Astronauts looking back at Earth with the naked eye often suddenly get an overwhelming responsibility to protect it. When they see only a fine blue line of atmosphere shelters our only planet from the hostile vacuum of space, national borders disappear; and the scene often evokes a feeling of cosmic connection. This so-called “''overview effect''” has been turning astronauts into environmental advocates ever since the first person in space. | ||
Yuri Gagarin, upon his return as the first human in space, marveled at the planet from orbit in 1961. “''People of the world, let us safeguard and enhance this beauty — not destroy it'',” . A half-century later, ex-NASA astronaut José Hernández said that the view aboard the Space Shuttle Discovery in 2009 turned him into “''an instant treehugger''.” On Christmas Eve 1968, the NASA astronauts Frank Borman, Jim Lovell and William Anders were aboard Apollo 8, the first manned mission to orbit the Moon. They had spent most of the day photographing the Moon’s surface, when Borman turned the spaceship around, and Earth came into view. ‘Oh my God, look at that picture over there. Here’s the Earth coming up,’ shouted Anders. Like the astronauts themselves, the world was awestruck by the first images of the whole Earth from space, which are today widely credited with triggering the birth of the modern environmental movement. | Yuri Gagarin, upon his return as the first human in space, marveled at the planet from orbit in 1961. “''People of the world, let us safeguard and enhance this beauty — not destroy it'',” . A half-century later, ex-NASA astronaut José Hernández said that the view aboard the Space Shuttle Discovery in 2009 turned him into “''an instant treehugger''.” On Christmas Eve 1968, the NASA astronauts Frank Borman, Jim Lovell and William Anders were aboard Apollo 8, the first manned mission to orbit the Moon. They had spent most of the day photographing the Moon’s surface, when Borman turned the spaceship around, and Earth came into view. ‘Oh my God, look at that picture over there. Here’s the Earth coming up,’ shouted Anders. Like the astronauts themselves, the world was awestruck by the first images of the whole Earth from space, which are today widely credited with triggering the birth of the modern environmental movement. | ||
===Spiritual experiences=== | ===Spiritual experiences=== | ||
Whilst unproven scientifically, (it would be very difficult due to the subjective nature) spiritual experiences | Whilst unproven scientifically, (it would be very difficult due to the subjective nature) spiritual experiences have been shown to shift modes of general thought patterns. Pharmacologically the human brain has been found to produce psychedelic compounds, some believe that certain techniques may be helpful in unleashing its endogenous effect: | ||
*'''Holotropic breathing techniques'''<ref>https://maps.org/news-letters/v23n1/v23n1_24-27.pdf</ref><ref>https://www.frontiersin.org/articles/10.3389/fnhum.2018.00353/full</ref>- 30 minutes breathing in a controlled, three-beat pattern — one sharp breath into my belly, one sharp breath into my lungs, and a sigh-like exhale to release. | *'''Holotropic breathing techniques'''<ref>https://maps.org/news-letters/v23n1/v23n1_24-27.pdf</ref><ref>https://www.frontiersin.org/articles/10.3389/fnhum.2018.00353/full</ref>- 30 minutes breathing in a controlled, three-beat pattern — one sharp breath into my belly, one sharp breath into my lungs, and a sigh-like exhale to release. | ||