A lot of my days are spent thinking about this...
Personality disorder, formerly referred to as a Characterological disorder is a class of mental illness characterized by rigid and on-going patterns of thought and action. The underlying belief systems informing these patterns are referred to as fixed fantasies. The inflexibility and pervasiveness of these behavioral patterns often cause serious personal and social difficulties, as well as a general impairment of functioning.
Personality disorders are defined by the American Psychiatric Association as "an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the culture of the individual who exhibits it". [1] These patterns, as noted, are inflexible and pervasive across many situations, due in large part to the fact that such behavior is ego-syntonic (i.e., the patterns are consistent with the ego integrity of the individual), and therefore, perceived to be appropriate by that individual. The onset of these patterns of behavior can typically be traced back to the beginning of adulthood, and, in rare instances, early adolescence
Electroconvulsive therapy (ECT), also known as electroshock, is a controversial psychiatric treatment in which seizures are induced with electricity. Today, ECT is most often used as a treatment for severe major depression which has not responded to other treatment, and is also occasionally used in the treatment of mania, catatonia, schizophrenia and other disorders. It first gained widespread use as a form of treatment in the 1940s and 50s; today, an estimated 1 million people worldwide receive ECT every year,[1] usually in a course of 6-12 treatments administered 2 or 3 times a week. Electroconvulsive therapy can differ in its application in three ways; electrode placement, length of time that the stimulus is given, and the property of the stimulus. ECT has been shown clinically to be the most effective treatment for severe depression. For at least half of the patients, benefits are short-lived. After treatment, drug therapy can be continued, and some patients receive continuation/maintenance ECT. Side-effects include amnesia, which may be persistent in a minority of patients, and confusion, which usually clears within hours of treatment. It is widely accepted that ECT does not cause brain damage. Informed consent is a standard of modern electroconvulsive therapy; involuntary treatment is uncommon and is typically only used when the use of ECT is considered potentially life saving.
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