Convulsive shock's usefulness in treating affective disorders is discussed. Metrazol convulsions have been the most popular method, but spinal and extremity fractures made it hazardous until preliminary curare therapy markedly softened the convulsions. A case of manic excitement is shown to illustrate the curare-metrazol therapy. Good results are usually seen after six to eight treatments. A second treatment using quinine methochloride instead of curare is shown. Methoquinine and metrazol may be administered simultaneously. Post-treatment apnea is more prolonged with curare. Advocates of electroshock therapy claim that the patient fears it less, loses consciousness instantly, and has softer convulsions. The seizure, however, is still severe and fractures occur. Preliminary curarization will prevent trauma in electro-shock therapy. Shots include: patients receiving curare, quinine methochloride, metrazol, and electro-shock; patients having strong and soft seizures; reactions to the therapies being pointed out; a nurse mixing methoquinine and metrazol; the electroshock apparatus; and an X-ray of a patient injured during a strong seizure. Shot in Omaha, Nebraska.
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