Abstract

To Editor.— The article by Rendell et al, Fatal Compulsive Water Drinking (240:2557, 1978), is intriguing. The authors describe two cases in detail, and it appears that both patients had severe affective components to their psychiatric illness or had an affective psychosis that endangered their lives and led to their deaths. If this assumption is correct, electroshock therapy should have been used in treatment and might have saved their lives. Kalinowsky and Hippius 1 state that electrotherapy is treatment of choice for affective psychosis. In their Comprehensive Textbook of Psychiatry , Freedman and Kaplan 2 state: the effect of electrotherapy in depression is one of most spectacular treatments in medicine.

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