At least one attachment therapy web site has argued that Saddam Hussein, Adolph Hitler, and Jeffrey Dahmer, among others, were examples of attachment disordered children who “did not get help in time,” (Thomas, ., b). These prognostications appear to fuel a sense of urgency about these children and have been invoked by some attachment therapists to justify application of aggressive and unconventional treatment techniques (Hage, . (b)). However, it is critical to note that there is no empirical scientific support for the idea that children with attachment problems grow up to become psychopaths or otherwise prey on society.

...If the child is well-behaved outside the home, it is conceptualized as successful manipulation of outsiders, rather than as evidence of a problem in the current home or current parent-child relationship (Thomas, .). Proponents of this viewpoint may describe the presenting problem as a healthy family with a sick child. This perspective may appeal to some. As Barth, et al. (in press) have noted, “attachment therapies may be attractive because by locating the blame for the child’s current difficulties with prior carers, they appear to relieve adoptive and foster parents of the responsibility to change aspects of their own behavior and aspirations.”

If steps are taken to decrease potential risks, ECT is generally accepted to be relatively safe during all trimesters of pregnancy, particularly when compared to pharmacological treatments. [10] [50] Suggested preparation for ECT during pregnancy includes a pelvic examination , discontinuation of nonessential anticholinergic medication, uterine tocodynamometry, intravenous hydration, and administration of a nonparticulate antacid . During ECT, elevation of the pregnant woman's right hip, external fetal cardiac monitoring, intubation , and avoidance of excessive hyperventilation are recommended. [10] In many instances of active mood disorder during pregnancy, the risks of untreated symptoms may outweigh the risks of ECT. Potential complications of ECT during pregnancy can be minimized by madifications in technique. The use of ECT during pregnancy requires thorough evaluation of the patient’s capacity for informed consent. [51]


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