Ugo Cerletti

Ugo Cerletti (26 September 1877 – 25 July 1963) was an Italian neurologist who discovered the method of electroconvulsive therapy (ECT) used in psychiatry.

[3] He studied with the most eminent neurologists of his time, first in Paris, France, with Pierre Marie and Dupré, then in Munich, Germany, with Emil Kraepelin (the "father" of modern scientific psychiatry) and Alois Alzheimer (the discoverer of the most common form of senile dementia, which today bears his name); and in Heidelberg, with Franz Nissl, a neuropathologist.

This approach was based on Nobel winner Julius Wagner-Jauregg's research on the use of malaria-induced convulsions to treat some nervous and mental disorders, such as the general paresis of the insane, caused by neural syphilis, as well as on Ladislas J. Meduna's theory that schizophrenia and epilepsy were antagonistic.

[8] Cerletti came to the use of electroshock for therapeutic purposes in humans by way of many experiments with animals on the neuropathological consequences of repeated epileptic seizures.

[10] Cerletti first used ECT in a human patient, a diagnosed schizophrenic with delusions, hallucinations and confusion, in April 1938, in collaboration with Lucio Bini.

This experiment indicated that electric shock treatment may hold potential to improve the condition of patients diagnosed with specific diseases.

Thereafter, in the succeeding years, Cerletti and his coworkers experimented with thousands of electroshocks in hundreds of animals and patients, and were able to determine its usefulness and safety in clinical practice, with several indications, such as in acute schizophrenia, manic-depressive illness, major depression episodes, etc.

[11] As a result of his experiments, which took him from the psychiatric hospital to the abattoir and the zoologic gardens, Cerletti developed a theory that ECT caused the brain to produce vitalising substances, which he called "agro-agonines" (from the Greek for extreme struggle).

In his long activity as a psychiatrist and neurologist, Cerletti published 113 original papers, about the pathology of senile plaques in Alzheimer's disease, on the structure of neuroglia, the blood–brain barrier, syphilis, etc.

Away from his medical work, Cerletti is credited with introducing the idea of white uniforms for alpine troops in order to reduce visibility during the First World War.

Cerletti's ECT machine preserved at Museo di Storia della Medicina in Rome