This was a nationally approved treatment for schizophrenia.
People used to be injected with massive doses of insulin to induce comas and seizures. This would happen many times in a week to the patients and while they were in a coma ECT would sometimes also be used.
It is always the absence of an alternative that allows these inhumane treatments to be justified using whatever passes for evidence-based medicine at the time.
At the present time it seems the convenience and inexpensiveness of clozapine is also a significant factor to it's continued use, as well as its suppose effectiveness based upon the cardinal sins of schizophrenia as described by psychiatry.
If patient experience or as a proxy measure patient compliance with treatment was a measure of success then clozapine would be banned right now. Mental healthcare is so far from that sort of measure.
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