And yet large scale abuse keeps happening. We have regular huge scandals of psychiatrists abusing their power on a large scale. This makes your message that it doesn't also happen everywhere on a smaller scale, a very tough message:
There's indeed nothing dubious about ECT: it creates temporary behavior changes ... and permanent cognitive impairment. There is no real argument about this. If you're a psychiatrist, can you quickly remind me of "the first duty" ?
The problem is not even that it doesn't work. Like aversion therapy it works. In the same sense that a bullet to the head is very effective against back pain. You're causing a MUCH bigger problem than you're curing.
Here's the links with psychiatrists getting caught at large scale abuse, mostly for money, with sex a second reason, and it seems sometimes literally just for ego. From selling children to brothels and paedophiles to directly pimping out "patients" in the local prostitution scene. All done by psychiatrists, social workers, psychiatric nurses and "child protection":
https://www.france24.com/en/20190627-italy-arrests-18-allege...
https://nltimes.nl/2019/06/17/victim-sexual-abuse-youth-care...
https://sci-hub.tw/10.1257/aer.97.5.1583 It turns out NOT treating seriously kids with "serious" psychological problems has ... better outcomes than treating them.
https://en.wikipedia.org/wiki/Rotherham_child_sexual_exploit...
https://www.bbc.co.uk/news/resources/idt-sh/norways_hidden_s...
http://www.childpact.org/wp-content/uploads/2014/04/Reform_s...
It goes on and on and on. EVERYWHERE. US. Netherlands. Italy. Japan. China. Australia.
I mean how bad does it need to be before one can reasonably say "abolish the whole thing". At mimimum there need to be strong guarantees tying the hands of psychiatrists and social workers, and making sure the enforcement of patient rights reaches deep into every institution and all social work facilities.