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The notes of the presumably well meaning staff at Riverview, which had more than 4,000 patients in those days, also captured how Harold hygiene and grooming are good and how, about a year after his shock treatments ended, he a good game of badminton and is slightly more cheerful. Few empathetic phrases even show up, including about how Harold during his shock treatments. That fits with my recent discovery, via Yale University medical historian Deborah Doroshaw, that many North American staff who had earlier taken part in lithium shock therapies often ashamed.

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