this comment article reviews the literature to explore whether the use of ect for the treatment of methamphetamine dependence can be justified by scientific rationale and/or evidence . it then offers a historical review of the moral and ethical difficulties encountered in the treatment of addictive disorders . it proposes a dynamic understanding as to why clinicians might deploy such brutal actions in the face of hopeless and emotionally intense encounters . we found no scientific evidence or justification for ect as a treatment of methamphetamine dependence or as the first line treatment for methamphetamine - induced psychiatric comorbidities the current available evidence does not support using ect for the treatment of addictive disorders , and hence is unethical , unacceptable and inhumane and warrants immediate social and political attention .
objevtivethis comment article reviews the literature to explore whether the use of ect for the treatment of methamphetamine dependence can be justified by scientific rationale and/or evidence.methodthis article reviews the literature on the use of ect in addictive disorders . 
 it describes a patient with methamphetamine dependence treated with ect . 
 it then offers a historical review of the moral and ethical difficulties encountered in the treatment of addictive disorders . 
 it proposes a dynamic understanding as to why clinicians might deploy such brutal actions in the face of hopeless and emotionally intense encounters.resultswe found no scientific evidence or justification for ect as a treatment of methamphetamine dependence or as the first line treatment for methamphetamine - induced psychiatric comorbiditiesconclusionthe current available evidence does not support using ect for the treatment of addictive disorders , and hence is unethical , unacceptable and inhumane and warrants immediate social and political attention .