From the Madhouse to the Docu-Museum: the enigma surrounding the Cerletti-Bini ECT apparatus prototype

The first electroconvulsive therapy (ECT) device for the treatment of psychiatric disorders was introduced in 1938 by Ugo Cerletti and Lucio Bini, two neuropsychiatrists at the Clinic for Nervous and Mental Diseases, La Sapienza University (Rome). No trace of what became of this device after its use at the clinic can be found until the 1960s, when it appears in a silent black-and-white video dedicated to the university's recently rehoused and completely renovated Museum of the History of Medicine (MHM), where Cerletti's original prototype is on display today. However, there is no record of the circumstances under which the electroshock apparatus prototype was transferred from the Clinic of Neuropsychiatry to the museum. Our investigation of this intriguing mystery has uncovered a number of pertinent details that allow us to view the history of the ECT device in a new light. It also emerges that Adalberto Pazzini, the founder of the MHM, played a larger role than was previously thought in this story.