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Psychosurgery: A historical overview
Author(s): Feldman RP, Goodrich JT
Source: NEUROSURGERY    Volume: 48    Issue: 3    Pages: 647-657    Published: MAR 2001  
Times Cited: 30     References: 80     
Abstract: NEUROSURGICAL TREATMENT FOR psychiatric disorders has a long and controversial history. From the Stone Age use of trephining to release the demons of the spirit to the millimeter accuracy of stereotactic instruments currently used in the operating room, psychosurgery has enjoyed enthusiastic support as well as experiencing scorn. Today, psychosurgery is a minimally invasive and highly selective treatment that is performed for only a few patients with severe, treatment-refractory, affective, anxiety, or obsessive-compulsive disorders. Recent advances in technology and functional neuroanatomic techniques, as well as economic pressures to decrease the costs of caring for chronically ill patients, may provide an opportunity for psychosurgery to become a more attractive option for the treatment of psychiatric diseases. In this historical overview, the rise and fall of psychosurgery are described. A better understanding of the colorful history of this interesting topic should enable modern neurosurgeons and other health care professionals to meet the social, ethical, and technical challenges that are sore to lie ahead.
Document Type: Article
Language: English
Reprint Address: Feldman, RP (reprint author), Montefiore Med Ctr, Dept Neurol Surg, 111 E 210th St, Bronx, NY 10467 USA
Addresses:
1. Yeshiva Univ, Albert Einstein Coll Med, Dept Neurol Surg, New York, NY 10033 USA
Publisher: LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
Subject Category: Clinical Neurology; Surgery
IDS Number: 408AH
ISSN: 0148-396X
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