History Of Psychosurgery
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History Of Psychosurgery
Psychosurgery, also called neurosurgery for mental disorder or functional neurosurgery, is surgery in which brain tissue is destroyed with the aim of alleviating the symptoms of mental disorder. It was first used in modern times by Gottlieb Burckhardt in 1891, but only in a few isolated instances, not becoming more widely used until the 1930s following the work of Portuguese neurologist António Egas Moniz. The 1940s was the decade when psychosurgery was most popular, largely due to the efforts of American neurologist Walter Freeman; its use has been declining since then. Freeman's particular form of psychosurgery, the lobotomy, was last used in the 1970s, but other forms of psychosurgery, such as the cingulotomy and capsulotomy have survived. Early history Trepanning, the practice of drilling holes in the skull, was performed from prehistoric times to the early Middle Ages and then again during the Renaissance. There is speculation that some of these operations were carried out on ...
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Psychosurgery
Psychosurgery, also called neurosurgery for mental disorder (NMD), is the neurosurgical treatment of mental disorder. Psychosurgery has always been a controversial medical field. The modern history of psychosurgery begins in the 1880s under the Swiss psychiatrist Gottlieb Burckhardt. The first significant foray into psychosurgery in the 20th century was conducted by the Portuguese neurologist Egas Moniz who during the mid-1930s developed the operation known as leucotomy. The practice was enthusiastically taken up in the United States by the neuropsychiatrist Walter Freeman and the neurosurgeon James W. Watts who devised what became the standard prefrontal procedure and named their operative technique lobotomy, although the operation was called leucotomy in the United Kingdom. In spite of the award of the Nobel prize to Moniz in 1949, the use of psychosurgery declined during the 1950s. By the 1970s the standard Freeman-Watts type of operation was very rare, but other forms of ...
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Winfred Overholser
Winfred Overholser (1892 – October 6, 1964) was an American psychiatrist, president of the American Psychiatric Association, and for 25 years the superintendent of St. Elizabeths Hospital, a federal institution for the mentally ill in Washington, D.C. Born in Worcester, Massachusetts, in 1892, Winfred Overholser graduated from Harvard College in 1912 and received a medical degree from Boston University in 1916.''New York Times''"Dr. Winfred Overholser Dies; Developed Psychiatric Centers," October 7, 1964 accessed February 16, 2012 He was Commissioner of the Massachusetts Department of Mental Diseases and worked with the National Committee for Mental Hygiene in New York. In 1940, he and his colleague Harry Stack Sullivan, as members of the American Psychiatric Association's Committee on Military Mobilization, formulated guidelines for the psychological screening of inductees to the United States military. He campaigned for recognition of alcoholism as a mental disease, calling ...
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Peter Breggin
Peter Roger Breggin (born May 11, 1936) is an American psychiatrist and critic of shock treatment and psychiatric medication and Covid-19 response. In his books, he advocates replacing psychiatry's use of drugs and electroconvulsive therapy with psychotherapy, education, empathy, love, and broader human services. Breggin is the author of many books critical of psychiatric medication, including ''Toxic Psychiatry'', ''Talking Back to Prozac'' and ''Talking Back to Ritalin.'' His most recent book, ''Brain-Disabling Treatments in Psychiatry'', discusses his theory of medication spellbinding (in which patients are said to do worse after treatment but fail to see this or recognize why), the adverse effects of drugs and electroconvulsive therapy (ECT), the hazards of diagnosing and medicating children, Breggin's theory of a "psychopharmaceutical complex", and guidelines for psychotherapy and counseling. Breggin's latest book is ''Covid-19 and the Global Predators: We are the Prey'' whi ...
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Deep Brain Stimulation
Deep brain stimulation (DBS) is a neurosurgical procedure involving the placement of a medical device called a neurostimulator, which sends electrical impulses, through implanted electrodes, to specific targets in the brain (the brain nucleus) for the treatment of movement disorders, including Parkinson's disease, essential tremor, dystonia, and other conditions such as obsessive-compulsive disorder (OCD) and epilepsy. While its underlying principles and mechanisms are not fully understood, DBS directly changes brain activity in a controlled manner. DBS has been approved by the Food and Drug Administration as a treatment for essential tremor and Parkinson's disease (PD) since 1997. DBS was approved for dystonia in 2003, obsessive–compulsive disorder (OCD) in 2009, and epilepsy in 2018. DBS has been studied in clinical trials as a potential treatment for chronic pain for various affective disorders, including major depression. It is one of few neurosurgical procedures that ...
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Subcaudate Tractotomy
Psychosurgery is a surgical operation that destroys brain tissue in order to alleviate the symptoms of mental disorder. The lesions are usually, but not always, made in the frontal lobes. Tissue may be destroyed by cutting, burning, freezing, electric current or radiation. The first systematic attempt at psychosurgery is commonly attributed to the Swiss psychiatrist Gottlieb Burckhardt who operated on six patients in 1888. In 1889 Thomas Claye Shaw reported mental improvement in a case of General Paralysis of the Insane after a neurosurgical intervention. This led to a lively debate in the ''British Medical Journal'' on the usefulness of neurosurgery for the treatment of insanity. In the 1930s the Portuguese neurologist Egas Moniz developed a surgical technique for the treatment of mental illness and called it "leucotomy" or "psychosurgery".Z Kotowicz 2005 Gottlieb Burckhardt and Egas Moniz – Two Beginnings of Psychosurgery. ''Gesnerus'' 62: 77–101. Moniz' technique was adapte ...
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Herbert Olivecrona
Axel Herbert Olivecrona (July 11, 1891 – January 1980) was a Swedish professor and brain surgeon, credited with founding the field of Swedish neurosurgery, and pioneering developments in modern neurosurgery. Family, early life and education Herbert Olivecrona was born July 11, 1891 in Visby, Sweden, the son of Axel Olivecrona, a district court judge, and Countess Ebba Cristina Mörner af Morlanda. His brother Karl Olivecrona was a noted Swedish legal scholar, and his son Gustaf Olivecrona a Swedish writer and journalist. In his youth, he was playing elite bandy. He was part of the IFK Uppsala bandy team which in 1912 played a draw in the final against Djurgårdens IF and shared the Swedish championship that year. Originally attending school in Uppsala, he began studying medicine at the University of Uppsala in 1909, then transferring to Karolinska Institutet, where he was an assistant in Pathology. He graduated in 1918. Medical career In 1919, Olivecrona received a fel ...
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Erik Essen-Möller
Erik Essen-Möller (February 4, 1901 – November 12, 1992) was a Swedish psychiatrist who served as Professor of Psychiatry at the University of Lund. He was one of the pioneers of research in the field of psychiatric genetics, along with Ernst Rüdin in Munich, Germany, Franz Kallmann in New York City, New York, United States, and Eliot Slater in London, England. Irving Gottesman Irving Isadore Gottesman (December 29, 1930 – June 29, 2016) was an American professor of psychology who devoted most of his career to the study of the genetics of schizophrenia. He wrote 17 books and more than 290 other publications, mostly ... described him as one of the "founding fathers of modern, scientific psychiatric genetics". References Further reading * Swedish psychiatrists Swedish geneticists Psychiatric geneticists Academic staff of Lund University 1901 births 1992 deaths 20th-century Swedish zoologists {{Sweden-academic-bio-stub ...
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Nobel Prize In Physiology Or Medicine
The Nobel Prize in Physiology or Medicine is awarded yearly by the Nobel Assembly at the Karolinska Institute for outstanding discoveries in physiology or medicine. The Nobel Prize is not a single prize, but five separate prizes that, according to Alfred Nobel's 1895 will, are awarded "to those who, during the preceding year, have conferred the greatest benefit to humankind". Nobel Prizes are awarded in the fields of Physics, Chemistry, Physiology or Medicine, Literature, and Peace. The Nobel Prize is presented annually on the anniversary of Alfred Nobel's death, 10 December. As of 2022, 114 Nobel Prizes in Physiology or Medicine have been awarded to 226 laureates, 214 men and 12 women. The first one was awarded in 1901 to the German physiologist, Emil von Behring, for his work on serum therapy and the development of a vaccine against diphtheria. The first woman to receive the Nobel Prize in Physiology or Medicine, Gerty Cori, received it in 1947 for her role in elucidati ...
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Stereotactic Device
Stereotactic surgery is a minimally invasive form of surgical intervention that makes use of a three-dimensional coordinate system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS), etc. In theory, any organ system inside the body can be subjected to stereotactic surgery. However, difficulties in setting up a reliable frame of reference (such as bone landmarks, which bear a constant spatial relation to soft tissues) mean that its applications have been, traditionally and until recently, limited to brain surgery. Besides the brain, biopsy and surgery of the breast are done routinely to locate, sample (biopsy), and remove tissue. Plain X-ray images (radiographic mammography), computed tomography, and magnetic resonance imaging can be used to guide the procedure. Another accepted form of "stereotactic" is "stereotaxic". The word roots are '' stereo-'', a prefix deriv ...
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Hugh Cairns (surgeon)
Sir Hugh William Bell Cairns KBE FRCS (26 June 1896 – 18 July 1952) was an Australian neurosurgeon. For most of his life he lived in England. His concern about despatch rider injuries sparked research which led to increased use of motorcycle helmets. After one of his patients died, who was Lawrence of Arabia, he studied the positive effect the use of motorbike helmets had on reducing the severity of head injuries. Early years and education Hugh Cairns was born in Port Pirie, South Australia, but spent his early childhood in Riverton, South Australia where he received all of his primary school education. He went to Adelaide for his secondary education at Adelaide High School and tertiary education at the University of Adelaide. He was awarded the 1917 South Australian Rhodes Scholarship and went to the University of Oxford to read Medicine. He was president of the Balliol Boat Club and represented Oxford as bow in the Boat Race of 1920. Career Cairns worked as a neurosurgeon a ...
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William Beecher Scoville
William Beecher Scoville (January 13, 1906 – February 25, 1984) was an American neurosurgeon at Hartford Hospital in Hartford, Connecticut. Scoville established the Department of Neurosurgery at Connecticut's Hartford Hospital in 1939. He performed surgery on Henry Gustav Molaison in 1953 to relieve epilepsy that damaged the hippocampus of both the right and left temporal lobes of Molaison's brain and left him with a memory disorder. Biography Scoville was born in Philadelphia, Pennsylvania, on January 13, 1906. Although he had a strong interest in automobiles throughout his life, his father pushed William toward a career in medicine. After completing his undergraduate degree at Yale (B.A., 1928), he attended and graduated from the University of Pennsylvania School of Medicine in 1932. In 1941, he became board certified in neurosurgery. Also, in 1941 he started the first neurosurgical residency training program in Connecticut. In 1953 Scoville offered Henry Gustav Molaison, ...
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Electroconvulsive Therapy
Electroconvulsive therapy (ECT) is a psychiatry, psychiatric treatment where a generalized seizure (without muscular convulsions) is electrically induced to manage refractory mental disorders.Rudorfer, MV, Henry, ME, Sackeim, HA (2003)"Electroconvulsive therapy". In A Tasman, J Kay, JA Lieberman (eds) ''Psychiatry, Second Edition''. Chichester: John Wiley & Sons Ltd, 1865–1901. Typically, 70 to 120 volts are applied externally to the patient's head, resulting in approximately 800 amperes, milliamperes of direct current passing between the electrodes, for a duration of 100 milliseconds to 6 seconds, either from temple to temple (bilateral ECT) or from front to back of one side of the head (unilateral ECT). However, only about 1% of the electrical current crosses the bony skull into the brain because skull Electrical impedance, impedance is about 100 times higher than skin Electrical impedance, impedance. The ECT procedure was first conducted in 1938 by Italian psychiatrist Ugo C ...
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