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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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[Deep brain stimulation in psychiatry: ethical aspects].

Ulf J Müller1, Bernhard Bogerts1, Jürgen Voges2

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Deep brain stimulation (DBS) is an effective treatment for neurological and psychiatric conditions. This review examines ethical concerns and critiques regarding DBS in psychiatry, questioning the neurobiological basis of these disorders.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Medical Ethics

Context:

  • Deep brain stimulation (DBS) is an established treatment for neurological disorders.
  • The application of DBS has expanded to psychiatric conditions.
  • Ethical considerations are paramount in the clinical use of DBS.

Purpose:

  • To review the history and ethical concerns of DBS in psychiatry.
  • To analyze ethical issues related to clinical trial design and patient selection.
  • To discuss concerns regarding informed consent and personality changes.

Summary:

  • This review covers the historical use of DBS in psychiatry.
  • It details ethical challenges including trial design, patient selection, and informed consent.
  • Potential impacts on personality and the questioning of neurobiological origins of psychiatric disorders are highlighted.

Impact:

  • Provides a comprehensive overview of ethical considerations for DBS in psychiatric applications.
  • Informs clinicians and researchers about potential risks and societal concerns.
  • Contributes to the ongoing debate on the neurobiological underpinnings of psychiatric diseases.