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Psychosurgery and personality disorders.

P Cosyns1

  • 1University of Antwerp (UIA), Department of Psychiatry, Wilrijk, Belgium.

Acta Neurochirurgica. Supplementum
|January 1, 1988
PubMed
Summary

Defining personality disorders and their pathological variants is complex. Psychosurgery is not indicated for personality disorders and may even be contraindicated, despite potential neurobiological effects.

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Area of Science:

  • Psychiatry
  • Neuroscience

Background:

  • Defining personality and its pathological variants is challenging.
  • Personality comprises temperament and character.
  • Personality disorders are classified using the DSM III-R (Diagnostic and Statistical Manual of Mental Disorders).

Purpose of the Study:

  • To explore the complex interaction between psychosurgery and personality.
  • To clarify the role of personality disorders in psychosurgery indications and contraindications.
  • To discuss hypothetical neurobiological foundations of psychosurgery's effects.

Main Methods:

  • Review of the concept of personality and its pathological variants.
  • Discussion of personality disorders based on DSM III-R criteria.
  • Analysis of the relationship between psychosurgery and personality disorders.

Main Results:

  • The presence of a personality disorder alone is not an indication for psychosurgery.
  • Personality disorders can sometimes be a contraindication for psychosurgery.
  • Psychosurgery can alter fundamental psychic dysfunctions.

Conclusions:

  • Psychosurgery indications require careful consideration beyond personality disorder diagnosis.
  • Further research into the neurobiological underpinnings of psychosurgery is needed.
  • The interaction between psychosurgery and personality is multifaceted and requires nuanced understanding.

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