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Psychosurgery01:30

Psychosurgery

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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
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Surgery: an ideal profession.

Zelig H Lieberman1

  • 1Department of Surgery, Baylor University Medical Center, Dallas, Texas.

Proceedings (Baylor University. Medical Center)
|June 19, 2023
PubMed
Summary

Surgeons achieve fulfillment by balancing challenges with skills to reach flow. Authentic I-Thou relationships and careful I-It planning with patients are crucial for professional growth and personal satisfaction.

Area of Science:

  • Social sciences
  • Psychology
  • Medical ethics

Background:

  • Surgeons are motivated by self-fulfillment and reaching their potential.
  • The concept of 'flow' is key to achieving goals, requiring a balance between challenge and skill.
  • Interpersonal dynamics in surgery include authentic (I-Thou) and instrumental (I-It) relationships.

Purpose of the Study:

  • To explore the application of social science concepts to the surgical profession.
  • To understand how surgeons achieve self-fulfillment and professional growth.
  • To examine the role of interpersonal relationships and psychological states in surgical practice.

Main Methods:

  • Conceptual analysis drawing on social sciences.
  • Application of psychological theories (e.g., flow theory).
Keywords:
Compassioncompetenceintegrated managementmotivationphysician-patient relationshipprofessionalism

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  • Ethical framework analysis (I-Thou and I-It relationships).

    • Main Results:

    • Optimal performance and goal achievement in surgery are facilitated by achieving a state of flow.
    • Authentic, compassionate (I-Thou) interactions with patients enhance fulfillment.
    • Meticulous planning and anticipation (I-It) are essential for surgical procedures.
    • External rewards in surgery may be diminishing, making internal fulfillment paramount.

    Conclusions:

    • Surgeons can achieve personal fulfillment and professional growth by integrating psychological principles and ethical relational approaches.
    • Balancing challenging tasks with adequate skills fosters flow, leading to goal attainment and satisfaction.
    • Serving patients, through both compassionate connection and precise execution, is central to a surgeon's fulfillment.