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Psychosurgery: description and outcome study of a regional service

Published online by Cambridge University Press:  02 January 2018

R. P. Snaith ,
E. Dove ,
J. Marlowe ,
S. Pemberton ,
D. J. Price ,
S. Rawson ,
J. F. Wright ,
A. Butler ,
A. K. Coughlan  and
M. Hird
...Show all authors
A. Butler
Affiliation:
Mental Health Social Work, University of Leeds
A. K. Coughlan
Affiliation:
St James's and Seacroft Trust Leeds
P. Trigwell
Affiliation:
Leeds Regional Training Scheme, Leeds Community by and Mental Health Services
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Abstract

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The report indicates that a psychosurgery service can be established on a regional basis. The outcome study of the Yorkshire Regional Psychosurgery Service indicates that the treatment should retain a place in the treatment of patients who have failed to respond to other available approaches. For such patients (and their carers) life is a state of persisting torment. Some psychiatrists consider psychosurgery as a procedure not to be countenanced, or outmoded, but patients have a right to know what may be achieved by the treatment and at what cost in terms of possible failure to improve and adverse effects. An audit of the Regional Psychosurgery Service indicates a favourable result of the Intervention. All patients improved to some extent, some very remarkably, and no adverse effects were encountered.

Type
Audit
Information
Psychiatric Bulletin , Volume 21 , Issue 2 , February 1997 , pp. 105 - 109
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1997 The Royal College of Psychiatrists

Footnotes

1

The videotape demonstration is available from: P. Wiehl, Media Resource Officer, Postgraduate Medical Centre, Pinderfields Hospitals Trust, Aberford Road, Wakefield WF1 4DG (for further details telephone: 01924 212517).

2

Full information on psychometric tests, their results and their references available on request (send A4 stamped addressed envelope to RPS).

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Menial Disorders (3rd edn revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Åsberg, M., Montgomery, S. A., Perris, C., et al (1978) A Comprehensive Psychopathological Rating Scale (CPRS). Acta Psychiatrica Scandinavica, Suppl. 271, 5–9.Google Scholar
Baer, L., Rauch, S. L., Ballantine, T., et al (1995) Cingulotomy for intractable obsessive-compulsive disorder. Archives of General Psychiatry, 52, 384–392.Google Scholar
Benton, A. L. & Hamsher, K. de S. (1978) The Multilingual Aphasia Examination (Revised Manual). Iowa City: University of Iowa.Google Scholar
Coughlan, A. K. & Hollows, S. E. (1985) The Adult Memory and Information Processing Battery, A. K. Coughlan: Leeds.Google Scholar
Davies, A. (1968) The influence of age on Trail Making test performance. Journal of Clinical Psychology, 24, 96–98.Google Scholar
Hay, P., Sachdev, P., Cumming, S., et al (1993) Treatment of obsessive–compulsive disorder by psychosurgery. Acta Psychiatrica Scandinavica, 87, 197–207.Google Scholar
Mindus, P. & Jenike, M. A. (1992) Neurosurgical treatment of malignant obsessive–compulsive disorder. Psychiatric Clinics of North America, 15, 921–938.Google Scholar
Nelson, H. E. & Willison, J. R. (1991) The National Adult Reading Test Part II. Windsor: NFER-Nelson Publishing.Google Scholar
Rappaport, Z. H. (1992) Psychosurgery in the modern era: therapeutic and ethical aspects. Medicine and Law, 11, 449–453.Google Scholar
Shallice, T. & Evans, M. (1978) The involvement of the frontal lobes in cognitive estimation. Cortex, 14, 294–303.Google Scholar
Snaith, R. P., Price, D. J. E. & Wright, J. F. (1984) Psychiatrists' attitudes to psychosurgery. British Journal of Psychiatry, 144, 293–298.CrossRefGoogle ScholarPubMed
Spielberger, C. D. (1983) Manual for the State-Trait Anxiety Inventory STAI (Form Y). California: Consulting Psychologists Press.Google Scholar
Trenerry, M. R., Crosson, B., Deboe, J., et al (1989) Stroop Neuropsychological Screening Test Odessa, Florida: Psychological Assessment Resources Inc.Google Scholar
Warrington, E. K. (1984) Recognition Memory Test Windsor: NFER-Nelson Publishing.Google Scholar
Wechsler, D. (1986) The Wechsler Adult Intelligence Scale – Revised: UK Edition. Sidcup: The Psychological Corporation Ltd.Google Scholar
Zigmond, A. & Snaith, R. P. (1984) The Hospital Anxiety and Depression Scale. Windsor NFER-Nelson Publishing. Psychosurgery Service Team Google Scholar
* Snaith, R. P., Senior Lecturer and Honorary Consultant Psychiatrist St James's University Hospital Leeds LS9 7TF; Dove, E., Nurse specialist (psychosurgery); Marlow, J., Charge Nurse; Pemberton, S., Principal Occupational Therapist, Leeds Community and Mental Health Services; Price, D. J. E., Consultant Neurosurgeon, Pinderfields Hospital Wakefield: Rawson, S., Principal Psychiatric Social Worker; and Wright, J. F., Consultant Clinical Psychologist, Leeds Community and Mental Health Services. Google Scholar
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