History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra»
Most patients with mental disorders can be effectively treated with therapies such as pharmacological therapy, psychotherapy, electroconvulsive therapy. These treatments can be used individually or in combination. However, some patients either do not respond to therapy or experience severe side effe...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
2021-08-01
|
| Series: | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| Subjects: | |
| Online Access: | https://www.bekhterevreview.com/jour/article/view/557 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849693567938723840 |
|---|---|
| author | M. V. Ivanov V. V. Stanovaya T. A. Skoromets V. A. Mikhailov M. A. Akimenko |
| author_facet | M. V. Ivanov V. V. Stanovaya T. A. Skoromets V. A. Mikhailov M. A. Akimenko |
| author_sort | M. V. Ivanov |
| collection | DOAJ |
| description | Most patients with mental disorders can be effectively treated with therapies such as pharmacological therapy, psychotherapy, electroconvulsive therapy. These treatments can be used individually or in combination. However, some patients either do not respond to therapy or experience severe side effects. It is for these patients that neurosurgical procedures may be considered. Psychosurgery is considered brain surgery used to alleviate painful mental manifestations or to mitigate the course of mental illness. Psychosurgery can be talked about as a way to correct mental disorders. It should be considered as a link in the system of treatment and rehabilitation of patients with therapeutically resistant mental disorders.Despite the centuries-old history of psychosurgery, the question of the expediency of using surgical methods for the treatment of mental disorders still remains one of the intractable ones. Today, psychosurgery is a low-traumatic operation, which is associated with targeted and dosed interventions on the deep parts of the human brain. This review describes the main stages in the development of psychosurgery, the main surgical methods used to treat mental disorders, and also discusses the future probable directions of neurosurgical treatment in a psychiatric clinic. The argumentation for the use of this type of treatment in the formation of manifestations of therapeutic resistance is given. Taking into account the diametrality in assessing the feasibility of using the methods of psychosurgery, the concluding part of the article discusses the pros and cons of surgical treatment of mental disorders. |
| format | Article |
| id | doaj-art-54599d7da4354ae8b7b9469d762cca50 |
| institution | DOAJ |
| issn | 2313-7053 2713-055X |
| language | Russian |
| publishDate | 2021-08-01 |
| publisher | Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation |
| record_format | Article |
| series | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| spelling | doaj-art-54599d7da4354ae8b7b9469d762cca502025-08-20T03:20:22ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2021-08-0155282010.31363/2313-7053-2021-55-2-8-20392History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra»M. V. Ivanov0V. V. Stanovaya1T. A. Skoromets2V. A. Mikhailov3M. A. Akimenko4V.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyV.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyV.M. Bekhterev National Research Medical Center for Psychiatry and Neurology; First Saint Petersburg medical University named after I. P. Pavlov Ministry of health of the Russian FederationV.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyV.M. Bekhterev National Research Medical Center for Psychiatry and NeurologyMost patients with mental disorders can be effectively treated with therapies such as pharmacological therapy, psychotherapy, electroconvulsive therapy. These treatments can be used individually or in combination. However, some patients either do not respond to therapy or experience severe side effects. It is for these patients that neurosurgical procedures may be considered. Psychosurgery is considered brain surgery used to alleviate painful mental manifestations or to mitigate the course of mental illness. Psychosurgery can be talked about as a way to correct mental disorders. It should be considered as a link in the system of treatment and rehabilitation of patients with therapeutically resistant mental disorders.Despite the centuries-old history of psychosurgery, the question of the expediency of using surgical methods for the treatment of mental disorders still remains one of the intractable ones. Today, psychosurgery is a low-traumatic operation, which is associated with targeted and dosed interventions on the deep parts of the human brain. This review describes the main stages in the development of psychosurgery, the main surgical methods used to treat mental disorders, and also discusses the future probable directions of neurosurgical treatment in a psychiatric clinic. The argumentation for the use of this type of treatment in the formation of manifestations of therapeutic resistance is given. Taking into account the diametrality in assessing the feasibility of using the methods of psychosurgery, the concluding part of the article discusses the pros and cons of surgical treatment of mental disorders.https://www.bekhterevreview.com/jour/article/view/557history of psychosurgerycapsulotomycingulotomysubcaudate tractotomylimbic leucotomyvagus nerve stimulationdeep brain stimulation |
| spellingShingle | M. V. Ivanov V. V. Stanovaya T. A. Skoromets V. A. Mikhailov M. A. Akimenko History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra» Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева history of psychosurgery capsulotomy cingulotomy subcaudate tractotomy limbic leucotomy vagus nerve stimulation deep brain stimulation |
| title | History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra» |
| title_full | History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra» |
| title_fullStr | History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra» |
| title_full_unstemmed | History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra» |
| title_short | History and prospects of psychosurgical interventions in the treatment of mental disorders. The arguments «pro et contra» |
| title_sort | history and prospects of psychosurgical interventions in the treatment of mental disorders the arguments pro et contra |
| topic | history of psychosurgery capsulotomy cingulotomy subcaudate tractotomy limbic leucotomy vagus nerve stimulation deep brain stimulation |
| url | https://www.bekhterevreview.com/jour/article/view/557 |
| work_keys_str_mv | AT mvivanov historyandprospectsofpsychosurgicalinterventionsinthetreatmentofmentaldisorderstheargumentsproetcontra AT vvstanovaya historyandprospectsofpsychosurgicalinterventionsinthetreatmentofmentaldisorderstheargumentsproetcontra AT taskoromets historyandprospectsofpsychosurgicalinterventionsinthetreatmentofmentaldisorderstheargumentsproetcontra AT vamikhailov historyandprospectsofpsychosurgicalinterventionsinthetreatmentofmentaldisorderstheargumentsproetcontra AT maakimenko historyandprospectsofpsychosurgicalinterventionsinthetreatmentofmentaldisorderstheargumentsproetcontra |