Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-23T10:19:55.689Z Has data issue: false hasContentIssue false
  • English
  • Français

Bimedial Leucotomy in Obsessive-Compulsive Neurosis: A Controlled Serial Enquiry

Published online by Cambridge University Press:  29 January 2018

Edward Tan ,
Isaac Marks  and
Pedro Marset
Edward Tan
Affiliation:
General Hospital, Penang
Isaac Marks
Affiliation:
Institute of Psychiatry, Maudsley Hospital, London, SE5
Pedro Marset
Affiliation:
Dept. of Psychiatry, University of Valencia
Get access Rights & Permissions [Opens in a new window]

Extract

There is considerable dispute over the value of frontal leucotomy in the treatment of mental illness. Uncontrolled studies have been numerous. Many report good results (Pippard, 1955; Scoville, 1960; Sargant and Slater, 1963; Birley, 1964; Sykes and Tredgold, 1964; Post, Rees and Schurr, 1968). Some are more sceptical (Barahal, 1958). Controlled investigations have been few, and their findings unfavourable. Robin (1958) observed no difference between the outcome of 198 patients who had a standard leucotomy for functional psychosis and an equal number of carefully, but retrospectively, matched controls. In another five-year controlled follow-up study involving 183 patients in each group no significant differences in outcome, as measured by the rate of hospital discharge was found. (McKenzie and Kaczanowski, 1964.)

Type
Research Article
Information
The British Journal of Psychiatry , Volume 118 , Issue 543 , February 1971 , pp. 155 - 164
Copyright
Copyright © The Royal College of Psychiatrists, 1971 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barahal, H. S. (1958). 1,000 prefrontal lobotomies: ‘A 5 to 10 years follow-up study.’ Psychiat. Quart., 32, 653–78.Google Scholar
Birley, J. L. T. (1964). ‘Modified frontal leucotomy.' A review of 106 cases.’ Brit. J. Psychiat., 110, 211–21.CrossRefGoogle ScholarPubMed
Cooper, J. E. (1963). ‘A study of behaviour therapy in thirty psychiatric patients.’ Lancet, i, 411–5.Google Scholar
Cooper, J. E., Gelder, M. G., and Marks, I. M. (1965). ‘Results of behaviour therapy in 77 psychiatric patients.’ Brit. med. J., i, 1222–25.Google Scholar
Elithorn, A., and Beck, E. (1965). ‘Prefrontal leucotomy—a clinico-pathological report.’ Lancet, i, 23–7.Google Scholar
Falconer, M. A., and Schurr, R. P. (1959). ‘Surgical treatment of mental illness.’ In Recent Progress in Psychiatry, (ed. Fleming, and Walk, ). London, Churchill, 352–67.Google Scholar
Greenhouse, S. W., and Geisser, S. (1959). ‘On methods in the analysis of profile data.’ Psychometrika, 24, 85–112.Google Scholar
Hare, E. H. (1965). ‘Triennial Statistical Report, 1961–1963.’ Bethlem Royal and Maudsley Hospital.Google Scholar
Ingram, I. M. (1961). ‘Obsessional illness in mental hospital patients.’ J. ment. Sci., 107, 392–402.Google Scholar
Kelly, D. H. W., Walter, C. J. S., and Sargant, W. (1966). ‘Modified leucotomy assessed by forearm blood flow and other measurements.’ Brit. J. Psychiat., 112, 877–81.Google Scholar
Knight, G. (1960). ‘330 cases of restricted orbital undercutting.’ Proc. Roy. Soc. Med., 53, 728–32.Google Scholar
Levinson, F., and Meyer, V. (1965). ‘Personality changes in relation to psychiatric status following orbital cortex undercutting.’ Brit. J. Psychiat., 111, 207–18.CrossRefGoogle ScholarPubMed
Marks, I. M., and Gelder, M. G. (1965). ‘A controlled retrospective study of behaviour therapy in phobic patients.’ Brit. J. Psychiat., 111, 561–73.CrossRefGoogle ScholarPubMed
Marks, I. M., Birley, J. L. T., and Gelder, M. G. (1966). ‘Modified leucotomy in severe agoraphobia:’ a controlled serial inquiry. Brit. J. Psychiat., 112, 757–69.Google Scholar
McKenzie, K. G., and Kaczanowski, G. (1964). Prefrontal leucotomy: ‘a five-year controlled trial.’ Canad. med. Assoc. J., 91, 1193–96.Google Scholar
Pippard, J. (1955). Rostral leucotomy: ‘a report of 240 cases personally followed up after 1 $f12 to 5 years.’ J. ment. Sci., 101, 756–73.CrossRefGoogle Scholar
Pippard, J. (1962). ‘Leucotomy in Britain today.’ J. ment. Sci., 108, 249–55.CrossRefGoogle Scholar
Post, P., Rees, L. W., and Schurr, P. H. (1968). ‘An evaluation of bimedial leucotomy.’ Brit. J. Psychiat., 114, 1223–46.CrossRefGoogle ScholarPubMed
Robin, A. A. (1958). ‘A controlled study of the effects of leucotomy.’ J. Neurol. Neurosurg. Psychiat., 21, 262–9.Google Scholar
Sargant, W., and Slater, E. (1963). An Introduction to Physical Methods of Treatment in Psychiatry. 4th Edition. Edinburgh and London: E. & S. Livingstone Ltd.Google Scholar
Scoville, W. B. (1960). ‘Late results of orbital undercutting.’ Proc. Roy. Soc. Med., 53, 721–8.Google Scholar
Sykes, M. K., and Tredgold, R. F. (1964). ‘Restricted orbital undercutting.’ Brit. J. Psychiat., 110, 609–40.Google ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.