Surgery that removes or destroys brain tissue in an effort to change behavior

Jennifer A. Chandler,1,* Laura Y. Cabrera,2 Paresh Doshi,3 Shirley Fecteau,4,5 Joseph J. Fins,6,7 Salvador Guinjoan,8 Clement Hamani,9 Karen Herrera-Ferrá,10 C. Michael Honey,11 Judy Illes,12 Brian H. Kopell,13 Nir Lipsman,14 Patrick J. McDonald,15 Helen S. Mayberg,16 Roland Nadler,17 Bart Nuttin,18 Albino J. Oliveira-Maia,19,20 Cristian Rangel,21 Raphael Ribeiro,22 Arleen Salles,23 and Hemmings Wu24

Jennifer A. Chandler

1Faculty of Law, University of Ottawa, Ottawa, ON, Canada

Find articles by Jennifer A. Chandler

Laura Y. Cabrera

2Center for Ethics & Humanities in the Life Sciences and Dept. Translational Neuroscience, Michigan State University, East Lansing, MI, United States

Find articles by Laura Y. Cabrera

Paresh Doshi

3Department of Neurosurgery, Jaslok Hospital and Research Center, Mumbai, India

Find articles by Paresh Doshi

Shirley Fecteau

4Department of Psychiatry and Neurosciences, Faculty of Medicine, Université Laval, Quebec City, QC, Canada

5CERVO Brain Research Center, Center Intégré Universitaire en Santé et Services Sociaux de la Capitale-Nationale, Quebec City, QC, Canada

Find articles by Shirley Fecteau

Joseph J. Fins

6Weill Cornell Medical College, Consortium for the Advanced Study of Brain Injury, Weill Cornell and the Rockefeller University, New York, NY, United States

7Solomon Center for Health Law & Policy, Yale Law School, New Haven, CT, United States

Find articles by Joseph J. Fins

Salvador Guinjoan

8Laureate Institute for Brain Research, Tulsa, OK, United States

Find articles by Salvador Guinjoan

Clement Hamani

9Harquail Center for Neuromodulation, Sunnybrook Research Institute, Division of Neurosurgery, Sunnybrook Health Sciences Center, University of Toronto, Toronto, ON, Canada

Find articles by Clement Hamani

Karen Herrera-Ferrá

10Asociación Mexicana de Neuroética, Mexico City, Mexico

Find articles by Karen Herrera-Ferrá

C. Michael Honey

11Section of Neurosurgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada

Find articles by C. Michael Honey

Judy Illes

12Neuroethics Canada, Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada

Find articles by Judy Illes

Brian H. Kopell

13Departments of Neurosurgery, Neurology, Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Find articles by Brian H. Kopell

Nir Lipsman

14Division of Neurosurgery, Harquail Center for Neuromodulation, Sunnybrook Health Sciences Center, University of Toronto, Toronto, ON, Canada

Find articles by Nir Lipsman

Patrick J. McDonald

15Division of Neurosurgery, Faculty of Medicine, BC Children's Hospital, University of British Columbia, Head, Vancouver, BC, Canada

Find articles by Patrick J. McDonald

Helen S. Mayberg

16Departments of Neurology, Neurosurgery, Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Find articles by Helen S. Mayberg

Roland Nadler

17Peter A. Allard School of Law, University of British Columbia, Vancouver, BC, Canada

Find articles by Roland Nadler

Bart Nuttin

18Neurosurgeon, Katholieke Universiteit (KU) Leuven, Universitair Ziekenhuis (UZ) Leuven, Leuven, Belgium

Find articles by Bart Nuttin

Albino J. Oliveira-Maia

19Champalimaud Research and Clinical Center, Champalimaud Center for the Unknown, Lisbon, Portugal

20NOVA Medical School, NMS, Universidade Nova De Lisboa, Lisbon, Portugal

Find articles by Albino J. Oliveira-Maia

Cristian Rangel

21Department of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

Find articles by Cristian Rangel

Raphael Ribeiro

22Faculty of Law, University of Ottawa, Ottawa, ON, Canada

Find articles by Raphael Ribeiro

Arleen Salles

23Center for Research Ethics and Bioethics, Uppsala University, Uppsala, Sweden

Find articles by Arleen Salles

Hemmings Wu

24Department of Neurosurgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

Find articles by Hemmings Wu

Disclaimer

1Faculty of Law, University of Ottawa, Ottawa, ON, Canada

2Center for Ethics & Humanities in the Life Sciences and Dept. Translational Neuroscience, Michigan State University, East Lansing, MI, United States

3Department of Neurosurgery, Jaslok Hospital and Research Center, Mumbai, India

4Department of Psychiatry and Neurosciences, Faculty of Medicine, Université Laval, Quebec City, QC, Canada

5CERVO Brain Research Center, Center Intégré Universitaire en Santé et Services Sociaux de la Capitale-Nationale, Quebec City, QC, Canada

6Weill Cornell Medical College, Consortium for the Advanced Study of Brain Injury, Weill Cornell and the Rockefeller University, New York, NY, United States

7Solomon Center for Health Law & Policy, Yale Law School, New Haven, CT, United States

8Laureate Institute for Brain Research, Tulsa, OK, United States

9Harquail Center for Neuromodulation, Sunnybrook Research Institute, Division of Neurosurgery, Sunnybrook Health Sciences Center, University of Toronto, Toronto, ON, Canada

10Asociación Mexicana de Neuroética, Mexico City, Mexico

11Section of Neurosurgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada

12Neuroethics Canada, Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada

13Departments of Neurosurgery, Neurology, Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States

14Division of Neurosurgery, Harquail Center for Neuromodulation, Sunnybrook Health Sciences Center, University of Toronto, Toronto, ON, Canada

15Division of Neurosurgery, Faculty of Medicine, BC Children's Hospital, University of British Columbia, Head, Vancouver, BC, Canada

16Departments of Neurology, Neurosurgery, Psychiatry and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States

17Peter A. Allard School of Law, University of British Columbia, Vancouver, BC, Canada

18Neurosurgeon, Katholieke Universiteit (KU) Leuven, Universitair Ziekenhuis (UZ) Leuven, Leuven, Belgium

19Champalimaud Research and Clinical Center, Champalimaud Center for the Unknown, Lisbon, Portugal

20NOVA Medical School, NMS, Universidade Nova De Lisboa, Lisbon, Portugal

21Department of Innovation in Medical Education, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada

22Faculty of Law, University of Ottawa, Ottawa, ON, Canada

23Center for Research Ethics and Bioethics, Uppsala University, Uppsala, Sweden

24Department of Neurosurgery, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China

Edited by: James J. Giordano, Georgetown University, United States

Reviewed by: Joaquim Pereira Brasil-Neto, Unieuro, Brazil; Amer M. Burhan, Ontario Shores Center for Mental Health Sciences, Canada

*Correspondence: Jennifer A. Chandler ac.awattou@reldnahc

This article was submitted to Brain Imaging and Stimulation, a section of the journal Frontiers in Human Neuroscience

Received 2020 Jul 28; Accepted 2020 Nov 30.

Copyright © 2021 Chandler, Cabrera, Doshi, Fecteau, Fins, Guinjoan, Hamani, Herrera-Ferrá, Honey, Illes, Kopell, Lipsman, McDonald, Mayberg, Nadler, Nuttin, Oliveira-Maia, Rangel, Ribeiro, Salles and Wu.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Abstract

Neurosurgery for psychiatric disorders in the people's republic of china- responsibilities of international societies

What is surgery that removes or destroys tissue in an effort to change behavior?

The World Health Organization (WHO) defines the field of psychosurgery as “the selective surgical removal or destruction of nerve pathways for the purposes of influencing behavior.” Simply put, psychosurgery is brain surgery performed to treat psychiatric disorders.

Why is psychosurgery controversial?

From the time of the first operation in the 1930s until today, psychosurgery has been a controversial treatment. The use of psychiatric surgery has been overshadowed by doubts about its usefulness, inadequate reporting of outcomes, and ethical questions.

When is psychosurgery used in modern times quizlet?

It can be used to treat mental illnesses such as OCD, bipolar disorder, depression, and schizophrenia (to a lesser extent). Psychosurgery can be seen as effective due to research which has shown its high success rates.

How does EMDR eye movement and desensitization therapy fare under scientific scrutiny?

How do alternative therapies fare under scientific scrutiny? Controlled research has not supported the claims of eye movement and desensitization (EMDR) therapy. Light exposure therapy does seem to relieve the symptoms of seasonal affective disorder (SAD).