Posted by lukeds on November 18, 2006, at 2:56:54
In reply to Re: About psychosurgery. I received this from MGH., posted by notfred on November 17, 2006, at 14:48:40
Psychosurgery is legally practiced in controlled and regulated U.S. centers, or in Finland, Sweden, United Kingdom, Spain, India, Belgium and Netherlands. In France, 32 psychosurgical operations were made between 1980 and 1986 according to an IGAS report; about 15 each year in the UK, 70 in Belgium, and about 15 for the Massachusetts General Hospital of Boston.
In Spain only one Psychosurgeon makes suregeries of this kind, Dr. Burzaco, in this Hospital:
http://www.mutuaterrassa.es/castella/index.htm
And after your psychiatrist referrals you to the psychosurgeon then you must fulfill the follow points:
Approaches of the patients' selection.
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Inclusion approaches:
Diagnose of certain Obsessive-compulsive Dysfunction, with diagnostic operative (CIE-10 or DSM-IV) approaches. (I fullfil it)
Duration of the superior illness to 5 years. (13 years of illness)
The dysfunction causes a subjective suffering to the patient that values as invalidating. (Of course)
The dysfunction causes an objetivable reduction in the family, social or labor life that is valued as invalidating. (I almost can't exit home)
Failure of the therapeutic previous intents, or, serious intolerance of the secondary effects of the treatments. Valued according to approaches of therapeutic sufficiency. (I will see it in the next 8 weeks)
Presence of a wrong diagnose, if he is not carried out the intervention. (I think I fulfill it)
The patient accepts and he gives the informed consent. (Of course)
The patient accepts to participate in the program evaluation post surgery. (Yep)
The patient accepts to participate in the post surgery program of rehabilitation. (Yep)
The psychiatrist that remits the patient accepts his responsibility in the post surgery and long term handling of the patient's following. (Let's see)
Exclusion approaches:
Inferior age to 20 years or superior to 65 years. (I am 31)
Presence of prescribe-surgical cerebral pathology. (p.e. he/she atrophies cerebral). (No)
He suffers a pathology it prescribes that it can complicate the treatment, or the execution capacity and pursuit of the same one substantially, or to unchain adverse serious effects. (I am not sure but I think that not)
He suffers of a psychiatric bigger pathology (p.e.: of the Axis I the DSM-IV) that can complicate the treatment, or the execution capacity and pursuit of the treatment substantially, or to unchain adverse serious effects, just as: A C.I. under; Organic cerebral Psycho syndrome; Alcoholism; Abuse of substances, etc. (Never)
Presence of associate dysfunctions of personality and that they can be valued as relative Contraindications according to approach of the Committee. Especially:
A) Personality Disorders of the Group A:
Paranoid personality disorder. (CIE-10: F60.0) (DSM-IV: 301.0) (No)
B) Personality Disorders of the Group B:
Antisocial personality disorder. (CIE-10: F60.2) (DSM-IV: 301.7) (This is not Social Anxiety is another disorder)
Borderline personality disorder. (CIE-10: F60.31) (DSM-IV: 301.83) (No I have agoraphobia and social anxiety not this)
Histrionic personality disorder. (CIE-10: F60.4) (DSM-IV: 301.50) (No)
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Greetings. lukeds.
poster:lukeds
thread:704406
URL: http://www.dr-bob.org/babble/20061117/msgs/704780.html