Psychology 1000 Lecture Notes - Lobotomy, Phenelzine, Diazepam
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PSYCH 1000 Full Course Notes
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Treatment of emotional or behavioral problems through psychological techniques. Typically used in conjunction with some form of talking . Patient may be too down to talk. Brain surgery in the absence of obvious organic damage. Moniz (1935) reports a calming effect for prefrontal lobotomy. Separate pre-frontal lobes from the rest of the brain. Cingulectomy: cut cingulum bundle, (fibers connecting prefrontal lobes to limbic system, few side-effects (can influence strategy choice, seems effective for obsessive-compulsive disorder, should be used only as a last resort, never on patient who cannot consent, irreversible. Von meduna (early 1900s: patients with epileptic seizures improved after attack. Cerletty (1937) uses electricity rather than drugs to induce seizure. Brief (less than 1 second) electrical current applied to head. Wild firing of neurons results in seizure and convulsions. Today, patients are anesthetized and partially paralyzed prior to treatment: eliminates convulsion. Right hemisphere only: less damage to verbal memory. 3 to 12 sessions over several weeks.