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June 1946

O tratamento cirurgico das doencas mentais.

Arch NeurPsych. 1946;55(6):687. doi:10.1001/archneurpsyc.1946.02300170135014

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A further report on psychosurgery has long been awaited from Portugal, where this procedure was first developed. The present volume, however, is a distinct disappointment. It details only a dozen cases, in some of which the patient was followed for only a brief period, although recoveries of seven and eight years are described in the case reports. The arguments in relation to mechanism are presented in incomplete fashion, and a good deal of the book consists in a rehashing of observations and opinions already found in the literature. The bibliography is incomplete and contains numerous errors. The preface by Egas Moniz deals largely with the theories of Pavlov and their application to psychiatry, particularly as related to breaking up of the anatomic mechanisms underlying conditioned responses through prefrontal leukotomy. The author admits that, unfortunately, it has been impossible in Portugal to apply the operation on a large scale to sufferers