When most people discuss mental health treatment, they tend to focus on various forms of therapy and/or medication. In a recent New York Times article, the merits and risks of psychosurgery (directly operating on the brain) were discussed.
While doctors, patients, and mental health advocates, among others, vehemently profess either support or opposition for psychosurgery as a treatment for various mental health illnesses, it is apparent that this debate has no obvious conclusion. And whether you are for or against it (or somewhere in between), people’s livelihoods are on the line.
When I think about treating psychiatric problems by operating on the brain itself, my own brain can’t help but conjure up images of people who were lobotomized in the middle of the twentieth century and left void of emotion, often becoming mentally stagnant. While modern medicine has come a long way since the 1950’s, psychosurgery still seems so far outside most of the public’s eye. Despite this, the article points out that at least one psychosurgical technique was approved earlier this year to treat certain cases of Obsessive Compulsive Disorder. The number of people who undergo such treatment is small, and there is a strict screening process used to determine who is eligible for the surgery, giving precedent to those with the most severe cases.
While there are success stories the detail people who live completely reinvigorated lives thanks to psychosurgery, there are also tales of these surgeries resulting in disabling brain damage. Most people who undergo such procedures wind up somewhere in between these extremes, but it is important to remember that it can take the brain years to recover from such intense surgery. Also, while a brain operation may relieve a person of some of their symptoms relating to O.C.D., it may be detrimental to other aspects of their mind.
I think psychosurgical techniques are full of potential, but prudence should still outweigh hasty decisions to physically reconfigure one’s brain. There is still so much that doctors don’t know about how the brain will react to certain brain operations, and while the there have been remarkable results that showcase its great potential, the risk of brain damage is still very real. That being said, like any other surgery, patients should have the right to learn about the possible procedure and the risks and benefits associated with it. Who am I to stop someone from an operation that might give them a new lease on life? I would just offer a word of caution.