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Psicocirurgia [Psychosurgery]
Lopes de Sousa-Muñoz, Rilva Dantas Fernandes Júnior, Ezemir Guedes Pereira Neto, Normando Bastos Rocha, Artur
Lopes de Sousa-Muñoz, Rilva
Dantas Fernandes Júnior, Ezemir
Guedes Pereira Neto, Normando
Bastos Rocha, Artur
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n12-8_psico_Part_1.pdf
Adobe PDF, 112.43 KB
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"A realização de psicocirurgias ainda é cercada de questões éticas, sobretudo com o recente desenvolvimento da neuroética. O objetivo deste trabalho é apresentar uma revisão sobre a psicocirurgia considerando aspectos bioéticos de sua evolução ao longo da história. Empregou-se a técnica da revisão integrativa de literatura. Foi realizado um levantamento de artigos científicos indexados em bancos de dados da Medline, Scielo e Lilacs, com os descritores em inglês (e correspondentes em português e espanhol): psychosurgery and neuroethics, damage and psychosurgery, functional neurosurgery for psychiatric disorders, lobotomy and outcomes, patient outcomes and psychosurgery e psychosurgery and history of medicine. Entre 1942 e 1954 realizaram-se mais de 28.000 psicocirurgias na Inglaterra e nos Estados Unidos (EUA), porém,surgiram de discordâncias éticas. Por isso foi criado, nos EUA, o Comitê Nacional para a Proteção de Seres Humanos de Pesquisa Biomédica e Comportamental. O campo da neurocirurgia para transtornos psiquiátricos se desenvolveu, sendo preciso estabelecer com precisão as suas indicações. No Brasil, a psicocirurgia é regulada pelo Conselho Federal de Medicina e,recentemente,a Associação Brasileira de Psiquiatria estabeleceu diretrizes para a sua realização. É necessária uma norma de conduta ética, de alcance global, para ensaios de neurocirurgia em psiquiatria" ["Performing psychosurgery is still surrounded by ethical issues, especially with the recent development of neuroethics. The aim of this study was to present a review on psychosurgery, taking into consideration the bioethical aspects of its evolution over the course of history. The technique of integrative review of the literature was used. A survey was conducted through searching for scientific articles indexed in the Medline, Scielo and Lilacs databases, with the following English-language descriptors (and their equivalents in Portuguese and Spanish): psychosurgery and neuroethics; damage and psychosurgery; functional neurosurgery for psychiatric disorders; lobotomy and outcomes; patient outcomes and psychosurgery; and psychosurgery and history of medicine. Between 1942 and 1954, more than 28,000 psychosurgical procedures were performed in England and the United States, but disagreements arose regarding ethics. Thus, in the United States, the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research was created. The field of neurosurgery for psychiatric disorders has developed, and there is a need to establish precise indications for this. In Brazil, psychosurgery is dealt with by the Federal Medical Council and, recently, the Brazilian Association of Psychiatry established guidelines for performing this. Standards for ethical conduct in neurosurgical trials within psychiatry, applied worldwide, are needed"]
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2012
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With permission of the license/copyright holder