P- Another strength of this approach is that there is neurosurgical evidence.
E- Surgical removal of areas of the brain to control aspects of behaviour was developed in the 1950s. Early attempts, such as the lobotomy (developed by Walter Freeman), were brutal and imprecise, typically involving searing connections from the frontal lobe in an attempt to control aggressive behaviour. Neurosurgery is still sparingly used today in extreme cases of obsessive compulsive disorder and depression. For example, Dougherty et al. (2002) reported on 44 OCD patients who had undergone and cingulotomy - a neurosurgical procedure that involves lesioning of the cingulate gyrus. At post-surgical follow up after 32 weeks, a third had met the criteria for successful response to the surgery and 14 percent for a partial response.
C- However, these results mean that the majority of patients didn't even have a partial success and therefore underwent surgery with no result. This suggests that a more developed understanding of the brain and relationships between areas is required.
E- Nevertheless, even the partial success of procedures like this suggests that symptoms and behaviours associated with serious mental disorders are localised.
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