The origins of psychosurgery: Shaw, Burckhardt and Moniz

  title={The origins of psychosurgery: Shaw, Burckhardt and Moniz},
  author={Germ{\'a}n E. Berr{\'i}os},
  journal={History of Psychiatry},
  pages={061 - 81}
  • G. Berríos
  • Published 1 March 1997
  • Psychology
  • History of Psychiatry
The concepts and techniques involved in the origins of psychosurgery during the late nineteenth century are analysed, particularly in the work of Claye Shaw and Gottlieb Burckhardt. It is shown that their views and therapeutic behaviour were guided by scientific, ethical and social warrants not dissimilar from those of today. The debate that followed their work can thus be considered as a trial run to that elicited by the work of Moniz. This paper focuses on the work of Shaw, Cripps, Tuke and… 

Tables from this paper

Modern psychosurgery before Egas Moniz: a tribute to Gottlieb Burckhardt.

Although Burckhardt discontinued the project after publication of his surgical results in 1891, neurosurgeons around the world continued to investigate psychosurgery and revitalized his ideas in 1910; psychosURgery subsequently developed into a full-fledged neurosurgical specialty.

Neurosurgery for psychiatric disorders

  • P. Doshi
  • Psychology, Medicine
    Neurology India
  • 2017
Results of surgical intervention in the large group of chronically hospitalised patients with schizophrenia were disappointing in controlled studies, but controlled investigations of eYcacy in anxiety disorders were more favourable.

Gottlieb Burckhardt (1836-1907): 19th-Century Pioneer of Psychosurgery

Gottlieb Burckhardt was a 19th-century Swiss psychiatrist who introduced the psychosurgical method known as topectomy as a means to relieve the symptoms of aggression and agitation in individuals

Neurosurgery for psychiatric disorders

  • F. OvsiewD. Frim
  • Psychology, Medicine
    Journal of neurology, neurosurgery, and psychiatry
  • 1997
A network model of higher functions—more modern in conception than the localisationist/associationist model of Burckhardt's work—underlay Moniz’s theory of cerebral function in mental disorders.

‘A matter for conjecture’: leucotomy in Western Australia, 1947–70

This paper will explore the introduction of leucotomy to Western Australia in the context of wider national and international trends in psychiatry, and posit some reasons for its decline and abandonment in the 1970s.

The beginnings of modern psychiatric treatment in Europe

The aim of this paper is to reconstruct ZL’s case history from the original case notes—partly written by Meduna himself—which were recovered from the archives of the National Institute of Psychiatry and Neurology, which show that ZL repeatedly received COT between 1934 and 1937, first with camphor and then with cardiazol induction.

Psychosurgery: review of latest concepts and applications.

  • S. AydınB. Abuzayed
  • Medicine
    Journal of neurological surgery. Part A, Central European neurosurgery
  • 2013
The authors aim to review the latest concepts of the pathophysiology and the recent advancements of the surgical treatment of psychiatric diseases from a neurosurgical point of view.

Informed Consent and the History of Modern Neurosurgery 31

It was in the 1960s and 1970s, during the rights movement, and in the wake of public outrage over a number of revelations that a modern notion of informed consent began to take shape and that medical practices became subject to some external safeguards and regulations.

From prefrontal leukotomy to deep brain stimulation: the historical transformation of psychosurgery and the emergence of neuroethics.

An introduction to the field of neuroethics is provided, given its importance in any discussion about surgical therapy for psychiatric patients.

A Book Review of the Lobotomist: A Maverick Medical Genius and His Tragic Quest to Rid the World of Mental Illness by Jack El-Hai

Review of book: Jack El-Hai, The Lobotomist: A Maverick Medical Genius and His Tragic Quest to Rid the World of Mental Illness. Hoboken, NJ: J. Wiley, 2005, 362 pp. ISBN: 0470098309 (ISBN13:



The Founders of Neurology

Will Pickles was a country general practitioner of Wensleydale, who made a positive contribution to epidemiology, defining the incubation periods of infectious fevers by a method which he described as 'the short and only possible contact'.

Out of my Life and Work

THIS volume of memoirs deals with a full and varied life. Prof. Forel became a psychiatrist by profession and simultaneously was one of the leading European myrmeologists. A narrow and isolated early

Remarks on the Surgical Treatment of General Paralysis of the Insane

As the use of antiseptics has lessened the danger arising from external injury to the body, so the experiments of others on a large scale, and the own very limited experience encourage me to hope that intestinal antisepsis may similarly lessen the mortality of enteric fever.

On the Surgical Treatment of General Paralysis

W. F., a male patient, aged 29 years, was admitted into the Banstead Asylum on April 20, 1889, with well-marked symptoms of general paralysis, and it was determined to trephine over the seat of injury, with the object of relief pain, draining off some fluid, and lessening pressure.

Is General Paralysis of the Insane a Curable Disease?

It is interesting to note that after a subcutaneous inoculation the cardiac blood contained as numerous bacteria as after intravenous injection, a fact which proves that the bacteria in question can easily penetrate into the systemic circulation, even from a local focus, and probably multiply in the blood.

Insight in Clinical Psychiatry: A New Model

It is proposed that insight is a construct that needs to be considered from the perspective of the patient, of the clinician, and of their interaction, and mechanisms are suggested to explain insight structure in relation to the different ways symptoms arise.

The Surgical Treatment of Intracranial Fluid Pressure

  • J. Tuke
  • Medicine
    British medical journal
  • 1890
ascertained during life; (2) the results of surgical operative procedure were somewhat remarkable; and (3) its collation with another case in which surgical measures were adopted warrants various

Psychosurgery: A Scientific Analysis

Theoretical basis of psychosurgery, ethical implications, regulation, and Sociopolitical aspects are reviewed.

The imagery of Hieronymus Bosch.

Much of Bosch's work can be understood as the imgery of one troubled by the frightening chimeras and demons of his inner mind.

Positive and negative symptoms and Jackson. A conceptual history.

  • G. Berríos
  • Psychology
    Archives of general psychiatry
  • 1985
The old distinction between positive and negative symptoms has of late been reclaimed to describe the symptomatology of schizophrenia. The commonly held view that it originated with J. H. Jackson is