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This chapter describes pseudoscience and questionable ideas related to psychosis and the schizophrenia spectrum. The chapter opens by discussing diagnostic confusion and questionable assessment practices such as projective tests. The chapter also considers myths that influence treatment. Dubious treatments include homeopathy, psychoanalysis, vitamin therapy, lobotomy, insulin coma therapy, and exorcism. The chapter closes by reviewing research-supported approaches.
Psychosurgery refers to the surgical interruption of the white matter fibres joining the frontal cortex to the remainder of the cortical mantle and to the thalamus, in an attempt to mitigate the manifestations of psychosis. It reached its heyday following World War Two and was abandoned with the introduction of major tranquilisers such as chlorpromazine. Wilder Penfield, unlike most of his contemporaries, had a jaundiced view of psychosurgery. This paper addresses Penfield’s early experience with experimental, penetrating brain trauma and with the surgical resection of frontal, epileptogenic lesions, which explain his antagonism towards psychosurgery.
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