1. Elektrisch evenwicht: Een geschiedenis van diepe hersenstimulatie bij psychiatrische stoornissen (1860-2020)
- Author
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van der Linden, Maxim Anne and van der Linden, Maxim Anne
- Abstract
This history of deep brain stimulation in psychiatric disorders describes how the idea, technology and scientific and clinical application of deep brain stimulation developed, from the first research with brain electrodes around 1860 to modern therapeutic deep brain stimulation. From 1860, brain researchers knew how to relate specific cortical brain areas to certain (sensory and motor) functions with increasing precision through ablation and electrical stimulation, and neurosurgeons explored the first diagnostic possibilities of cortical electrical stimulation. Between the 1920s and 1950s, backed by unprecedented philanthropic investment, particularly from the Rockefeller Foundation, a scientific psychiatric approach developed in which biological, psychological and social aspects were considered important. From this holistic perspective combined with psychoanalytic insights, doctors and researchers in the 1930s and 1940s tried to understand and improve two important new somatic treatments of the 1930s - electroconvulsive therapy and psychosurgery. From 1948, the first experiments with deep brain stimulation in psychiatric patients took place in the United States. Deep brain stimulation managed to develop into its own experimental field with the support of the American government, but the clinical experiments did not yield unambiguous results. The psychoanalytic interpretation of patients' experiences during stimulation also proved to be difficult. Despite these problems, all stakeholders and institutions believed that deep brain stimulation was a promising therapy. In the 1950s during the Cold War, deep brain stimulation in the United States contributed to the fear of (massive) mind control and behavioural manipulation of civilians. Doctors and researchers had found several brain regions in the midbrain in particular that they could use to influence behaviour of their laboratory animals through deep brain stimulation. In the 1970s, the anti-psychiatric movement stro
- Published
- 2023