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The Lower Quadrant Leucotomy

Published online by Cambridge University Press:  08 February 2018

F. T. Thorpe  and
James Hardman
F. T. Thorpe
Affiliation:
Middlewood Hospital, Sheffield
James Hardman
Affiliation:
Middlewood Hospital, Sheffield
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Extract

In recent years efforts have been made to analyse the part played by the frontal lobes in the integration of personality. The pioneer work of Bianchi (1922) based on pathological lesions in human subjects, and on experimental bilateral ablations in monkeys, dogs and foxes, still appears to be as true to-day as when originally enunciated. Sherrington (1901) also described the changes following destruction of the frontal lobes. It was noted that such animals lost the power to learn and to enjoy themselves. They had no curiosity, but became restless, hyperactive and easily distracted. Brickner (1936) studied over many years a patient with bilateral frontal lobectomy who showed a diminished ability to synthesize abstract thoughts. Goldstein (1941) found that patients with frontal lobe damage lose their power for abstract thought and this is replaced by concrete behaviour, as shown by object grouping tests and their use of words. Similarly Penfield and Hebb (1940), in a case of extensive lobectomy for an infiltrating oligodendroglioma in an intelligent housewife, described a lack of ability for complex planning, such as is necessary for preparing a meal of several courses. Jefferson (1937) was unable to find any deficiency in cases of unilateral lobectomy. Rylander (1939), on the contrary, after lobectomy for tumours was able to detect changes similar to those found by Goldstein, and in cases with frontal lobe injury he found a lack of social sense. These patients were embarrassingly outspoken, and sometimes showed excessive activity or fatigue. Hebb (1945) concluded that studies on pathological lesions of the frontal lobes were not very helpful, owing to the lack of precision of the lesions due to the uncertain extent of the pathology.

Type
Part I.—Original Articles
Information
Journal of Mental Science , Volume 98 , Issue 412 , July 1952 , pp. 389 - 400
Copyright
Copyright © Royal College of Psychiatrists, 1952 

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References

Bianchi, L., The Mechanism of the Brain and the Function of the Frontal Lobes, 1922. Trans. by MacDonald, J. H. Edinburgh: Livingstone.Google Scholar
Brickner, R. M., The Intellectual Functions of the Frontal Lobes, 1936. New York: Macmillan.Google Scholar
Crown, S., J. Ment. Sci., 1951, 97, 49.Google Scholar
Dax, E. C., and Radley-Smith, E. J., Proc. Roy. Soc. Med., 1946, 39, 443.Google Scholar
Egan, G., J. Ment. Sci., 1949, 95, 115.CrossRefGoogle Scholar
Freeman, W., and Watts, J., Psychosurgery, 1950, 2nd ed. Springfield, Ill.Google Scholar
Fulton, J. F., Sherrington Lecture, September, 1951.Google Scholar
Garmany, G., J. Ment. Sci., 1948, 94, 428.Google Scholar
Goldstein, K., and Scheerer, S. M., “Abstract and Concrete Behaviour : an Experimental Study with Special Tests,” Psych. Monog., 1941, 53, No. 2.Google Scholar
Greenblatt, M., et al., Studies in Lobotomy, 1951. Harvard.Google Scholar
Hebb, D. O., and Penfield, W., Arch. Neur. Psychiat., Chicago, 1940, 44, 421.CrossRefGoogle Scholar
Hofstatter, L., et al., ibid., 1945, 53, 125.Google Scholar
Idem, Postgrad. Med., 1948, 3, 179.Google Scholar
Jefferson, G., Brit. Med. J., 1937, ii, 199.Google Scholar
Lashley, K. S., Brain Mechanisms and Intelligence, 1929. Chicago: University of Chicago Press.Google Scholar
Mackay, G. W., J. Ment. Sci., 1948, 94, 834.Google Scholar
McKissock, W., ibid., 1943, 89, 194.Google Scholar
McLardy, T., and Meyer, A., ibid., 1949, 95, 182 and 403.Google Scholar
Partridge, M., Prefrontal Leucotomy, 1950. Oxford.Google Scholar
Reitman, F., Am. J. Psychiat., 1946, 103, 238.Google Scholar
Idem, ibid., 1948, 105, 86.Google Scholar
Rylander, G., Personality Changes after Operation on the Frontal Lobes, 1939.Google Scholar
Sherrington, C., Manual of Medicine , 1901. Edit. by Allchin, . “Diseases of the Nervous System.”Google Scholar
Stengel, E., J. Ment. Sci., 1950, 96, 633.Google Scholar
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