Psychosurgery; present indications and future prospects

Although the advent and widespread use of ataractic drugs has more or less eclipsed lobotomy as a method of dealing with severe psychotic states, variations and adaptations of the operation still can be used with benefit in certain pretty well defined circumstances."Chemical lobotomy" and regressive electroshock bring about alterations in behavior superficially resembling those of lobotomy, but without the changes in personality that are the object of lobotomy. These desirable changes consist in increased extraversion, decreased preoccupation with self and decreased sensitivity to the opinions of others. With restricted operations, undesirable changes-the "frontal lobe syndrome"-do not occur. OPERATIVE FAILURES ARE DUE TO THREE MAIN CAUSES: (a) Preoperative emotional deterioration; (b) progress of the underlying disease; (c) relapse, possibly due to inadequate operation. Lobotomy is advisable if the patient does not show sustained improvement after a year of active treatment by other indicated means. The operation often represents the turning point in effective treatment. After the first year of ineffective treatment valuable time is being lost, with danger of fixation and deterioration. Then it is safer to operate than to wait. The future of psychosurgery lies in prompt application, in favorable patients, of selective operations that will reverse the trend of illness. There is particular need for further exploration of the temporal lobes in the hope of finding some procedure that will suppress hallucinations. Some 90 per cent of patients remaining in hospitals after psychosurgery are experiencing hallucinations. If these phenomena can be eliminated without producing serious personality defects, another large field for the application of psychosurgery will be opened.     

The comparative distribution and population dynamics in Trinidad of Sceliphron fistularium (Dahlbom) and S. asiaticum (L.) (Hymenoptera: Sphecidae)

Two sphecid wasps, Sceliphron asiaticum (L.) and S. fistularium (Dahlbom), which build mud nests and capture spider prey, had overlapping but distinctly different distributions in Trinidad. Sceliphron asiaticum was associated with drier (<2000 mm mean annual precipitation) and less forested areas. The analysis of existing data on these species revealed a similar differential distribution throughout the neotropics. Based on the dissection of their old nests collected at 42 sites in Trinidad, retrospective life tables were constructed and estimates of fecundity made. Sceliphron asiaticum tended to form denser nesting associations and, while most of the common parasitoids were shared, had overall higher developmental mortality. Although such mortality was density-dependent in both species, where the two wasps nested together mortality from Melittobia (Eulophidae, Chalcidoidea) was higher in S. asiaticum . Both species were protarrhenotokous and had similar field fecundities (7–8/♀), but the rate of oviposition may be greater in S. asiaticum since far less mud was used in the construction of its cells. Both species had >50° mortality of the females between emergence and starting to nest. The regulation of numbers of these wasps in relation to that of S. assimile (Dahlbom) in Jamaica is discussed.     

Fluctuating asymmetry in bank vole populations (Rodentia, Arvicolinae) reflects stress caused by landscape fragmentation in the Mont-Saint-Michel Bay

In intensively farmed, reclaimed areas (polders) of Mont-St-Michel Bay, France, bank voles ( Clethrionomys glareolus ) live in fragmented hedgerows, where populations are small and dispersal rates and genetic diversity are low. These small populations are likely to have been exposed to potential environmental and/or genetic stress. The sensitivity of development to stress can be measured by fluctuating asymmetry (FA). FA was calculated for three samples from a disturbed area and one sample from an adjacent, more connected and undisturbed landscape. Size FA was estimated from 16 measurements of the skull and teeth whilst shape asymmetry was estimated from the skull alone. Bank voles in fragmented hedgerows of the disturbed area had a higher degree of FA than bank voles from the more extensive and more connected hedges of the undisturbed area. These results were confirmed by the study of shape asymmetry, body mass and centroid size of the skull. There were no differences in FA between the three disturbed area samples. We conclude that FA does not reveal differences in the development of bank voles living in isolation under different local conditions in the various parts of the disturbed area. However, FA may allow differentiation between populations from greatly contrasting landscapes.  © 2003 The Linnean Society of London, Biological Journal of the Linnean Society , 2003, 80, 37–44.