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Volume 206 - Issue 2 - February 2015

Contents

Page 2 of 2

Correspondence

Columns

  • Authors' reply

  • Elizabeth L. Sampson
  • Published online by Cambridge University Press:
    02 January 2018, pp. 166-167
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  • Authors' reply

  • Harm-Pieter Spaans, Pascal Sienaert, Filip Bouckaert, Julia F. van den Berg, Esmée Verwijk, King H. Kho, Max L. Stek, Rob M. Kok
  • Published online by Cambridge University Press:
    02 January 2018, pp. 167-168
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  • The ‘unknown’ safety concern for aripiprazole once monthly

  • Sumit K. Gupta, Abhilove Kamboj
  • Published online by Cambridge University Press:
    02 January 2018, p. 168
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  • Authors' reply

  • W. Wolfgang Fleischhacker, Raymond Sanchez
  • Published online by Cambridge University Press:
    02 January 2018, pp. 168-169
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Columns

  • Corrections

  • Published online by Cambridge University Press:
    02 January 2018, p. 169
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Book Reviews

Columns

Other

  • Contents of Advances in Psychiatric Treatment

  • Published online by Cambridge University Press:
    16 April 2018, p. 171
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  • Contents of the American Journal of Psychiatry

  • Published online by Cambridge University Press:
    16 April 2018, p. 172
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Columns

  • Kaleidoscope

  • Derek K. Tracy, Dan W. Joyce, Sukhwinder S. Shergill
  • Published online by Cambridge University Press:
    02 January 2018, pp. 173-174
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  • Is there still a role for neurosurgery in psychiatry in 2015? Proof-of-concept work by a Korean team1 assessed a novel, minimally invasive, non-cranium-opening technique in four patients with refractory obsessive–compulsive disorder (OCD). With just local anaesthetic to the scalp, magnetic resonance-guided focused ultrasound (MRgFUS) was utilised to thermally ablate the anterior limb of the internal capsule bilaterally. Unlike many other invasive procedures, this neuroimaged technique affords real-time monitoring of lesion induction and the patient's neurological and psychological status. The treated individuals showed a gradual improvement in their OCD, with mean symptom reductions of about a third over the 6-month follow-up period, and almost immediate and sustained improvements in depressive and anxiety symptoms. No neuropsychiatric sequalae were seen in this limited sample, which certainly compares favourably with existing techniques. Psychosurgery evokes unsavoury images of the past, and it is uncertain how much will there is for such work: in an evidence-based profession, let the data lead.

  • From the Editor's desk

  • Kamaldeep Bhui
  • Published online by Cambridge University Press:
    02 January 2018, pp. 175-176
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Front matter

  • BJP volume 206 issue 2 Cover and Front matter

  • Published online by Cambridge University Press:
    21 May 2018, p. f1
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