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During the 1960s and 1970s psychosurgery became the subject of increasing public concern and debate, culminating in the US with congressional hearings.
Surprisingly, the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research in 1977 endorsed the continued limited use of psychosurgical procedures.
In this new, regulated era, a few facilities in some countries, such as the US, continue to use psychosurgery on small numbers of patients, with the number of operations declining further over the 30 years, a period during which there have been no major advances in ablative psychosurgery.

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