Monday, December 06, 2004

ADVENTURES WITH AN ICE PICK: a short history of lobotomy

As seen in this webpage

AMERICA, 1847: a highly competent and, by all accounts, pleasant manual laborer of Irish extraction named Phineas Gage is involved in rock blasting operations in mountainous terrain. In the course of one sadly uncontrolled explosion, an iron bar is picked up by the force of the blast and driven clean through the front part of his head. Phineas is sent flying, but, to everybody's surprise, he survives the removal of the protruding bar. As he recovers, however, it is observed that his personality has dramatically changed, though his memory and intelligence remain apparently unaffected. In 1868, a physician named Harlow from Boston writes about him: "His equilibrium, or balance, so to speak, between his intellectual faculties and animal propensities seems to have been destroyed. He is fitful, irreverent, indulging in the grossest profanity (which was not previously his custom), manifesting but little deference for his fellows, impatient of restraint or advice when it conflicts with his desires." The now extremely rude Phineas Gage is an object of immense medical interest, for it seems clear, from his somewhat crude experience of psychosurgery, that one can alter the social behavior of the human animal by physically interfering with the frontal lobes of the brain.

Note that His behavior only got worse. Not better.

Then we have this:

As early as 1951, even the Soviet Union, where psychiatric abuse was rife, had stopped performing the lobotomy on ideological grounds: it produced unresponsive people who were fixed and unchangeable.

Lobotomy was finally seen for what it was: not a cure, but a way of managing patients. It was just another form of restraint, a mental strait jacket nailed permanently over the brain. It did not create new people; it subtracted from the old ones. It was an act of defeat, of frustration.

The Director of the New York State Psychiatric Institute, Nolan Lewis, asked: "Is quieting a patient a cure? Perhaps all it accomplishes is to make things more convenient for those who have to nurse them ... the patients become rather childlike ... they are as dull as blazes. It disturbs me to see the number of zombies that these operations turn out ... it should be stopped."


A worth while read

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