The Lobotomy Was SO Much Worse Than You Think
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Rosemary Kennedy was a bright young
woman. Once she could read and write,
she would play with her siblings and
keep a diary. She engaged in social
events, traveled the world, and took
part in public life. Not without
difficulty. She'd been born with an
intellectual disability, and everyday
things were harder for her than for
other people. But she was otherwise a
regular, healthy woman, and above all,
she was happy.
But all of that changed after the
operation. Once out from under the
knife, Rosemary could no longer talk
intelligently. She struggled to walk.
She was incontinent. She was left with
the mental capacity of a young child,
and she needed around the clock care.
She was institutionalized shortly after
and so would spend the rest of her life
more than six decades in hospitals and
special schools. Her father never
visited her again. Her mother didn't for
20 years. You might have assumed this
was the result of some terrible accident
like from a harsh fall or perhaps a
major medical event like a stroke or
perhaps the operation was botched. But
it wasn't. Doctors did it on purpose and
called it progress. But we know it today
by a different name entirely,
the labbotomy.
And Rosemary wasn't the only one. Once
lorded as a breakthrough in mental
health medicine and neurology, tens of
thousands of labbotoies were performed
on people in the United States alone.
People celebrated it so much that the
man who pioneered it would receive a
Nobel Prize. So, how did it come to
this? How were thousands of people
irreversibly changed by a practice seen
as compassionate and scientific? Why did
it seem like a reasonable solution at
the time? And was it ever as black and
white as history remembers it? This is
the story of the labbotomy. how it
spread, who it hurt, and what it reveals
about medicine, mental health,
authority, and desperation.
Now, to understand how the labbotomy
came to dominate mental health
procedures for decades, we need to
understand some historical context of
the time during which it was developed.
And to do that, we need to go back to
the early 20th century. At this time,
new mental health conditions were being
officially medically categorized. Due to
the horrors of the First World War,
psychiatry and psychology was given a
new purpose as soldiers came back with
so-called war neurosis, resulting from
the stress and trauma of fighting the
most industrialized campaign ever
fought. Soldiers had been stood in soggy
trenches for four years, watching their
friends get blown to bits and shot to
pieces, resulting in severe
psychological conditions like
post-traumatic stress disorder, what
they called shell shock at the time.
Others suffered from brain injuries from
bullets and shrapnel that fundamentally
changed people's personalities or left
them permanently disabled. At the same
time, other conditions were gaining
mainstream attention in the medical
world, like schizophrenia for the very
first time, ushering in questions about
how to help those with such conditions.
Many in the Western world agreed that
mental health care was becoming an
increasingly important part of medicine
and that some of these people were
seriously unwell and needed looking
after. And this is how the asylum system
came to be. facilities that could hold
mentally unwell people for treatment.
But those treatment options were
limited. To put it nicely, psychiatry at
the beginning of the 20th century was
helpless in comparison to the modern
methods and medicines that we have
today. The asylums quickly became
overcrowded with patients, and drugs
like anti-depressants, antiscychotics,
and mood stabilizers just hadn't widely
been rolled out yet. If people were a
danger to themselves or others and they
were prone to violent outbursts, then
the only options at the time were pretty
barbaric. Straight jackets and other
restraints were common. Isolation,
electric shock therapy, insulin coma
therapy, and chemical shock therapy were
all heavily utilized in an attempt to
try and curtail people's conditions.
They were just unwell people but often
treated more like animals. Believe it or
not, asylums were seen as the kindest
option at the time. If people were
dangerous through no fault of their own,
say through mental illness, then they
couldn't simply be put in the workhouse
or in prisons like they had been before.
And so asylums were supposed to be
society's answer to keep both them and
the general public safer. But in
practice, this was of course rife for
abuse. Some psychiatrists were all too
eager to claim success for unproven
experimental treatments like some of the
ones we mentioned. But the asylums
quickly became full as people were
turfed inside for all kinds of reasons.
And there was pressure from above to see
them emptied. But mental health issues
were often seen as incurable and
degenerative because the science was
just so underdeveloped. The result was
asylons and hospitals buckling under the
sheer number of patients. In 1946, for
example, in the United States, nearly 1/
half of all public hospital beds were
devoted to what they called the mentally
ill. So, not only were psychiatrists
coming up with new experimental and
often harmful treatments, but there was
also a massive incentive from the system
to double down on these treatments. At
the time, there was this belief that
mental health issues were a result of
physical neurological problems that
could be solved or cured. Like with
other physical injuries, if you can cure
a faulty heart or lungs with surgery,
why not the brain? Of course, brain
surgery was a very new and highly
experimental idea at the time. Could
anyone pull it off and find the solution
to these problems?
Well, as it turns out, one man could.
But you're not going to like the answer
that he came up with. Meet highly
respected Portuguese neurologist Egazmon
Mones. Highly experienced in his field,
he was at a neurology conference in
London in 1935 when he first came up
with an idea for an experimental new
kind of psychosurgery. And in 1936, he
published his first report on what he
believed was a procedure that could
seriously alleviate the mental harm
people were facing. And here we actually
need to stop and talk about a few
different kinds of psychosurgical
procedures as well as medical theories
at the time that would inform the
process that monies would develop. Now
whilst neurology and brain surgery were
relatively new in terms of their
sophistication in medicine, some things
about the brain were known. For
instance, it was widely understood that
the frontal lobe was important for
emotional regulation. And it was also
known that damage to the frontal lobe
sustained by people wasn't always
immediately fatal like with other parts
of the brain. Even by the 1930s, the
famous story of Fineas Gage was
wellknown. He was a railway worker who
had a railway spike launched at high
speeds through his head and frontal
lobe. He survived, but his personality
was forever changed afterwards. So it
was understood that if there was
anywhere in the brain you were going to
cut a few sinapses out of, it should
probably be at the frontal lobe for the
lowest chance of death. Now, as we said,
this front part of the brain is really
important for emotional regulation, but
also things like reasoning, speech, and
executive functions like impulse
control, voluntary muscle movements,
social understanding, and even recalling
information. Moners didn't know much
about the frontal lobe at the time.
Nobody did. His theory around mental
illness was wrong but internally
logical. He believed that mental illness
was a physical issue caused by fixed
pathological circuits in the brain. That
literal physical white matter connected
together caused certain unhealthy
psychological loops, thoughts and
behaviors. If you could sever those
physical connections, then it should
stop the psychological loop of thoughts
that Mones believed contributed to
insanity, obsession, and compulsion.
This, according to Monise, could be
effective for agitated states, anxiety,
depression, and things like OCD as well.
What Manise was advocating for was a
procedure called a lucottomy. A
lucottomy's aim was to surgically cut
white matter connections in the frontal
lobe. The procedure would involve small
holes being drilled into the skull. Then
a lucatome, which is a surgical tool
with a wire loop on the end, would be
inserted to destroy the targeted brain
tissue. This differed from a lobectomy,
which is a really uncommon treatment
that included removing a portion or all
of the frontal lobe or any lobe on any
part of the body for that matter. John
Fton, a professor at Yale University,
experimented on chimps with lobectomies
to study effects on their behavior after
watching frontal lobe injury victims
during World War I. And it would be his
work on chimpanzees that would inspire
Mones at that 1935 London conference. A
labbotomy as we know it today wouldn't
come around until later. And whilst it's
described as a specific procedure later
on, it started out as more of a kind of
catch all term for psychosurgical
procedures performed on the frontal
lobe. Mones wasn't ignorant to the idea
of his lucottomy potentially being able
to fundamentally alter people's brains.
But the way he saw it, cutting those
connections in the frontal lobe, even
allowing for some behavioral and
personality deterioration,
outweighed the debilitating effects of
severe psychiatric illness. In other
words, the trade-off was seen as worth
it because it could help reduce the
numbers in asylums and genuinely
alleviate anguish for people, allowing
them to live relatively normal lives
with their families, even if their
faculties were slightly impaired. Now
there were issues with the lucottomy as
an idea. They were relatively limited in
scope and had to be done under general
anesthetic in a surgical setting which
made them long, timeconuming and
expensive. The procedure was seen as
somewhat controversial from the very
beginning and results were mixed. For
many lucottomies offered low
expectations of improvement among
certain mental conditions and especially
amongst those whose conditions had
deteriorated significantly. Mones
himself accepted that they would be
unlikely to benefit much from the
operation, but he considered the results
acceptable for the first and second
series of trials done on a few dozen
patients. It wasn't like the surgery had
no positive effects whatsoever.
According to Maners, of the patients in
the second group of 18 people, all
schizophrenic, three were categorized as
almost cured and another two also had
become much better. His conclusion was
that a preffrontal lucottomy is a simple
operation always safe which may prove to
be an effective surgical treatment in
certain cases of mental disorder. And
that's actually not entirely outrageous
to say. The dottomy was in theory and if
done right most of those things despite
the trade-off in a person's personality
that may result. But there's also reason
to believe that Mones's findings were
somewhat flawed. Mones almost never
performed the surgeries himself and
early trials were quite small, poorly
controlled and with no patient follow-up
to actually assess the effects that it
might have on a person over the long
term. Outcomes could also be seen as
vague and subjective where a patient
would appear calmer and less distressed
in general after the surgery. But it's
hard to know if this is because the
procedure worked as intended or just did
significant damage to make it so. In
that sense, the side effects of the
surgery could be reframed as successes.
If it left you bedbound for weeks during
recovery, then you would be calmer. It
wasn't necessarily about what was good
for the patient in total terms, but
their impact on society and their
immediate surroundings. Yes, I'm afraid
you're bedbound, but you are calmer and
easier to be around. Of course, this
sounds bad, but then it gets worse. You
see around this time an American doctor
by the name of Walter Freeman saw the
lucottomy and thought h not bad but what
if we could make this more efficient and
this is where the lobotomy officially
came to be as well as where its true
horror would also arise. Freeman pushed
for a widespread quick version of the
nuctomy which we know now today as the
labbotomy and the details of how they
were done is pretty horrifying. An
icepic like instrument would be inserted
into the patient's eye socket above the
eye before then being hammered through
the thin orbital bone to reach the
frontal lobe where the tool would be
swept left to right to sever connections
in the frontal lobe completely. This was
not the delicate white matter cutting
like Monese's lottomy, but instead a
complete mashing of the frontal lobe
from the inside, indiscriminate and
total. The transorbital lobotomy, as it
was known, already sounds like a ghastly
and barbaric procedure, but the extra
details make it even more grizzly. These
were done often outside of a sterile
operating theater, completed in mere
minutes, and were often done without a
surgeon or any anesthesia whatsoever.
All factors that differ significantly
from Monise's method. It would also be
repeated until the desired result was
reached. This allowed Freeman to mass
industrialize labbotoies across the
world because they were so quick and
cheap and easy to perform. By
comparison, he would perform assembly
line labbotoies at state mental
hospitals and asylums where
psychiatrists would identify patients
for the procedure and have them ready
for him when he arrived. On one
occasion, he labized 228 patients over
12 days for the West Virginia Labbotomy
Project. That's 19 people per day across
an 8hour day. That's faster than one
every half an hour. Hardly very long to
perform such a dangerous and complex
procedure. And to be honest, no one
knows if he even took that long. The
other scary part was the creeping scope
of the labbotomy as well. As its
popularity widened and spread across the
world from Freeman's methods, many were
subjected to it with a whole wide range
of differing conditions. At first, it
was mainly for people experiencing major
schizophrenia or a dangerous form of
psychosis that made them a threat to
themselves and others and in
considerable distress. But soon the
lobotomy would be seen as a kind of cure
all among doctors to conditions like
depression, anxiety, PTSD, ADHD, OCD,
and epilepsy. Some of you may even have
these conditions today. And if you were
alive back then, you might have found
yourself staring at Walter Freeman's
icepic a little too closely. Eventually,
labbotoies were even considered useful
procedures for people seen as having
behavioral problems like women and
children who were seen as difficult,
hysterical, or otherwise exhibited
inconvenient behaviors. In fact, later
studies would suggest that the majority
of those who were given the procedure
were women. But what actually happens to
them when a patient got a transorbital
labbotomy? What was their life like
afterwards? Well, across the board, the
results weren't good. The effects that
labbotoies had on patients were far more
expansive than Monese's lucottomy. Even
Freeman himself admitted that every
patient probably loses something by this
operation. Some spontaneity, some
sparkle, some flavor of their
personality. He also stated that the
best possible option for some patients
was to turn them into a veritable
household pet in utilizing the
procedure. British psychiatrist Maurice
Partridge, who conducted a follow-up
study of 300 patients, said that the
treatment achieved this effect by
reducing the complexity of psychic life.
But negative effects on patients were
recorded as early as the late 1930s.
Labbotoies left patients with reduced
responsiveness, self-awareness, and
self-control, which makes sense given
that these are the things regulated by
the frontal lobe. Other side effects
included disorientation, strange
behaviors, flattened emotions. Surprise,
surprise. Some suffered personality
irerasia, others incontinents, some had
seizures, some people ended up with a
childlike dependency, and some people
just died. Dr. JL Hoffman wrote in the
New England Journal of Medicine in 1949
that quote, "These patients are not only
no longer distressed by their mental
conflicts, but also seem to have little
capacity for any emotional experiences,
pleasurable or otherwise. They are
described by the nurses and the doctors
over and over as dull, apathetic,
listless, without drive or initiative,
flat, lethargic, placid and unconcerned,
childlike, dosile, needing pushing,
passive, lacking in spontaneity, without
aim or purpose, preoccupied
and dependent. In so many cases, it
effectively turned people into mindless
zombies. Were people's symptoms reduced?
Yes, but only because their very
capacity to feel such symptoms were
taken from them alongside large aspects
of their individual personalities. The
result was some ending up as
unrecognizable to those who cared for
them. In 1948, Swedish professor of
forensic psychiatry Gusta Rylander
reported that a mother said about her
daughter who underwent a lobotomy that
quote, "She is my daughter, but yet a
different person. She is with me in
body, but her soul is in some way lost.
Freeman's public demonstrations of the
labbotomy also sometimes went
disastrously wrong, including people
losing their lives during the procedure.
Stabbing an ice pick into someone's
brain and then sloshing it around is
bound to have some adverse effects. It
was inevitable with the less careful,
less surgical method that some people
would suffer and others would die.
Monese's lucottomy wasn't perfect.
But it wasn't this. And yet, asylums and
hospitals loved it. Patients became
quieter and easier to manage, which made
them cheaper to house, as well as making
it possible for patients to be cared for
safely at home. It helped empty the
asylums and hospitals. But those that
left certainly weren't the same people
who arrived for all the worse reasons.
And then you have the ethical questions
about intent, authority of medical
professionals, and desperation. In cases
where patients had families, doctors
would pressure them into going along
with a labbotomy as a last resort
because it offered them a chance of
being discharged over a lifetime of
institutionalization.
Families were often desperate to get
their members back home, and so they
reluctantly agreed, assuming that the
psychiatrists knew best. Between having
a mentally unwell and potentially
violent person at home, or seeing them
be locked away in an asylum for life,
the risk of having them turned into a
benign household pet, as per Freeman's
words, may have been the least bad
option. Let's remember there were no
good options in cases where somebody had
no advocate or next of kin. The state
then took the executive decision-making
role when a patient was deemed not to
have decision-making capacity for
themselves. This makes the question of
medical consent murky and semicoerced at
best and really not even considered at
worst. After all, it's an ethically
dubious treatment if carried out against
a patient's wishes. But this is a
difficult question in severely psychotic
patients who lack insight about their
condition. It's almost inevitable that
some people were fully conscious of the
fact that they were getting a labbotomy
against their will as it happened. And a
lot of these people weren't left happier
or healthier as a result. A few actually
were. This can't be ignored, but most
were just seen as easier to deal with,
especially in terms of schizophrenic
cases where the labbotomy was originally
believed to provide some relief. It
appeared to show very little marked
improvement for the majority of
patients. The mortality rate was between
0.8 8 and 2.5% which aren't great odds
and 10% of those who underwent
operations were known to have some
problems with epilepsy afterwards making
seizures a frightening new reality for
many. In the end over many countries
tens of thousands of patients would
undergo labbotoies and lucottomies with
varying levels of success in their
treatment. Many underwent multiple
operations. Freeman himself did
thousands. But even despite the invasive
surgery, major risks, and lack of
understanding around the long-term
consequences, the scientific community
were sufficiently impressed. In the end,
Mones was awarded the 1949 Nobel Prize
in Physiology and Medicine for his
development of the lucottomy, even if it
eventually led to Freeman's brutal
icepic variant. All of this brings us
back to Rosemary Kennedy, the woman with
whom we opened this story. She is
perhaps the most famous case of anyone
who underwent a lobotomy. She was the
daughter of Joseph Patrick Kennedy and
Rose Elizabeth Fitzgerald and she was
the older sister of the future United
States President John F. Kennedy. When
Rosemary was born at home in 1918, her
mother was told to hold her legs closed
for two extra hours as there were no
doctors available to help deliver the
baby. Hospitals were overwhelmed with
the outbreak of the Spanish flu which
left them short staffed for home visits.
This starved Rosemary's new brain of
oxygen and resulted in her developing an
intellectual disability of which there
was and still is major stigma. She
learned to walk and talk somewhat slower
than her siblings, but still grew up
managing her disability into a
well-adjusted young woman. She was happy
and healthy. She enjoyed shopping for
clothes, going to dances, and spending
time with her friends. Her mother stated
that she was quote an affectionate,
warmly responsive, and loving girl. She
was so willing to try to do her best, so
appreciative of attention and
compliments, and so hopeful of deserving
them. As Rosemary grew older though, her
care, education, and life circumstances
all got more demanding. She was sent to
several private boarding schools and
moved around a lot as a young adult,
including to the UK when her father was
the US ambassador to Britain between
1938 and 1940. Her parents tried to find
schools that offered special support for
students with intellectual challenges,
which were limited given the standards
of the time. And so Rosemary found
education understandably difficult. And
being a Kennedy, she wasn't like the
other kids. The Kennedys were a
political dynasty even back then with
social obligations to make and
appearances to keep up. The Kennedy
parents had high expectations of their
children, and as a result, the siblings
could be very competitive. This
frustrated Rosemary as she struggled
with the challenges of this very
different lifestyle that just didn't
suit her as she was unable to live up to
the accomplishments of her siblings. Not
to mention the fact that the instability
of moving around all the time likely
wouldn't have helped her settle
anywhere. Her behavior started to get
troubling after she returned home from
the UK in 1940 at the age of 22. She
suffered from convulsions and was prone
to violent outbursts which did sometimes
injure those around her. She was
expelled from a summer camp in
Massachusetts and moved around a few
more schools before being placed in a
convent school in Washington DC. Once
there, Rosemary started sneaking out at
night which alarmed the school and her
parents. The nuns were worried that she
might become sexually active which would
put her at risk of a disease or
pregnancy. Her father, on the other
hand, was more worried that her
daughter's behavior could jeopardize the
political ambitions of his other kids
through scandal. Father of the year. In
1941, at 23 years old, Joseph Kennedy
arranged for a pair of doctors to
perform a labbotomy on his daughter in
the hope of curing her. He did not
notify the rest of the family. One of
the doctors was
Walter Freeman. The other doctor was
James Watts, who'd been present through
much of Freeman's work that we've
discussed up to this point. Dr. Watts
later recalled the procedure. Quote, "We
went through the top of the head. I
think she was awake. She had a mild
tranquilizer. I made a surgical incision
in the brain through the skull. It was
near the front. It was on both sides. We
just made a small incision, no more than
an inch." As Watts operated, Freeman
asked Rosemary to do things like recite
the Lord's Prayer, sing God Bless
America, or count backwards. Watts
explained, "We made an estimate on how
far to cut based on how she responded."
When Rosemary's speech dissolved into
total incoherent gibberish, they
considered it job done. It quickly
became clear after the fact that the
operation was a disastrous failure.
Rosemary had lost most of her ability to
walk and to talk. Her personality was
permanently altered. She was left
physically disabled, incontinent, and
whilst having high functioning capacity
before, she could no longer look after
herself with something more akin to the
mind of a young child or a toddler. She
was institutionalized shortly afterwards
for the rest of her life, and the whole
story was kept under wraps until 1987.
She would ultimately recover the ability
to walk with a limp, but never regained
her ability to speak coherently. She
eventually died at the age of 86 in
2005, surrounded by her siblings. She
was reconnected with her family by then,
but let's not forget it was her parents'
actions who' taken this bright,
confident young woman who needed help
and completely erased the person she
used to be. As we said in the intro, her
mother didn't visit her for 20 years,
and her father never did, dying in 1969,
almost 30 years later. Her siblings
treated her better, especially her
younger sister, Ununice Kennedy, who
acted as Rosemary's advocate for a large
portion of her life. She even started
the Special Olympics, what we now call
the Parolympics, in her honor in 1968.
But the reality was Rosemary didn't need
to be cured. She needed help managing
her condition in a less demanding and
stressful environment. Eventually, the
labbotomy would fall out of fashion. By
the 1950s, the first antisycchotic drugs
were coming onto the market that
provided better outcomes than an
experimental and invasive brain surgery.
They proved to be decisive as public
criticism, personal shame from the
psychiatric field and Freeman's
dwindling public perception all slowly
spelled the end for this gruesome
procedure that robbed so many of being
able to live a semi-normal life. But
then, of course, the damage had been
done. Tens of thousands of people were
already permanently affected by the
procedure, which was, let's not forget,
completely irreversible. You can't just
stitch brain matter back on and have
people go back to the way they were
before. And that leaves a few loose ends
to tie up with the main one being Monise
who received that Nobel Prize for his
work on the dotomy.
After all, should he have received that
prize? There have been calls for the
Nobel Committee to formally withdraw his
prize after you take into account the
harm he caused both directly through the
lucottomy but also indirectly through
the later widely established
transorbital labbotomy. If anything,
Mones should have gotten the Nobel Prize
for a different medical technique he
developed entirely, agography. Mon
realized back in the 1920s that if you
injected a contrast agent containing
iodine into certain blood vessels that
supplied the brain, you could X-ray
someone's head and reveal both brain
tumors and vascular deformities. Before
this technology, there was really no way
to know exactly where a brain tumor
could be within someone's head. This
development has undoubtedly saved
countless lives in the decades since,
and it's still utilized to this day in
modern medicine via angiograms. But his
prize wasn't for that. It was for the
lucottomy. Some might argue he made a
groundbreaking step forward in neurology
that was later tainted by Freeman and
Watt's despicable practices. But others
say he created something not based in
scientific merit and rushed ahead with
his findings leading to significant
harm. But it's always not quite so cut
and dry. Statistics appeared to show
that lucottomies and even labbotoies in
some cases did help people in particular
treatment resistant cases of certain
conditions. Ultimately though the
evidence was weak, harm was
underestimated and patients simply being
seen as more compliant and dosile was
attributed as a positive even if it
actually wasn't. The procedure also
opened the door to cases of catastrophic
misuse and abuse like in the case of
Rosemary Kennedy and many others. Lots
of people had procedures performed
against their will and people trusted
the doctors because of their
professions. Ultimately, even if we're
being generous, monies being awarded the
Nobel Prize was premature until it was
possible to learn the long-term
consequences of what psychosurgery could
do for a person's quality of life, not
just for the ease of hospitals as a
cost-saving measure. As for Freeman and
Watts, they should have gone to jail for
the harm they caused and propagated
throughout the medical community. But
arguably,
all of this wasn't just for nothing,
which is the one shred of good from the
story. Not only did these procedures
eventually lead to the better
understanding of neurology that we have
today, but also the development of
safeguarding practices in medicine as
well as the creation of systems to work
out complicated questions like what
actually is capacity and consent in a
medical context. It helps us on the
journey of better understanding mental
health and hopefully puts us on the path
as a species to work out how to treat
certain psychological conditions with
greater compassion and understanding.
One could argue it's hard to judge
historical medicine by modern standards,
but this wasn't medieval plague doctors
putting leeches on people's wounds to
balance the humorus. These were people
who were being lobtomized less than a
century ago. In 100 years time, people
may well look back on the medical
practices we undertake today and think
much the same as we do of the labbotomy.
But the systems we have in place now are
designed to value change and are more
mature at putting the patients care and
quality of life first. Today, the idea
of the lobotomy in a medical context
isn't completely gone. Nowadays, heavily
regulated versions of the labbotomy do
occur like the kingulotomy and the
capsulotomy. They're only for treatment
resistant conditions that are highly
damaging to a person's life performed as
a last resort. They're done in fully
sterile surgical conditions and cut mere
millimeters of tissue at most with
overlapping layers of consent being the
cornerstone of such procedures. Less
than a dozen take place every year
across the entire world. Overall, the
story of the labbotomy is one that shows
the danger of accepting positions of
authority for authorities's sake, both
in the case of patients and doctors, but
also between doctors and those who ran
their hospitals and asylums. It shows
how medicine is often judged by the
success of the moment, and it's a
warning that we should be wary of
so-called miracle cures. Of course, it
also shows the lack of accountability
that occurs when the system fails.
Somewhat ironically, the lobotomy is now
characterized as a blunt instrument to a
societal problem that had no solution at
the time, but arguably only makes things
worse. But it is important to remember
that the lobotomy was not born out of
cruelty or laziness,
but desperation. And sadly, it was
rewarded before anyone could truly
understand the full cost it had on
individuals.
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The video details the history and impact of the lobotomy, a surgical procedure performed on the frontal lobe of the brain, initially intended to alleviate mental distress but often resulting in severe cognitive and personality changes. It begins with the story of Rosemary Kennedy, who, despite being born with an intellectual disability, lived a relatively fulfilling life until a lobotomy at age 23 left her with the mental capacity of a child and dependent on constant care. The narrative then expands to the broader context of early 20th-century mental healthcare, characterized by limited treatment options and overcrowded asylums. Dr. Egaz Moniz developed the leukotomy, a less invasive procedure involving cutting white matter connections in the frontal lobe, for which he was awarded the Nobel Prize. However, American physician Walter Freeman popularized a more brutal and efficient version, the transorbital lobotomy, often performed with an ice pick-like instrument inserted through the eye socket. This procedure became widespread, applied to a range of conditions beyond severe mental illness, and often resulted in patients becoming passive, apathetic, and losing significant aspects of their personality. The video highlights the ethical dilemmas surrounding consent, the pressure on families, and the questionable basis for the procedure's initial acceptance and reward, particularly Moniz's Nobel Prize. It concludes by noting the eventual decline of the lobotomy due to advancements in medication and increased public criticism, while acknowledging that highly regulated, minimally invasive versions still exist for extreme cases, and reflecting on the lessons learned about medical authority, patient care, and the dangers of seeking quick cures for complex societal problems.
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