Small historical news re. lobotomies

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Just another informative article. If you're easily bored, hit your 'back' key. - Perdita
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A Filmmaker Inspired by Lobotomy - By RANDY KENNEDY, NYTimes, 4.29.2004

In the never-ending search for truly original topics in a world of cinematic recycling, Richard Ledes, a first-time director, probably deserves some kind of award.

As far as he or anyone else can determine, he has made the first full-length feature film in which the chief subject is lobotomy.

With that in mind, it may almost seem beside the point to mention that the movie, "A Hole in One," stars Meat Loaf. Or that the screenplay relies heavily on an unusual source for dramatic inspiration: the New York State Department of Mental Hygiene Annual Report of 1953. Or even that one character is based on a real neurologist, Dr. Walter Freeman, who pioneered outpatient lobotomies in the late 1940's and, before he lost his surgical privileges in the late 60's, drove around the country promoting the operation in a camper van he called the lobotomobile.

"It's hard now to believe that someone like Freeman really existed," said Mr. Ledes, 47, who has been involved for many years with performance art and experimental theater groups in Paris and New York. "And that's one of the reasons that I decided to use the historical material in a made-up story. I felt that fiction could convey the truth better than documentary."

The movie, which will have its premiere on Sunday at the TriBeCa Film Festival, is a resolutely absurdist critique of 1950's conformism that has few aspirations to appeal to a mainstream audience. The story of a small-town woman (played by Michelle Williams) who wants to have a lobotomy to deal with the emotional pain caused by her murderous gangster boyfriend (Meat Loaf), the movie sometimes feels like a combination of David Lynch, Sam Peckinpah and an old high school hygiene film. Mr. Ledes said he became interested in the subject of lobotomy after he produced a performance-art piece in the early 1990's at the American Fine Arts Gallery in SoHo, based on the records of a World War II veteran who had a psychotic breakdown after the war.

Mr. Ledes was so fascinated by the soldier's account of his treatment that he spent the next five years researching what he described as a vogue for mental health and psychosurgery that swept America in the late 1940's and early 50's. (The movie soundtrack uses original recordings of mental-health public-service radio plays made by the federal government in the 50's, including one narrated by Ralph Bellamy.)

Mr. Ledes's research led him to George Washington University, which keeps the archives of Dr. Freeman, who along with Dr. James Watts developed what was known as the transorbital lobotomy.

The procedure did away with the need to drill holes in the skull. Instead, the patient was anesthetized with electric shock, and the doctor, using a mallet, inserted an ordinary household ice pick above the patient's eyes into the frontal lobes of the brain, moving it around to destroy brain cells. The patient was often able to leave the doctor's office the same day but was never quite the same again. (At the peak of lobotomies' popularity, in the early 1950's, even as criticism mounted in the medical community, it is estimated that American doctors performed about 5,000 a year, at least some of which were elective.)

Dr. Freeman used lobotomy to treat patients suffering from anxiety, depression and many other maladies, even alcoholism, essentially turning on its head a motto often used by the singer Tom Waits, "I'd rather have a bottle in front of me than a frontal lobotomy." In the movie the character based on Dr. Freeman, played with a creepy zeal by Bill Raymond, is shown performing the procedure quite realistically. "Except I changed the real centimeter measurements," Mr. Ledes said, "so that nobody would go home and try to do it on his kid sister."

In the course of researching and writing, he said, he was constantly struck by how much stranger than fiction the truth was, and how much more depressing. Recently he returned to a huge, abandoned mental hospital, the Harlem Valley Psychiatric Centerin Dutchess County, N.Y., that he had considered using as a location for the movie. (It was eventually shot in Nova Scotia.)

Several of the strange plot ideas — for example, a mental hospital's patients caddying for its doctors on a golf course — were taken from patients' descriptions of the Harlem Valley hospital, which was mostly shut down in 1993 and whose buildings and land were recently sold to developers.

Mr. Ledes went back there in March with the movie's cinematographer, Stephen Kazmierski, to revisit the hospital's cemetery, which had inspired a scene in the film in which a character visits the grave of her brother, who had been a mental patient.

Instead of gravestones with names, however, she finds only small markers with numbers: the movie explains that the purpose was to spare mental patients' families any embarrassment. (The hospital kept a registry linking patients' names and numbers.) While it may seem like an overly dramatic device, the practice of numbering graves was widely used in many New York mental hospitals. The Harlem Valley hospital cemetery closely resembles the one in the movie, with more than 500 small, numbered concrete disks spread throughout a field. Atop a gate that leads to the cemetery, "Gate of Heaven" is spelled out on a rusty arching sign.

"Can you believe this?" Mr. Ledes asked, as Mr. Kazmierski began to shoot documentary video of the cemetery, for possible inclusion on a DVD version of the movie. "It's really so sad. Who's going to maintain this cemetery? Who's going to remember who these people are?"
 
perdita said:
If you're easily bored, hit your 'back' key. - Perdita...

I was bored a few years ago, but it wasn't easy:

"...the doctor, using a mallet, inserted an ordinary household ice pick above the patient's eyes into the frontal lobes of the brain, moving it around to destroy brain cells."

Yeesh.
 
Perdita, I recently read of 'Dr.' (and I use the term loosely) Freeman in the book The Undiscovered MInd by John Horgan. This is a rather heretical and quite good history and critique of the psychlogical sciences.

There have been lots of fun treatments for mental illness over the years.

Hydrotherapy which immersed the patient in very hot or very cold water, douching, or spraying with powerful jets.

There was the fever cure. When a psychotic became briefly lucid after contracting a severe bacterial infection, a Dr. Wagner-Juaregg decided a high fever would cure psychosis. He spent the next few decades infecting the mentally ill with malaria, tuberculosis, typhoid and such.

There was insulin-coma therapy where patients were given insulin overdoses to put them into potentially lethal comas.

There were convulsive cures, where patients were given convulsant drugs. Sleep cures where patients were render unconcious for weeks at a time. And the emetic cure where patients were made to vomit for up to an hour with a synthetic morphine derivitave

Other treatment were giving patients large doses of laxatives and removal of colons, ovaries, gonads, thyroids and other glands.

And of course there was ECT (electro-convulsive therapy) which bought on convulsions similar to epilepsy, and often caused the patients to break bones and teeth as they thrashed around.

As a former mental patient I can only be thankful I didn't live in the beginning to the middle of the last century.
 
When you think about how recently medical science became a science, you have to be grateful for what little is known about how our brains and bodies work.

Just having an infected paper cut could be fatal a century or two ago. And if it wasn't, the cure probably made some people wish they were dead.
 
Interesting read, and some interesting thoughts. Medicine has been around for centuries, but not really accurate enough until recently to do any good.

I have a first cousin who is a brain surgeon, for real. He is and always was a smart boy. We were talking a while ago at a family picnic He drove up north, and I flew.

His little car had some difficulty along the way. (Basically it overheated) So he saw the little idiot lite, but that did not concern him. Naturally he fried the engine a few hundred miles later. (Don't feel bad he is a doctor, The Brain guy no less! He can afford it.)

Here we are talking, and he is amazed at the knowledge it takes for an auto mechanic to know all the different components, and all the different makes and models.

Of course I am thinking to my self it really is not that hard. Every vehicle is different, but they all share common relations. One is the idiot lite, and I guess it don't work on idiots.

He continues to say how the human body is so much easier to comprehend. The Basics are very similar in all models. And as far as what the doctor can do is 20% hands on, and the rest is a natural healing machine that repairs it self.

Where the auto has to be fixed it does not repair it self with time. But very soon with modern advances the doctor will be 30 or 40% more effective in initial repairs dropping the death rate to less than 1/4 of what it is now.

Keep in mind part of this conversation deals with a family member (My dad). Who recently passed on because of a brain issue that could have been repaired today, but not just a few years before.

I think about what he says. Then I have to ponder the thought will one day medicine be so precise that no one will ever die? If we could repair and replace all the dammage to the human body in the minutest detail is it possible, we could out live our selves?

Now I live in a town that Barbaric butchering doctors were known for, the best treatment only but 60 years ago. In fact the term, "For whom the bell tolls." Comes from this little town. They tied a string around the supposedly dead persons hand to a bell. If they were not really dead when burried the bell rang if they moved. Also hence "Saved by the bell."

That was then, today they make sure the person is dead. LoL

Funny how it took so long for minor things to be invented just 20 years ago. Today we move at a rapid speed every day something is new and improved. Just imagine if 100 years ago they had the technology to use lasers, and computers to guide precise surgery. Where would we be today?

On one hand we would be so advanced there would be few fatalities for minor instances. On the other hand think, what if no one ever died in all those wars, diseases, and tragic occasions. Simple math calculate just how many offspring each dead person may have contributed and their children as well.

I am glad the ice pick is not the answer to mental illness any more. I do wonder sometimes, are we preserving our race or harming it with all the technology?


Phildo
 
rgraham666 said:

And of course there was ECT (electro-convulsive therapy) which bought on convulsions similar to epilepsy, and often caused the patients to break bones and teeth as they thrashed around.

As a former mental patient I can only be thankful I didn't live in the beginning to the middle of the last century.

I hate to tell you, RG, but they still use ECT. I'm pretty sure they've figured out how to strap you down so you don't break bones anymore, though. :rolleyes: A good friend of mine actually considered it last time she was in the hospital. *shudder*
 
The book makes mention of that little fact, min.

But I was running out of steam, so I just finished up my post.

According to the book 'roughly 100,000 patients in the U.S. annually and 1 million world wide' receive ECT.

And lobotomies are apparenty making a come back too.

I would almost rather Debbie Gibson made a come back. I could ignore Debbie Gibson.
 
A7inchPhildo said:
[
Now I live in a town that Barbaric butchering doctors were known for, the best treatment only but 60 years ago. In fact the term, "For whom the bell tolls." Comes from this little town. They tied a string around the supposedly dead persons hand to a bell. If they were not really dead when burried the bell rang if they moved. Also hence "Saved by the bell."

That show was lame.

Sorry - Seriously, I don't know where you live but in Savannah, Georgia on a tour of one of the old cemeteries I heard the bell story.

Apparently, the tradition of having a "wake" with the open casket surrounded by noisy family and friends, had a practical purpose: to make sure that the dead were dead before burying them.

During a cholera epidemic in Savannah, bodies were buried immediately upon being pronounced dead, in an attempt to contain the contagion. Families who could afford better than a mass grave would rig the caskets with a bell-ringing assembly. The tour guide added a macabre bit about hearing bells ringing at night.

Creepy.

But I digress.

_______

Now officially gives the thread back to the topic of mental hospitals and brains and lobotomies.
 
For what it's worth, I worked with a guy once who got ECT. It really did make an amazing difference in clearing up his psych symptoms and thought processes. But the effect slowly wore off, and within three weeks he was back to his baseline self.

One of the oldest treatments, trepanning (removing a portion of the skull) was used even in ancient times not only to treat skull fractures but "to the let the demons out." Back when psychosis was believed to be demonic possession. Ah, the good old days :p

Sabledrake
 
Oh, wow.

This is one of those really little-known things. I mean, I think it's fascinating, but that's also because I'm a sucker for a really sad story, and I relate to the mental patients, having been an issue-riddled young person. I mean, if you've ever seen Girl, Interrupted, you're familiar with how NORMAL people can sometimes be institutionalized (well, she was normal to me, at least.)

And both reading and viewing A Beautiful Mind was painful, from Nash's self-injury to the insulin-induced fog, I can't imagine what it would have been like to be him. I mean, think of how much more he could have done in the world of game theory (and general mathematics, for that matter) had he been allowed to fully USE his mind. I mean, granted, he needed treatment, but anyone could see that it wasn't worth killing his spirit for it.

And shall I even get started on One Flew Over the Cuckoo's Nest? AMAZING film and book, returning both to the themes of unnecessary institutionalization and horrifying use of the lobotomy. It's SO sad to see the mistreatment that went on in early mental institutions. Maybe I can blame them on my refusal to seek treatment for my crap. ;)
 
shereads said:
That show was lame.

Sorry - Seriously, I don't know where you live but in Savannah, Georgia on a tour of one of the old cemeteries I heard the bell story.

Apparently, the tradition of having a "wake" with the open casket surrounded by noisy family and friends, had a practical purpose: to make sure that the dead were dead before burying them.

During a cholera epidemic in Savannah, bodies were buried immediately upon being pronounced dead, in an attempt to contain the contagion. Families who could afford better than a mass grave would rig the caskets with a bell-ringing assembly. The tour guide added a macabre bit about hearing bells ringing at night.

Creepy.

But I digress.

_______

Now officially gives the thread back to the topic of mental hospitals and brains and lobotomies.

Sher,
Savana is not very far away at all, and was inflicted with the same problems at the time.

Back to the topic:
A girl once asked me, "Show me you're nuts."
So I simply waved my hand infront of my face and made inaudible noises until she left.
 
Just like BohemianEcstasy this article made me think of
"One flew ...".

It also made me remember something from the sixties. Some very enhanced hippie types drilled a hole into their forehead so they would be permanently high. Was that a selfinduced lobotomy? Does anybody know?

:confused:
 
A7inchPhildo said:
I do wonder sometimes, are we preserving our race or harming it with all the technology?


Phildo

I'm thinking of some lines from Michael Chrichton's book Prey.

They didn't know what they were doing.
This shall be the epitiaph on the headstone of the human race.
 
Black Tulip said:
Care to share? :D

Yeah, if you are going to drink in class it is required that you bring enough for everyone.

Got a headache from thinking about drilling a hole in my skull. Ouch that has got to hurt. I have heard of it, but hate to think about it.


rgr,

sounds like my kind of book I will have to look up the author.
 
You learn things from that stuff. All the right-brain left-brain things were from studies of unfortunates who underwent the procedure or people with entire halves missing or nonfunctional; mostly for equally horrific reasons.

In the end we have to hope we learn enough about the system to save ourselves from the learning process.
 
Somme said:
Of course. Mind you, I'll try to not slur either sentances or letter order.

If you're shaaarrring, there'sss no change of sulurrring. :devil:
 
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