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LOBOTOMY HELPED SOME PATIENTS AND HARMED OTHERS
THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.
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OKAY BACK FROM THE MEDICAL LIBRARY 📚
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TWENTY FIVE PRIVATE PATIENTS 📋
Two Authors Reported On Lobotomy In Their Private Practice
Their Paper Covered Its Use In Relapsing Psychotic States
The Paper Appeared In The Journal California Medicine In 1953
Twenty Five Private Patients Were Treated By Transorbital Lobotomy
Patients Were Observed For Six Months To Three Years After Surgery
14 Had Affective Disorders That Shock Therapy Had Not Helped Enough
Nine Of Them Made What The Authors Called A Social Recovery
Another Four Were Rated As Improved
About One Fifth Of The Patients Needed Some Follow Up Shock Therapy
Eight Patients Had Schizophrenia
Four Of Those Made Excellent Social Recoveries
Of The Other Four Two Improved And Two Did Not
Three Patients Had Obsessive Compulsive States
In Those Three Cases The Results Were Not Satisfactory
The Authors Compared It With Prefrontal Lobotomy
In Private Practice They Preferred The Transorbital Method
Their Reasons Included No Postoperative Complications
Shorter Hospital Stays And Cost Savings Were Also On Their List
So Was Less Disturbance To The Total Personality
They Said Early Use Should Be Considered For Frequent Relapses
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FREEMAN AND WATTS COUNT THEIR PATIENTS 📊
Walter Freeman Was A Neurologist And James Watts A Neurosurgeon
They Performed Their First Lobotomy Together In 1936
Within Two Months They Had Worked On Twenty Cases
By 1942 They Had Operated On More Than 200 Patients
That Year They Published A Book Called Psychosurgery
It Reported Results On 200 Of Their Own Patients
63 Percent Of Them Were Improved
Some Saw No Improvement
14 Percent Were Worsened Or Succumbed To Their Surgery
Beyond Those Numbers Patients Changed In Other Ways
Many Patients Freeman Operated On Stopped Feeling Anxious
They Appeared More Childlike Too
Later Reports Said Many Became Apathetic And Passive
Many Lost All Initiative
They Also Lost The Ability To Concentrate Or Show Emotion
In 1942 JAMA Also Printed An Editorial On Lobotomy
JAMA Is The Journal Of The American Medical Association
The Editorial Supported The Basis For The Procedure
It Also Supported The Conditions Lobotomy Was Meant To Treat
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HOW RESULTS WERE JUDGED ⚖️
Psychiatry Had No Objective Way To Measure Whether Treatments Worked
Lobotomy Scored Well On The Measures That Did Exist
Patients' IQ Appeared To Remain Intact After The Operation
Many Needed Fewer Coercive Measures And No Longer Acted Out
Success Criteria Tended To Focus On Curbing Aggressive Behavior
Another Goal Was Moving Patients From Asylums Into The Community
Many Who Witnessed The First Operations Were Convinced It Helped
They Believed Lobotomy Reduced Suffering
Freeman And Watts Published Their Own Accounts Of The Results
A 2022 Medical Journal Essay Says Those Were Overwhelmingly Positive
It Says They Grossly Under Communicated The Harm
Several Of Freeman's Patients Were Harmed By Serious Complications
He Remained Convinced It Was A Major Medical Advance
His Reports Now Come Across As Highly Anecdotal
Part Of The Reason Is That Standards For Scientific Reporting Changed
In 1971 Freeman Published A Long Follow Up Of Schizophrenia Patients
Their Lobotomies Had Taken Place 4 To 30 Years Earlier
A 2013 Medical Review Says He Reported That Most Had Improved
Even So 73 Percent Were Still Hospitalized Or Living At Home
He Called It A State Of Idle Dependency
