title: Violence, mental illness, and the brain - A brief history of psychosurgery: Part 1 - From trephination to lobotomy.
abstract: Psychosurgery was developed early in human prehistory (trephination) as a need perhaps to alter aberrant behavior and treat mental illness. The "American Crowbar Case" provided an impetus to study the brain and human behavior. The frontal lobe syndrome was avidly studied. Frontal lobotomy was developed in the 1930s for the treatment of mental illness and to solve the pressing problem of overcrowding in mental institutions in an era when no other forms of effective treatment were available. Lobotomy popularized by Dr. Walter Freeman reached a zenith in the 1940s, only to come into disrepute in the late 1950s. Other forms of therapy were needed and psychosurgery evolved into stereotactic functional neurosurgery. A history of these developments up to the 21st century will be related in this three-part essay-editorial, exclusively researched and written for the readers of Surgical Neurology International (SNI).
authors: Clinical Professor of Neurosurgery (ret.) and Adjunct Professor of Medical History (ret.), Mercer University School of Medicine; President, www.haciendapub.com , Macon, Georgia, USA.
authors: Miguel A
authors: MA
authors: Faria
keywords: Frontal lobes; institutionalization; lobotomy; mentally ill; psychosurgery; trephination
references: J Neurosurg. 1991 Jul;75(1):154-9
references: 2045905
references: Surg Neurol Int. 2013;4:16
references: 23493715
references: Neurosurgery. 1988 Oct;23(4):411-6
references: 3059210
references: Surg Neurol. 1989 Aug;32(2):152-5
references: 2665157
references: World Neurosurg. 2012 May-Jun;77(5-6):662-86
references: 22446082
references: J Neurosurg. 1984 Nov;61(5):809-13
references: 6387062
references: Neurosurgery. 1984 Jun;14(6):765-72
references: 6379496