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106-425: GE2 , GE 2 , G.E.2 , GE-2 or variants thereof, may refer to: Grave Encounters 2 , 2012 North American horror film Bristol G.E.2 , British pre-World War I military aeroplane 7343 Ockeghem or 1992 GE2 , an asteroid that was the 7343rd discovered, and named "Ockeghem" AMC-2 (satellite) or GE-2 , a communications satellite launched in 1997 God Eater 2 ,

212-428: A blunting of affect , had no apparent decrease in intellectual function and seemed, at least to the casual observer, perfectly normal. Brickner concluded from this evidence that "the frontal lobes are not 'centers' for the intellect". These clinical results were replicated in a similar operation undertaken in 1934 by the neurosurgeon Roy Glenwood Spurling and reported on by the neuropsychiatrist Spafford Ackerly . By

318-577: A leucotome for a hypodermic needle, it is estimated that he leucotomised about 100 patients in the period up to the outbreak of World War II. Fiamberti's innovation of Moniz's method would later prove inspirational for Walter Freeman's development of transorbital lobotomy. The first prefrontal leucotomy in the United States was performed at the George Washington University Hospital, on 14 September 1936, by

424-456: A Japanese videogame released in 2013 by Namco Bandai Mazda MX-6 model from 1995 to 1997 GE BWR GE-2 , nuclear reactor design by General Electric Paraplane GE-2 Golden Eagle , an American powered parachute design [REDACTED] Topics referred to by the same term This disambiguation page lists articles associated with the same title formed as a letter–number combination. If an internal link led you here, you may wish to change

530-480: A better or worse adjustment. On average, there was a mortality rate of approximately 5% during the 1940s. The frontal lobotomy procedure had severe negative effects on a patient's personality and ability to function independently. Lobotomy patients often show a marked reduction in initiative and inhibition. They may also exhibit difficulty imagining themselves in the position of others because of decreased cognition and detachment from society. Walter Freeman coined

636-428: A camera, thus completing the film. He then exits the hospital through the red door, which leads him to the outskirts of Los Angeles . He is arrested while walking down the street at night. The last scene shows that the footage has been made into a film, with Alex and producer Jerry claiming that everything the public sees has been staged and it is "just a movie". However, Alex tells the interviewers not to go anywhere near

742-488: A chain cutter left in Trevor's tool bag with Seans aid. While the group sleeps for the night, Rogerson, compelled by Dr. Friedkin, strangles Trevor to death, then steals the team's equipment to cut the chains on the door. He goes through it, only to realize that the door leads nowhere. The entities instruct a deranged Rogerson to continue killing. Alex and Jennifer wake up and stumble upon Friedkin's satanic altar as he performs

848-490: A copy of his forthcoming monograph on leucotomy and urged him to purchase a leucotome from a French supplier. Upon receipt of Moniz's monograph, Freeman reviewed it anonymously for the Archives of Neurology and Psychiatry . Praising the text as one whose "importance can scarcely be overestimated", he summarised Moniz's rationale for the procedure as based on the fact that while no physical abnormality of cerebral cell bodies

954-582: A cure, Burckhardt began operating on patients in December 1888, but both his surgical methods and instruments were crude and the results of the procedure were mixed at best. He operated on six patients in total and, according to his own assessment, two experienced no change, two patients became quieter, one patient experienced epileptic convulsions and died a few days after the operation, and one patient improved. Complications included motor weakness, epilepsy , sensory aphasia and " word deafness ". Claiming

1060-404: A degree in medicine, could bring himself to carry them out ... The authors neglected to mention, however, that in 1910 Puusepp himself had performed surgery on the brains of three mentally ill patients, sectioning the cortex between the frontal and parietal lobes . He had abandoned these attempts because of unsatisfactory results and this experience probably inspired the invective that

1166-476: A degree that Jacobsen apparently stated it was as if she had joined a "happiness cult". During the question and answer section of the paper, Moniz, it is alleged, "startled" Fulton by inquiring if this procedure might be extended to human subjects suffering from mental illness. Fulton stated that he replied that while possible in theory it was surely "too formidable" an intervention for use on humans. Moniz began his experiments with leucotomy just three months after

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1272-772: A gradualist course. Leucotomy was first reported in the Italian medical press in 1936 and Moniz published an article in Italian on the technique in the following year. In 1937, he was invited to Italy to demonstrate the procedure and for a two-week period in June of that year he visited medical centres in Trieste , Ferrara , and one close to Turin  – the Racconigi Hospital ;– where he instructed his Italian neuropsychiatric colleagues on leucotomy and also oversaw several operations. Leucotomy

1378-429: A guiding hand. Under the medical directorship of Emilio Rizzatti, the medical personnel at this hospital had completed at least 200 leucotomies by 1939. Reports from clinicians based at other Italian institutions detailed significantly fewer leucotomy operations. Experimental modifications of Moniz's operation were introduced with little delay by Italian medical practitioners. Most notably, in 1937 Amarro Fiamberti ,

1484-547: A highly favourable impression of Moniz, later remarking upon his "sheer genius". According to Freeman, if they had not met in person, it is highly unlikely that he would have ventured into the domain of frontal lobe psychosurgery. Freeman's interest in psychiatry was the natural outgrowth of his appointment in 1924 as the medical director of the Research Laboratories of the Government Hospital for

1590-458: A limited theatrical release on October 12, 2012. Grave Encounters 2 became a commercial success, but unlike its predecessor, it was panned by the critics. Film student Alex Wright and his friends Jennifer Parker, Trevor Thompson, Tessa Hamill, and Jared Lee decide to produce a documentary about the original Grave Encounters film, which the entire public aside from Alex believes to be fictional. Alex posts an online plea for any information about

1696-518: A live patient in 1946. Its simplicity suggested the possibility of carrying it out in mental hospitals lacking the surgical facilities required for the earlier, more complex procedure. (Freeman suggested that, where conventional anesthesia was unavailable, electroconvulsive therapy be used to render the patient unconscious.) In 1947, the Freeman and Watts partnership ended, as the latter was disgusted by Freeman's barbarism and neglectful modifications of

1802-416: A lobotomy, then sacrifices an infant . The couple flees and encounters Rogerson, who demands them to hand over their tapes in order to "finish" the film, which is the only way to escape the hospital. During the struggle, a void opens up on the wall and sucks Rogerson in pulling him towards an unknown fate. Realizing that Rogerson was being honest in how to escape, Alex kills Jennifer by smashing her face with

1908-531: A period of the medical mainstream, it was even feted and regarded as a legitimate last-resort remedy for categories of patients who were otherwise regarded as hopeless. Today, lobotomy has become a disparaged procedure, a byword for medical barbarism and an exemplary instance of the medical trampling of patients' rights . Prior to the 1930s, individual doctors had infrequently experimented with novel surgical operations on those deemed insane. Most notably in 1888, Swiss psychiatrist Gottlieb Burckhardt initiated what

2014-519: A range of surgical interventions that had been performed on the mentally ill. While generally treating these endeavours favorably, in their consideration of psychosurgery they reserved unremitting scorn for Burckhardt's surgical experiments of 1888 and opined that it was extraordinary that a trained medical doctor could undertake such an unsound procedure. We have quoted this data to show not only how groundless but also how dangerous these operations were. We are unable to explain how their author, holder of

2120-425: A relation with persistent ideas and deliria in certain morbid psychic states. For Moniz, "to cure these patients", it was necessary to "destroy the more or less fixed arrangements of cellular connections that exist in the brain, and particularly those which are related to the frontal lobes", thus removing their fixed pathological brain circuits. Moniz believed the brain would functionally adapt to such injury. Unlike

2226-462: A result of the procedure. However, those effects were not widely reported in the 1940s, and at that time the long-term effects were largely unknown. Because the procedure met with seemingly widespread success, Moniz was awarded the 1949 Nobel Prize for Physiology or Medicine (along with Swiss physiologist Walter Rudolf Hess ). Lobotomies were performed on a wide scale during the 1940s; Freeman himself performed or supervised more than 3,500 lobotomies by

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2332-707: A retractable wire loop at one end that, when rotated, produced a 1 centimetre (0.39 in) diameter circular lesion in the white matter of the frontal lobe. Typically, six lesions were cut into each lobe, but, if they were dissatisfied by the results, Lima might perform several procedures, each producing multiple lesions in the left and right frontal lobes. By the conclusion of this first run of leucotomies in February 1936, Moniz and Lima had operated on twenty patients with an average period of one week between each procedure; Moniz published his findings with great haste in March of

2438-448: A source of disease and site of cure". For Roy Porter , once the doyen of medical history, the often violent and invasive psychiatric interventions developed during the 1930s and 1940s are indicative of both the well-intentioned desire of psychiatrists to find some medical means of alleviating the suffering of the vast number of patients then in psychiatric hospitals and also the relative lack of social power of those same patients to resist

2544-546: A success rate of 50 percent, he presented the results at the Berlin Medical Congress and published a report, but the response from his medical peers was hostile and he did no further operations. In 1912, two physicians based in Saint Petersburg , the leading Russian neurologist Vladimir Bekhterev and his younger Estonian colleague, the neurosurgeon Ludvig Puusepp , published a paper reviewing

2650-444: Is "distinctly hazardous to leucotomize schizophrenics" and that lobotomy was "still too imperfect to enable us, with its aid, to venture on a general offensive against chronic cases of mental disorder", stating further that "Psychosurgery has as yet failed to discover its precise indications and contraindications and the methods must unfortunately still be regarded as rather crude and hazardous in many respects." In 1948 Norbert Wiener ,

2756-545: Is commonly considered the first systematic attempt at modern human psychosurgery . He operated on six chronic patients under his care at the Swiss Préfargier Asylum, removing sections of their cerebral cortex . Burckhardt's decision to operate was informed by three pervasive views on the nature of mental illness and its relationship to the brain. First, the belief that mental illness was organic in nature, and reflected an underlying brain pathology; next, that

2862-445: Is not a person, but a paranormal entity, which turns violent. The group make their way out before being stopped by the security guard. As the group and the security guard argue, they hear a noise. The security guard tells them to stay put. As the security guard goes to check out the noise, the group hears gun shots. They go to check what has happened and find that the security guard has disappeared. The group tries to escape, resulting in

2968-411: Is supposed to exist." He described one 29-year-old woman as being, following lobotomy, a "smiling, lazy and satisfactory patient with the personality of an oyster" who could not remember Freeman's name and endlessly poured coffee from an empty pot. When her parents had difficulty dealing with her behavior, Freeman advised a system of rewards (ice cream) and punishment (smacks). In the early 20th century,

3074-572: The neurologist Walter Freeman , and his friend and colleague, the neurosurgeon James W. Watts . Freeman had first encountered Moniz at the London-hosted Second International Congress of Neurology in 1935, where he had presented a poster exhibit of the Portuguese neurologist's work on cerebral angiography. Fortuitously occupying a booth next to Moniz, Freeman, delighted by their chance meeting, formed

3180-503: The 1950s onward, lobotomy began to be abandoned, first in the Soviet Union and Europe . Historically, patients of frontal lobotomy were, immediately following surgery, often stuporous and incontinent . Some developed an enormous appetite and gained considerable weight. Seizures were another common complication of surgery. Emphasis was put on the training of patients in the weeks and months following surgery. The purpose of

3286-606: The Harvard neurologist Stanley Cobb remarked during his presidential address to the American Neurological Association that "seldom in the history of medicine has a laboratory observation been so quickly and dramatically translated into a therapeutic procedure". Fulton's report, penned ten years after the events described, is, however, without corroboration in the historical record and bears little resemblance to an earlier unpublished account he wrote of

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3392-749: The Insane in Washington, known colloquially as St Elizabeth's. Freeman, who favoured an organic model of mental illness causation, spent the next several years exhaustively, yet ultimately fruitlessly, investigating a neuropathological basis for insanity. Chancing upon a preliminary communication by Moniz on leucotomy in the spring of 1936, Freeman initiated a correspondence in May of that year. Writing that he had been considering psychiatric brain surgery previously, he informed Moniz that, "having your authority I expect to go ahead". Moniz, in return, promised to send him

3498-578: The US. An estimated 40% of Freeman's patients were gay men, lobotomized to change their sexual orientation. In the United States, approximately 40,000 people were lobotomized and in England, 17,000 lobotomies were performed. According to one estimate, in the three Nordic countries of Denmark, Norway, and Sweden, a combined figure of approximately 9,300 lobotomies were performed. Scandinavian hospitals lobotomized 2.5 times as many people per capita as hospitals in

3604-477: The US. According to another estimate, Sweden lobotomized at least 4,500 people between 1944 and 1966, mainly women. This figure includes young children. And in Norway, there were 2,005 known lobotomies. In Denmark, there were 4,500 known lobotomies. In Japan, the majority of lobotomies were performed on children with behaviour problems. The Soviet Union banned the practice in 1950 on moral grounds. In Germany, it

3710-616: The author of Cybernetics: Or the Control and Communication in the Animal and the Machine , said: "Prefrontal lobotomy... has recently been having a certain vogue, probably not unconnected with the fact that it makes the custodial care of many patients easier. Let me remark in passing that killing them makes their custodial care still easier." Concerns about lobotomy steadily grew. Soviet psychiatrist Vasily Gilyarovsky criticized lobotomy and

3816-400: The brain's prefrontal cortex . The surgery causes most of the connections to and from the prefrontal cortex, the anterior part of the frontal lobes of the brain , to be severed. In the past, this treatment was used for treating psychiatric disorders as a mainstream procedure in some countries. The procedure was controversial from its initial use, in part due to a lack of recognition of

3922-471: The congress had reinforced the apparent cause and effect relationship between the Fulton and Jacobsen presentation and the Portuguese neurologist's resolve to operate on the frontal lobes. As the author of this account Fulton, who has sometimes been claimed as the father of lobotomy, was later able to record that the technique had its true origination in his laboratory. Endorsing this version of events, in 1949,

4028-492: The congress. In this previous narrative he mentioned an incidental, private exchange with Moniz, but it is likely that the official version of their public conversation he promulgated is without foundation. In fact, Moniz stated that he had conceived of the operation some time before his journey to London in 1935, having told in confidence his junior colleague, the young neurosurgeon Pedro Almeida Lima, as early as 1933 of his psychosurgical idea. The traditional account exaggerates

4134-770: The day they arrived at Moniz's clinic and returned within ten days to the Miguel Bombarda Mental Hospital. A perfunctory post-operative follow-up assessment took place anywhere from one to ten weeks following surgery. Complications were observed in each of the leucotomy patients and included: "increased temperature, vomiting, bladder and bowel incontinence , diarrhea, and ocular affections such as ptosis and nystagmus , as well as psychological effects such as apathy, akinesia , lethargy, timing and local disorientation, kleptomania , and abnormal sensations of hunger". Moniz asserted that these effects were transitory and, according to his published assessment,

4240-481: The deaths of Jared (who is violently hurled out of the window) and Tessa (her head crushed by an invisible force). The survivors manage to escape the hospital and return to the hotel. To their dismay, the hotel's elevator leads them right back to the tunnels beneath the hospital. There, they meet Rogerson and discover that he has been trapped inside surviving off toilet water and rats in the darkness for over nine years, lobotomized and driven insane. Rogerson explains that

4346-514: The development of antipsychotic medications led to a rapid decline in lobotomy’s popularity and Freeman’s reputation. Others could leave the hospital or become more manageable within the hospital. A precarious number of people managed to return to responsible work, while at the other extreme, people were left with severe and disabling impairments. Most people fell into an intermediate group, left with some improvement of their symptoms but also with emotional and intellectual deficits to which they made

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4452-463: The disintegration of the subject's personality. This work, while influential, was not without its critics due to deficiencies in experimental design. The first bilateral lobectomy of a human subject was performed by the American neurosurgeon Walter Dandy in 1930. The neurologist Richard Brickner reported on this case in 1932, relating that the recipient, known as "Patient A", while experiencing

4558-408: The end of their partnership. Watts resisted the technique itself, Freeman's lack of sterile technique when performing it, and the idea of performing the procedure in an outpatient setting. Watts recalled that the hospital reprimanded Freeman, stating that he was “not a surgeon and if he wants to operate he’ll have to apply for surgical privileges.” Freeman performed the first transorbital lobotomy on

4664-620: The entire right frontal lobe of a catatonic schizophrenic patient. In Romania, Ody's procedure was adopted by Dimitri Bagdasar and Constantinesco working out of the Central Hospital in Bucharest. Ody, who delayed publishing his own results for several years, later rebuked Moniz for claiming to have cured patients through leucotomy without waiting to determine if there had been a "lasting remission". The theoretical underpinnings of Moniz's psychosurgery were largely commensurate with

4770-514: The film a score of 20% based on 10 reviews, with an average rating of 4.46 out of 10. Although it was panned, some critics praised the acting, especially Sean Rogerson's performance. Lobotomized A lobotomy (from Greek λοβός (lobos)  'lobe' and τομή (tomē)  'cut, slice') or leucotomy is a discredited form of neurosurgical treatment for psychiatric disorder or neurological disorder (e.g. epilepsy , depression ) that involves severing connections in

4876-519: The film and receives a message from someone named "DeathAwaits6". The message leads him to the mother of Sean Rogerson, the actor who played Lance in Grave Encounters . She believes that Sean is still alive but they discover that she has dementia and does not realize that her son is dead. Alex realizes the cast and crew from the first film are all missing or have died (except for the directors, The Vicious Brothers, who are actually interns of

4982-611: The first film's producer, Jerry, and were not directly involved, thus sparing their lives). Alex meets Hartfield, who confesses that the film was actual found footage. Discovering that the Collingwood Mental Hospital from the film is actually an abandoned asylum in British Columbia, Canada , Alex and his friends travel there to meet DeathAwaits6, where they discover a Ouija board . Using it to communicate with spirits, they realize that their online contact

5088-437: The frontal lobes for the next seven patients but, after having to inject some patients on numerous occasions to elicit what they considered a favourable result, they modified the means by which they would section the frontal lobes. For the ninth patient they introduced a surgical instrument called a leucotome ; this was a cannula that was 11 centimetres (4.3 in) in length and 2 centimetres (0.79 in) in diameter. It had

5194-433: The frontal lobes, and concluded that "altering the frontal lobes profoundly modifies the personality of subjects". This parallel symposium contained numerous papers by neurologists, neurosurgeons and psychologists; amongst these was one by Brickner, which impressed Moniz greatly, that again detailed the case of "Patient A". Fulton and Jacobsen's paper, presented in another session of the conference on experimental physiology,

5300-739: The frontal lobes, were responsible for more complex cognitive functions. However, this theoretical formulation found little laboratory support, as 19th-century experimentation found no significant change in animal behaviour following surgical removal or electrical stimulation of the frontal lobes. This picture of the so-called "silent lobe" changed in the period after World War I with the production of clinical reports of ex-servicemen with brain trauma . The refinement of neurosurgical techniques also facilitated increasing attempts to remove brain tumours, treat focal epilepsy in humans and led to more precise experimental neurosurgery in animal studies. Cases were reported where mental symptoms were alleviated following

5406-429: The frontal lobes. The pick’s point was then inserted into the frontal lobe and used to sever connections in the brain (presumably between the prefrontal cortex and thalamus). In 1946 Freeman performed this procedure for the first time on a patient, who was subdued prior to the operation with electroshock treatment. The transorbital lobotomy procedure, which Freeman performed very quickly, sometimes in less than 10 minutes,

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5512-432: The hospital as it's not worth it. The film ends, cutting to a black screen with the numbers "49, 14, 122, 48" appearing on screen, which, if searched on a service such as Google Maps, comes up as the approximate latitude and longitude coordinates of Riverview Hospital , near Vancouver, BC, Canada (actually at 49.25,-122.81) where most of the film's story takes place. Grave Encounters 2 began production in late 2011 and

5618-431: The importance of Fulton and Jacobsen to Moniz's decision to initiate frontal lobe surgery, and omits the fact that a detailed body of neurological research that emerged at this time suggested to Moniz and other neurologists and neurosurgeons that surgery on this part of the brain might yield significant personality changes in the mentally ill. The frontal lobes had been the object of scientific inquiry and speculation since

5724-422: The increasingly radical and even reckless interventions of asylum doctors. Many doctors, patients and family members of the period believed that despite potentially catastrophic consequences, the results of lobotomy were seemingly positive in many instances or, were at least deemed as such when measured next to the apparent alternative of long-term institutionalisation. Lobotomy has always been controversial, but for

5830-579: The insane (1917), deep sleep therapy (1920), insulin shock therapy (1933), cardiazol shock therapy (1934), and electroconvulsive therapy (1938), served to galvanize a profession which had been both therapeutically moribund and systemically demoralized. Unlike other medical disciplines (e.g., Cardiology, Dermatology, Orthopedics, etc.) which applied surgical and pharmacological treatments that were both apparent and measurable regarding their efficacy, psychiatry had often struggled with quantification. These novel remedial methodologies, however, meant that (at

5936-412: The late 1960s. Freeman performed his first transorbital lobotomy on Ellen Ionesco, a woman who suffered from bouts of manic depression and suicidal ideation. Freeman utilized media coverage and penned editorials for numerous interviews promoting the procedure and achieving accolades for his work in psychiatric care. Watts did not favor the transorbital method, and this difference of opinion contributed to

6042-434: The late 19th century. Fulton's contribution, while it may have functioned as source of intellectual support, is of itself unnecessary and inadequate as an explanation of Moniz's resolution to operate on this section of the brain. Under an evolutionary and hierarchical model of brain development it had been hypothesized that those regions associated with more recent development, such as the mammalian brain and, most especially,

6148-455: The link to point directly to the intended article. Retrieved from " https://en.wikipedia.org/w/index.php?title=GE2&oldid=1064114411 " Category : Letter–number combination disambiguation pages Hidden categories: Short description is different from Wikidata All article disambiguation pages All disambiguation pages Grave Encounters 2 The film was released on iTunes on October 2, 2012 and received

6254-434: The lobotomy from a surgical operation into a simple "office" procedure. Between 1940 and 1944, 684 lobotomies were performed in the United States. However, because of the fervent promotion of the technique by Freeman and Watts, those numbers increased sharply toward the end of the decade. In 1949, the peak year for lobotomies in the US, 5,074 procedures were undertaken, and by 1951 over 18,608 individuals had been lobotomized in

6360-460: The mechanistic brain localization assumption used to carry out lobotomy: It is assumed that the transection of white substance of the frontal lobes impairs their connection with the thalamus and eliminates the possibility to receive from it stimuli which lead to irritation and on the whole derange mental functions. This explanation is mechanistic and goes back to the narrow localizationism characteristic of psychiatrists of America, from where leucotomy

6466-607: The medical community appeared hostile to the new procedure. On 26 July 1936, one of his assistants, Diogo Furtado, gave a presentation at the Parisian meeting of the Société Médico-Psychologique on the results of the second cohort of patients leucotomised by Lima. Sobral Cid, who had supplied Moniz with the first set of patients for leucotomy from his own hospital in Lisbon, attended the meeting and denounced

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6572-466: The medical director of a psychiatric institution in Varese , first devised the transorbital procedure whereby the frontal lobes were accessed through the eye sockets. Fiamberti's method was to puncture the thin layer of orbital bone at the top of the socket and then inject alcohol or formalin into the white matter of the frontal lobes through this aperture. Using this method, while sometimes substituting

6678-456: The mid-1930s, interest in the function of the frontal lobes reached a high-water mark. This was reflected in the 1935 neurological congress in London, which hosted as part of its deliberations, "a remarkable symposium ... on the functions of the frontal lobes". The panel was chaired by Henri Claude , a French neuropsychiatrist, who commenced the session by reviewing the state of research on

6784-407: The more emotional of the two, exhibited "frustrational behaviour" – that is, have tantrums that could include rolling on the floor and defecating – if, because of their poor performance in a set of experimental tasks, they were not rewarded. Following the surgical removal of their frontal lobes, the behaviour of both primates changed markedly and Becky was pacified to such

6890-428: The nervous system was organized according to an associationist model comprising an input or afferent system (a sensory center), a connecting system where information processing took place (an association center ), and an output or efferent system (a motor center); and, finally, a modular conception of the brain whereby discrete mental faculties were connected to specific regions of the brain. Burckhardt's hypothesis

6996-466: The nineteenth-century ones that had informed Burckhardt's decision to excise matter from the brains of his patients. Although in his later writings Moniz referenced both the neuron theory of Ramón y Cajal and the conditioned reflex of Ivan Pavlov , in essence he simply interpreted this new neurological research in terms of the old psychological theory of associationism . He differed significantly from Burckhardt, however in that he did not think there

7102-568: The number of patients residing in mental hospitals increased significantly while little in the way of effective medical treatment was available. Lobotomy was one of a series of radical and invasive physical therapies developed in Europe at this time that signaled a break with the psychiatric culture of therapeutic nihilism which had prevailed since the mid-nineteenth-century. The new " heroic " physical therapies devised during this experimental era, including malarial therapy for general paresis of

7208-457: The operation was to reduce the symptoms of mental disorders , and it was recognized that this was accomplished at the expense of a person's personality and intellect. British psychiatrist Maurice Partridge, who conducted a follow-up study of 300 patients, said the treatment achieved its effects by "reducing the complexity of psychic life". Following the operation, spontaneity, responsiveness, self-awareness, and self-control were reduced. The activity

7314-409: The outcome for these first twenty patients was that 35%, or seven cases, improved significantly, another 35% were somewhat improved and the remaining 30% (six cases) were unchanged. There were no deaths and he did not consider that any patients had deteriorated following leucotomy. Moniz rapidly disseminated his results through articles in the medical press and a monograph in 1936. Initially, however,

7420-627: The patient, and also that recovery or improvement may be obtained frequently in this way. —Egas Moniz (1937) On 12 November 1935 at the Hospital de Santa Marta in Lisbon , Moniz initiated the first of a series of operations on the brains of people with mental illnesses. The initial patients selected for the operation were provided by the medical director of Lisbon's Miguel Bombarda Mental Hospital, José de Matos Sobral Cid. As Moniz lacked training in neurosurgery and his hands were impaired by gout,

7526-527: The position adopted by Burckhardt, it was unfalsifiable according to the knowledge and technology of the time as the absence of a known correlation between physical brain pathology and mental illness could not disprove his thesis. The hypotheses underlying the procedure might be called into question; the surgical intervention might be considered very audacious; but such arguments occupy a secondary position because it can be affirmed now that these operations are not prejudicial to either physical or psychic life of

7632-436: The prefrontal area" so as to destroy the connecting fibres, or association tracts , and create what Moniz termed a "frontal barrier". After the first operation was complete, Moniz considered it a success and, observing that the patient's depression had been relieved, he declared her "cured" although she was never, in fact, discharged from the mental hospital. Moniz and Lima persisted with this method of injecting alcohol into

7738-494: The problem was a functional one of the brain's internal wiring where relief might be obtained by severing problematic mental circuits. In 1937 Freeman and Watts adapted Lima and Moniz's surgical procedure, and created the Freeman-Watts technique , also known as the Freeman-Watts standard prefrontal lobotomy, which they styled the "precision method". The Freeman–Watts prefrontal lobotomy still required drilling holes in

7844-674: The procedure increased dramatically from the early 1940s and into the 1950s; by 1951, almost 20,000 lobotomies had been performed in the United States and proportionally more in the United Kingdom . A large number of patients were gay men. More lobotomies were performed on women than on men: a 1951 study found that nearly 60% of American lobotomy patients were women, and limited data shows that 74% of lobotomies in Ontario from 1948 to 1952 were performed on female patients. From

7950-423: The procedure was performed under general anaesthetic by Pedro Almeida Lima, who had previously assisted Moniz with his research on cerebral angiography . The intention was to remove some of the long fibres that connected the frontal lobes to other major brain centres. To this end, it was decided that Lima would trephine into the side of the skull and then inject ethanol into the " subcortical white matter of

8056-510: The proposition. Inspired by Julius Wagner-Jauregg 's development of malarial therapy for the treatment of general paresis of the insane , the French physician Maurice Ducosté reported in 1932 that he had injected 5 ml of malarial blood directly into the frontal lobes of over 100 paretic patients through holes drilled into the skull. He claimed that the injected paretics showed signs of "uncontestable mental and physical amelioration" and that

8162-530: The rapid adoption of the procedure on an experimental basis by individual clinicians in countries such as Brazil, Cuba, Italy, Romania and the United States during the 1930s. In the present state of affairs if some are critical about lack of caution in therapy, it is, on the other hand, deplorable and inexcusable to remain apathetic, with folded hands, content with learned lucubrations upon symptomatologic minutiae or upon psychopathic curiosities, or even worse, not even doing that. —Amarro Fiamberti Throughout

8268-423: The reason the hospital is like this is due to Dr. Arthur Friedkin's satanic experiments and rituals which merged the spirit world and the physical world. He shows them a red door and says it is the only way out, but it is wrapped in chains. Sean provides a map he created of the dimension explaining how it is bigger than a city, and explains the “building” constantly shifts and changes. The surviving members retrieve

8374-515: The remainder of the 1930s the number of leucotomies performed in most countries where the technique was adopted remained quite low. In Britain, which was later a major centre for leucotomy, only six operations had been undertaken before 1942. Generally, medical practitioners who attempted the procedure adopted a cautious approach and few patients were leucotomised before the 1940s. Italian neuropsychiatrists, who were typically early and enthusiastic adopters of leucotomy, were exceptional in eschewing such

8480-534: The results for psychotic patients undergoing the procedure was also "encouraging". The experimental injection of fever-inducing malarial blood into the frontal lobes was also replicated during the 1930s in the work of Ettore Mariotti and M. Sciutti in Italy and Ferdière Coulloudon in France. In Switzerland, almost simultaneously with the commencement of Moniz's leucotomy programme, the neurosurgeon François Ody had removed

8586-509: The same meeting the Parisian psychiatrist, Paul Courbon, stated he could not endorse a surgical technique that was solely supported by theoretical considerations rather than clinical observations. He also opined that the mutilation of an organ could not improve its function and that such cerebral wounds as were occasioned by leucotomy risked the later development of meningitis , epilepsy and brain abscesses . Nonetheless, Moniz's reported successful surgical treatment of 14 out of 20 patients led to

8692-544: The same year. The patients were aged between 27 and 62 years of age; twelve were female and eight were male. Nine of the patients were diagnosed with depression , six with schizophrenia , two with panic disorder , and one each with mania , catatonia and manic-depression . Their most prominent symptoms were anxiety and agitation. The duration of their illness before the procedure varied from as little as four weeks to as much as 22 years, although all but four had been ill for at least one year. Patients were normally operated on

8798-426: The sensory or motor zones could give rise to "grave functional disturbance". Instead, by targeting the association centers and creating a "ditch" around the motor region of the temporal lobe , he hoped to break their lines of communication and thus alleviate both mental symptoms and the experience of mental distress . Intending to ameliorate symptoms in those with violent and intractable conditions rather than effect

8904-487: The severity and chronicity of severe and enduring psychiatric illnesses , so it was said to be an inappropriate treatment. The originator of the procedure, Portuguese neurologist António Egas Moniz , shared the Nobel Prize for Physiology or Medicine of 1949 for the "discovery of the therapeutic value of leucotomy in certain psychoses", although the awarding of the prize has been subject to controversy. The use of

9010-447: The shock therapies, despite the considerable risks they posed to patients, also helped to inspire doctors in the field to pioneer ever more drastic forms of medical interventions up to, and including, lobotomies. The clinician-historian Joel Braslow argues that from malarial therapy onward to lobotomy, physical psychiatric therapies "spiral closer and closer to the interior of the brain" with this organ increasingly taking "center stage as

9116-426: The skull, so surgery had to be performed in an operating room by trained neurosurgeons. Walter Freeman believed this surgery would be unavailable to those he saw as needing it most: patients in state mental hospitals that had no operating rooms, surgeons, or anesthesia and limited budgets. Freeman wanted to simplify the procedure so that it could be carried out by psychiatrists in psychiatric hospitals . Inspired by

9222-579: The subject by Moniz and others both contemporaneously and retrospectively. The traditional narrative addresses the question of why Moniz targeted the frontal lobes by way of reference to the work of the Yale neuroscientist John Fulton and, most dramatically, to a presentation Fulton made with his junior colleague Carlyle Jacobsen at the Second International Congress of Neurology held in London in 1935. Fulton's primary area of research

9328-409: The success of the surgery through the media, lobotomy became touted as a miracle procedure, capturing the attention of the public and leading to an overwhelming demand for the operation. In 1945 Freeman streamlined the procedure, replacing it with transorbital lobotomy, in which a picklike instrument was forced through the back of the eye sockets to pierce the thin bone that separates the eye sockets from

9434-412: The surgical removal of diseased or damaged brain tissue. The accumulation of medical case studies on behavioural changes following damage to the frontal lobes led to the formulation of the concept of Witzelsucht , which designated a neurological condition characterised by a certain hilarity and childishness in those with the condition. The picture of frontal lobe function that emerged from these studies

9540-411: The technique, declaring that the patients who had been returned to his care post-operatively were "diminished" and had experienced a "degradation of personality". He also claimed that the changes Moniz observed in patients were more properly attributed to shock and brain trauma, and he derided the theoretical architecture that Moniz had constructed to support the new procedure as "cerebral mythology." At

9646-414: The term "surgically induced childhood" and used it constantly to refer to the results of lobotomy. The operation left people with an "infantile personality"; a period of maturation would then, according to Freeman, lead to recovery. In an unpublished memoir, he described how the "personality of the patient was changed in some way in the hope of rendering him more amenable to the social pressures under which he

9752-440: The time) modern psychiatric treatments were no longer relegated to the metaphysical or abstract, and this increased the popularity of the field among clinicians and prospective patients alike. Suddenly, conditions like insanity, psychosis, and others felt less like incurable afflictions, and more like surmountable diagnoses - emboldening psychiatrists to attempt new procedures. Additionally, the relative (and quantitative) success of

9858-448: The work of Italian psychiatrist Amarro Fiamberti , Freeman at some point conceived of approaching the frontal lobes through the eye sockets instead of through drilled holes in the skull. In 1945 he took an icepick from his own kitchen and began testing the idea on grapefruit and cadavers . The use of lobotomy in the United States was resisted and criticized heavily by American neurosurgeons. However, because Freeman managed to promote

9964-579: Was any organic pathology in the brains of the mentally ill, but rather that their neural pathways were caught in fixed and destructive circuits leading to "predominant, obsessive ideas". As Moniz wrote in 1936: [The] mental troubles must have ... a relation with the formation of cellulo-connective groupings, which become more or less fixed. The cellular bodies may remain altogether normal, their cylinders will not have any anatomical alterations; but their multiple liaisons, very variable in normal people, may have arrangements more or less fixed, which will have

10070-420: Was complicated by the observation that neurological deficits attendant on damage to a single lobe might be compensated for if the opposite lobe remained intact. In 1922, the Italian neurologist Leonardo Bianchi published a detailed report on the results of bilateral lobectomies in animals that supported the contention that the frontal lobes were both integral to intellectual function and that their removal led to

10176-502: Was directed at Burckhardt in the 1912 article. By 1937, Puusepp, despite his earlier criticism of Burckhardt, was increasingly persuaded that psychosurgery could be a valid medical intervention for the mentally disturbed. In the late 1930s, he worked closely with the neurosurgical team of the Racconigi Hospital near Turin to establish it as an early and influential centre for the adoption of leucotomy in Italy. Leucotomy

10282-487: Was featured at two Italian psychiatric conferences in 1937 and over the next two years a score of medical articles on Moniz's psychosurgery was published by Italian clinicians based in medical institutions located in Racconigi , Trieste , Naples , Genoa , Milan , Pisa , Catania and Rovigo . The major centre for leucotomy in Italy was the Racconigi Hospital, where the experienced neurosurgeon Ludvig Puusepp provided

10388-593: Was first undertaken in 1935 under the direction of the Portuguese neurologist (and inventor of the term psychosurgery ) António Egas Moniz . First developing an interest in psychiatric conditions and their somatic treatment in the early 1930s, Moniz apparently conceived a new opportunity for recognition in the development of a surgical intervention on the brain as a treatment for mental illness. The source of inspiration for Moniz's decision to hazard psychosurgery has been clouded by contradictory statements made on

10494-626: Was notable in linking animal and human studies on the function of the frontal lobes. Thus, at the time of the 1935 Congress, Moniz had available to him an increasing body of research on the role of the frontal lobes that extended well beyond the observations of Fulton and Jacobsen. Nor was Moniz the only medical practitioner in the 1930s to have contemplated procedures directly targeting the frontal lobes. Although ultimately discounting brain surgery as carrying too much risk, physicians and neurologists such as William Mayo , Thierry de Martel, Richard Brickner, and Leo Davidoff had, before 1935, entertained

10600-417: Was observable in the mentally ill, their cellular interconnections may harbour a "fixation of certain patterns of relationship among various groups of cells" and that this resulted in obsessions, delusions and mental morbidity. While recognising that Moniz's thesis was inadequate, for Freeman it had the advantage of circumventing the search for diseased brain tissue in the mentally ill by instead suggesting that

10706-477: Was on the cortical function of primates and he had established America's first primate neurophysiology laboratory at Yale in the early 1930s. At the 1935 Congress, with Moniz in attendance, Fulton and Jacobsen presented two chimpanzees , named Becky and Lucy who had had frontal lobectomies and subsequent changes in behaviour and intellectual function. According to Fulton's account of the congress, they explained that before surgery, both animals, and especially Becky,

10812-557: Was performed only a few times. By the late 1970s, the practice of lobotomy had generally ceased, although it continued as late as the 1980s in France. As early as 1944, an author in the Journal of Nervous and Mental Disease remarked: "The history of prefrontal lobotomy has been brief and stormy. Its course has been dotted with both violent opposition and with slavish, unquestioning acceptance." Beginning in 1947 Swedish psychiatrist Snorre Wohlfahrt evaluated early trials, reporting that it

10918-474: Was released on October 12, 2012. Early in production it was revealed that the film would be directed by John Poliquin , and only written by the Vicious Brothers. The film's budget was $ 1,400,000. It was released on October 12, 2012 in a limited theatrical run, but released earlier in the month on iTunes for download. Grave Encounters 2 received negative reviews from critics. Rotten Tomatoes gave

11024-500: Was replaced by inertia, and people were mostly left emotionally blunted and restricted in their intellectual range. The consequences of the operation have been described as "mixed". However, many lobotomy patients suffered devastating postoperative complications, including intracranial hemorrhage, epilepsy, alterations in affect and personality, brain abscess, dementia, and death. Ominous portrayals of lobotomized patients in novels, plays, and films further diminished public opinion, and

11130-473: Was that by deliberately creating lesions in regions of the brain identified as association centers, a transformation in behaviour might ensue. According to his model, those mentally ill might experience "excitations abnormal in quality, quantity and intensity" in the sensory regions of the brain and this abnormal stimulation would then be transmitted to the motor regions giving rise to mental pathology . He reasoned, however, that removing material from either of

11236-466: Was used on many patients with relatively minor mental disorders that Freeman believed did not warrant traditional lobotomy surgery, in which the skull itself was opened. A large proportion of such lobotomized patients exhibited reduced tension or agitation, but many also showed other effects, such as apathy, passivity, lack of initiative, poor ability to concentrate, and a generally decreased depth and intensity of their emotional response to life. Some died as

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