What is a Frontal Lobotomy?

Walter Freeman
Walter Freeman | Source

We've all heard of a frontal lobotomy.

We may even all have heard of some of the jokes surrounding a frontal lobotomy, like

I'd rather have a bottle in front of me, than a frontal lobotomy.

Gotta love the old ones; they're the best!

A frontal lobotomy, however, was very real, very barbaric, and what's more, it didn't work.

Way back in the olden days, in 1935 to be exact, a Portugese neurologist by the name of Egas Moniz, became fixated with the idea that fixed circuits in the brain were responsible for causing obsessive behaviour in some patients.

Don't forget the whole field of psychiatry was in its infancy then, so if any 'expert' in the field could think up a breakthrough, the world was ready for it.

We had at that time, wards or hospitals full of mad people - they called them sanatoriums. Without the modern day psychiatric calming drugs, we had people tied to beds, tied in strait-jackets, just to protect not only themselves but those around them.

You never see the likes of this today. Perhaps there are less mad people nowadays, who knows?

Egas Monez had the idea that somehow shortcutting the brain circuits could cure madness.

With a crude instrument that had two prongs, he inserted the prongs through a patient's forehead, waved the prongs around inside, supposedly to cut signals from the front of the brain to the rear, and was delighted to note his patient make a full recovery, without any obvious side-effects.

The frontal lobotomy was born.

Icepick frontal lobotomy, a technique developed by Walter Freeman
Icepick frontal lobotomy, a technique developed by Walter Freeman | Source

Egas Moniz called his operation a "Frontal Leucotomy".

His first 20 patients showed a remarkable improvement in their mental conditions, and Egas Moniz proudly published his findings in the medical journals of the day.

A certain Walter Freeman, an American neurologist, seized upon those findings and set about developing his own strategy for carrying out frontal leucotomies, which he called "frontal lobotomies".

Freeman carried out the first frontal lobotomy in the US in 1936, and from there, many countries throughout the world starting doing them.

Nine years after Walter Freeman started carrying out frontal lobotomies, he heard of an an Italian doctor, Amarro Fiamberti , who had developed a new technique. By placing metal picks into the corner of someone's eyes, he could operate on patients' brains, sweeping the pick back and forth to sever any connection between the frontal and rear parts of the brain.

This became known as the "Icepick" frontal lobotomy.

Walter Freeman became something of an evangelist for frontal lobotomies after this, travelling the length and breadth of the US carrying them out wherever he could.

He did not have a surgeon's licence, and this new techniques allowe him to carry out many more operations than he could previously.

Walter Freeman really believed he was helping people. According to his own statistics:

  • 63% were improved
  • 23% unchanged
  • 14% were worse off

His last frontal lobotomy was carried out in 1967, and his licence was revoked shortly afterwards.

Meanwhile in the rest of the world, the UK have the unenviable record of carrying our more frontal lobotomies per head than any other nation.

Most of the lobotomists themselves did not carry out any follow-up on their patients, content as they were to receive a handshake and a thanks from the patient immediately after surgery.

But other psychiatrists did, and the immediate results seemed to be:

  • 33% better off
  • 33% unaffected
  • 33% worse off

Those results were not exactly what the psychiatrists wanted to see. The failure rate was too high.

Over the years, it became even more apparent that the damage done to frontal lobotomy patients sometimes took more than a year to show.

Those that had walked from the surgery immediately afterwards, were drooling wrecks a year down the line.

The peak year for frontal lobotomies being carried out was probably 1949, which was the year Egas Moniz was awarded the Nobel Prize for inventing them.

After that, they fell out of fashion, partly due to the invention of effective psychiatric drugs by the mid-1950s, before being finally outlawed around the early 1970s.

Today, there are many severely brain-damaged people still around, suffering from the results of being given a frontal lobotomy all those years ago.

Most of them are little more than cabbages, barely able to talk and with limited brain function.

Not all were severely mentally ill.

Some were given a frontal lobotomy for having postnatal depression, or a child out of wedlock.

For this, their lives were irreversibly ruined.

I was a nurse back in the 1970s, and had to work for several weeks on psychiatric units as part of my training.

I could not understand why we had patients that had been resident, and therefore completely institutionalized, for 30 or 40 years, especially when they had not been insane to being with.

They were originally admitted for having a child out of wedlock, or for having a mild depression, but no-one could or would tell me why they were still there, and why were they acting like zombies in the way they walked and talked?

I assumed it was the powerful combination of drugs they had been prescribed. They couldn't even sit outside on a sunny day, because part of the side-effects of their medication meant an increased sensitivity to the sun.

Now I know.

They were all lobotomized.

This is a shame many states and countries live with today, by hiding those damaged people away.

There but for the grace of God go any of us.

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Comments 15 comments

Wesman Todd Shaw profile image

Wesman Todd Shaw 4 years ago from Kaufman, Texas

Have you ever heard of the author team Preston and Child?

"Cemetery Dance" - fabulous novel, pure entertainment, and ...related to this content.


techygran profile image

techygran 4 years ago from Vancouver Island, Canada

Thank you for your excellent and informative post. it is horrible to think of how "medical science" went about damaging people's delicate brains with lobotomies. I know a woman about my age (50s/60s)who told me that her mother had been lobotomized for depression. Previous to that I had thought that lobotomies were just something out of sci-fi movies. I have since met several people whose frontal lobes have been damaged by accidents and strokes. I have also begun to hear more about the incredible importance of the frontal lobes:recognition of moral good and bad, sense of humor, functions related to long-term memory, language development, and appropriate social-emotional responses. Happily, there is a greater trend these days towards therapeutic alternatives to the archaic and barbaric electro-convulsive therapy (shock therapy) that also targeted the frontal lobes although it is still used across the world to treat severe depressives. thanks again!


IzzyM profile image

IzzyM 4 years ago from UK Author

@wesman, no but if it is related I will add it.

@techgran, I should have added something in about the ECT shock treatment which is also barbaric, but doctors seem to think it works. At least that does not seem to do the lasting damage that lobotomies did.

Thanks for both your comments :)


Barbara Kay profile image

Barbara Kay 4 years ago from USA

This was both interesting and horrifying. Sometimes I wonder what they will say about some of our medical treatments today, 100 years from now. Like surgery, radiation and chemo. I'm sure they will find such better forms of medicine that they will consider our medical treatments now barbaric.


IzzyM profile image

IzzyM 4 years ago from UK Author

That is an interesting thought! I hope by then they will have discovered how to cure cancer, which would make chemo and radiotherapy redundant. Or maybe they will have a new treatment again, who knows? Yes horrifying is the perfect word for lobotomies. At least we don't do them nowadays.


CMHypno profile image

CMHypno 4 years ago from Other Side of the Sun

Cheerful subject Izzy! But very interesting. It never fails to amaze me the depths we humans will stoop to to control another person's behaviour. The Kennedys had a sister called Rosemary who had a lobotomy performed on her at 23 because she had learning difficulties and they wanted to control her behaviour


IzzyM profile image

IzzyM 4 years ago from UK Author

And it ruined her life too. Was it not Walter Freeman who carried out that op? Actually not too sure. Yes as you say, cheerful subject!


wavegirl22 profile image

wavegirl22 4 years ago from New York, NY

I think one of Rose Kennedys daughters had one of these in the 50's maybe earlier. I remember reading about it and thought it was fiction, But you know what Mark Twain said about it .. .'Truth is stranger than fiction, but it is because Fiction is obliged to stick to possibilities; Truth isn't.'

Mind boggling interesting topic!


IzzyM profile image

IzzyM 4 years ago from UK Author

Mind boggling being the operative phrase!


jaywigz311 profile image

jaywigz311 4 years ago from Orlando, FL

I feel like I've had a frontal lobotomy any time I watch television for longer than 10 minutes.


IzzyM profile image

IzzyM 4 years ago from UK Author

LOL, can fully understand why!


carcro profile image

carcro 4 years ago from Winnipeg

How sad is that, human suffering caused by humans is the worst kind and there seems to be no shortage. Its hard to believe that as late as 1967 they were still performing those terrible operations. Great hub, always good to be informed about the past...


IzzyM profile image

IzzyM 4 years ago from UK Author

I believe they were still performed after this date in parts of the world, though I haven't heard of any in the past 20 odd years, so hopefully it's gone for good. Mind you, who would have guessed that child sacrifice is still happening in the world? But that's another hub.


justinkellina profile image

justinkellina 4 years ago from Greenville, South Carolina

ECT is still used for depressed patient's today. Had a lady in my bld, had the ECT. they brought her home and she died. So, they cured the depression with death? sad! signed broken


IzzyM profile image

IzzyM 4 years ago from UK Author

ECT is still in use, as you say, and I am so sorry to hear about your neighbor.

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