How can you face your problem if your problem is your face
From 1936-1972, approximately 50,000 lobotomies were performed in the US. The majority of these occurred during the “lobotomy boom” which occurred in the late 1940s and early 1950s. Curiously, the lobotomy’s popularity coincided with a consensus within the medical community that it was ineffective. […]
Physician Walter Freeman performed approximately 10% of all US lobotomies during his medical career (El-Hai 2005). Although the procedure was widely used, it swiftly fell out of favor when the FDA approved the first antipsychotic drug in 1954. […]
In this paper, we propose the lobotomy’s popularity and longevity in the US was the result of the incentives generated by the institutional structure of mental health provision. Primarily, we note that funding for public mental hospitals and asylums were provided by state and federal governments on a very low per capita basis. This served to constrained revenues. Lobotomized patients were easier to manage (their brain damage often made them docile), and the procedure was comparatively cheaper than other treatment methods. These factors, in conjunction with little incentive to effectively treat patients provided by bureaucratic oversight, motivated physicians to perform cost and conflict minimizing treatment.
In contrast, physicians operating in private mental hospitals and asylums were funded by the patients, their caregivers, or through philanthropic donations. […] [L]obotomy was less used in private mental hospitals.
acrylic, oil, oilstick and paper collage on three hinged wooden panels { Jean-Michel Basquiat, Self-Portrait, 1981 }
