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Psychosurgery is the destruction of normal brain tissue for the purpose of
treating psychiatric disorders or for the control of emotions and behavior.
It does not include operations, such as those for Parkinson's disease
or epilepsy, where an identifiable physical abnormality in the brain is causing
a known physical disorder.
Lobotomy and other psychosurgeries merit special attention
because, as the prototype of brain-damaging therapeutics, they can shed
light on the clinical effects of other brain-disabling treatments such
as electroconvulsive therapy (ECT) and major tranquilizers. Despite
the paucity of active practitioners and advocates of psychosurgery,
many psychiatric authorities have condoned this treatment precisely
because the principles that find their extreme expression in lobotomy
and other forms of psychosurgery also find more subtle expression in
all the major somatic treatments in psychiatry.
During the 1970s Dr. Breggin began his reform work by organizing an
international campaign to stop the resurgence of lobotomy and other
psychosurgery. For a period of several years, most of his time was
spent on this campaign, which led to the creation of the International Center for the Study of Psychiatry and Psychology . The best summary of this effort can be found in his book, co-authored with Ginger Breggin, The War Against Children of Color. More recently, Dr. Breggin's campaign has been extensively documented in The Conscience of Psychiatry: The Reform Work of Peter R. Breggin, MD which quotes dozens of media articles including Time, the New York Times and The Boston Globe as well as dozens of testimonials from witnesses and participants in the campaign, including members of the U. S. Congress.
Dr. Breggin distributed ten thousand copies of his article in the Congressional Record (PDF), which was copied and distributed in even greater numbers by other reformers around the world.
A key event occurred in 1973 at a trial in Detroit, Kaimowitz v.
Department of Mental Health , in which a three-judge panel responded to
an injunction by Gabe Kaimowitz to stop experimental psychosurgery at
the state hospital. The court adopted Dr. Breggin's expert testimony at
the trial and stopped the psychosurgery projects. Dr. Breggin's article
" Psychosurgery for political purposes
" provides the best description of the Kaimowitz victory. This court
decision — as well as Dr. Breggin's media appearances, publications,
lectures and lobbying in the U.S. Congress — resulted in state
hospitals throughout the nation giving up the practice.
Among other victories aimed at stopping psychosurgery, Dr. Breggin
wrote Congressional legislation aimed at ending federal funding of
psychosurgery and successfully lobbied Congress for the creation of the
Psychosurgery Commission, which declared the treatment experimental.
Eventually most psychosurgery projects were stopped not only in state
hospitals, but also at NIH, VA hospitals and university medical
centers.
In June 2002 Dr. Breggin was the psychiatric expert in a psychosurgery case against the Cleveland Clinic
that ended with a jury verdict of $7.5 million. After this, the
Cleveland Clinic stopped performing the operation. Psychosurgery
projects continue to be conducted at Harvard and Brown , but at few if any other places in the United States.
Articles on lobotomy and other forms of psychosurgery
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