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In 1935, neurophysiologist John Farquhar Fulton 00:06
presented some shocking new research. 00:12
After removing the frontal lobes of two chimps, 00:15
he found they no longer experienced frustration or anxiety. 00:18
As his research associate noted, it was as if they’d joined a “happiness cult.” 00:24
Admittedly, the surgery had cost Fulton’s chimps some cognitive functions. 00:30
But to Portuguese neurologist Egas Moniz, 00:35
this was a small sacrifice for what seemed to be eternal happiness. 00:39
Moniz believed that replicating this procedure in humans 00:44
could cure mental illness. 00:48
And it was this therapeutic intention 00:50
that led to one of the most controversial and destructive 00:53
medical treatments of the 20th century: 00:56
the lobotomy. 00:59
Today, we know mental illness comes in many forms and emerges for many reasons. 01:01
But in the early 20th century, 01:07
these complex conditions weren't clearly delineated, 01:09
and researchers had various theories about their origins. 01:14
Moniz believed the symptoms of what we now call depression, OCD, and bipolar disorder 01:18
stemmed from negative ideas getting fixed in the neural fibers 01:25
which connect different parts of the brain. 01:30
Specifically the thalamus and frontal lobes, 01:33
which regulate emotion and sensation. 01:36
He proposed that severing these fibers could eliminate the associated conditions, 01:40
which led him to invent the prefrontal lobotomy. 01:45
In this procedure, a surgeon would drill into the skull and cut the white matter 01:50
connecting the prefrontal cortex to the rest of the brain. 01:55
Initially, his peers were skeptical. 02:00
Moniz’s fundamental theory was already controversial. 02:03
And psychiatrists advocating for treatments like psychoanalysis 02:07
criticized this invasive surgical solution. 02:11
But Moniz was undeterred. 02:14
He lobotomized 38 individuals with conditions including anxiety, 02:16
schizophrenia, and depression. 02:22
And his hastily written results reported that two-thirds of these patients 02:24
had become tranquil, amicable, and free from distressing hallucinations. 02:29
At the time, psychiatrists saw calm behavior as a sign of recovery, 02:34
so when Moniz brashly declared the treatment a success, 02:40
his peers agreed. 02:44
Newspapers celebrated the surgery; 02:46
Moniz was awarded the Nobel Prize; 02:48
and his procedure became especially popular in the US 02:51
thanks to neurologist Walter Freeman and neurosurgeon James Watts. 02:55
As a country that had institutionalized nearly half a million people 03:00
for mental health reasons, 03:04
many hoped the new treatment would allow this population 03:06
to live relatively normal lives. 03:10
But from the beginning there were problems. 03:12
First, the notion of a “normal life” 03:15
was determined by this period’s restrictive social mores, 03:18
which had led huge numbers of people to be institutionalized 03:22
simply because they didn’t conform. 03:26
So, while many people in these facilities did need medical help, 03:29
some lobotomy recipients had no mental illness whatsoever. 03:33
Second, the details and timeline of the surgeries’ results 03:38
were unpredictable and inconsistent. 03:42
In 1941, when future US President John F. Kennedy’s sister Rosemary 03:45
underwent a prefrontal lobotomy, 03:51
it permanently impaired her ability to speak and walk. 03:53
And even when the surgery did help patients manage 03:58
overwhelming emotions and hallucinations, 04:01
they often experienced significant side effects. 04:03
These included apathy, abrupt personality changes, and cognitive impairment. 04:06
Tragically, the stigma around mental illness kept people from discussing 04:13
their negative experiences, 04:17
so the procedure kept happening. 04:19
But prefrontal lobotomies required a team of surgeons and specialized equipment, 04:22
making them out of reach for most patients. 04:27
At least until 1945, 04:30
when Freeman began developing a simpler and cheaper alternative. 04:33
In his new transorbital lobotomy, 04:38
the patient was first rendered unconscious via electroshock therapy. 04:40
Then, an ice pick-like instrument 04:45
was pushed through the thin bone of their eye socket 04:48
and manipulated to sever the fibers 04:51
between the thalamus and frontal lobes. 04:54
Transorbital lobotomy was intended to be performed by physicians 04:57
without surgical training in under ten minutes. 05:01
And Freeman proved his procedure’s efficiency during a hospital visit, 05:05
where he performed the surgery 228 times in just 12 days. 05:09
Transorbital lobotomy was immediately controversial. 05:16
Even Freeman’s long-time collaborator James Watts 05:20
was against making such a consequential surgery 05:23
quick, dirty, and accessible to amateurs. 05:26
But the procedure remained popular throughout the Western world 05:30
until the 1950s, 05:33
when tranquilizers began offering a less permanent 05:35
and more predictable alternative. 05:38
By the mid-60s, lobotomies were most often found in science fiction and horror films, 05:41
where they became a potent metaphor 05:47
for brutally controlling those who don't fit the norm. 05:49
Today, lobotomy serves as a chilling reminder that scientific progress 05:53
requires transparency and clear ethical standards. 05:58
Because without honest reflection, 06:02
even efforts to alleviate human suffering can cause serious harm. 06:04

– English Lyrics

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[English]
In 1935, neurophysiologist John Farquhar Fulton
presented some shocking new research.
After removing the frontal lobes of two chimps,
he found they no longer experienced frustration or anxiety.
As his research associate noted, it was as if they’d joined a “happiness cult.”
Admittedly, the surgery had cost Fulton’s chimps some cognitive functions.
But to Portuguese neurologist Egas Moniz,
this was a small sacrifice for what seemed to be eternal happiness.
Moniz believed that replicating this procedure in humans
could cure mental illness.
And it was this therapeutic intention
that led to one of the most controversial and destructive
medical treatments of the 20th century:
the lobotomy.
Today, we know mental illness comes in many forms and emerges for many reasons.
But in the early 20th century,
these complex conditions weren't clearly delineated,
and researchers had various theories about their origins.
Moniz believed the symptoms of what we now call depression, OCD, and bipolar disorder
stemmed from negative ideas getting fixed in the neural fibers
which connect different parts of the brain.
Specifically the thalamus and frontal lobes,
which regulate emotion and sensation.
He proposed that severing these fibers could eliminate the associated conditions,
which led him to invent the prefrontal lobotomy.
In this procedure, a surgeon would drill into the skull and cut the white matter
connecting the prefrontal cortex to the rest of the brain.
Initially, his peers were skeptical.
Moniz’s fundamental theory was already controversial.
And psychiatrists advocating for treatments like psychoanalysis
criticized this invasive surgical solution.
But Moniz was undeterred.
He lobotomized 38 individuals with conditions including anxiety,
schizophrenia, and depression.
And his hastily written results reported that two-thirds of these patients
had become tranquil, amicable, and free from distressing hallucinations.
At the time, psychiatrists saw calm behavior as a sign of recovery,
so when Moniz brashly declared the treatment a success,
his peers agreed.
Newspapers celebrated the surgery;
Moniz was awarded the Nobel Prize;
and his procedure became especially popular in the US
thanks to neurologist Walter Freeman and neurosurgeon James Watts.
As a country that had institutionalized nearly half a million people
for mental health reasons,
many hoped the new treatment would allow this population
to live relatively normal lives.
But from the beginning there were problems.
First, the notion of a “normal life”
was determined by this period’s restrictive social mores,
which had led huge numbers of people to be institutionalized
simply because they didn’t conform.
So, while many people in these facilities did need medical help,
some lobotomy recipients had no mental illness whatsoever.
Second, the details and timeline of the surgeries’ results
were unpredictable and inconsistent.
In 1941, when future US President John F. Kennedy’s sister Rosemary
underwent a prefrontal lobotomy,
it permanently impaired her ability to speak and walk.
And even when the surgery did help patients manage
overwhelming emotions and hallucinations,
they often experienced significant side effects.
These included apathy, abrupt personality changes, and cognitive impairment.
Tragically, the stigma around mental illness kept people from discussing
their negative experiences,
so the procedure kept happening.
But prefrontal lobotomies required a team of surgeons and specialized equipment,
making them out of reach for most patients.
At least until 1945,
when Freeman began developing a simpler and cheaper alternative.
In his new transorbital lobotomy,
the patient was first rendered unconscious via electroshock therapy.
Then, an ice pick-like instrument
was pushed through the thin bone of their eye socket
and manipulated to sever the fibers
between the thalamus and frontal lobes.
Transorbital lobotomy was intended to be performed by physicians
without surgical training in under ten minutes.
And Freeman proved his procedure’s efficiency during a hospital visit,
where he performed the surgery 228 times in just 12 days.
Transorbital lobotomy was immediately controversial.
Even Freeman’s long-time collaborator James Watts
was against making such a consequential surgery
quick, dirty, and accessible to amateurs.
But the procedure remained popular throughout the Western world
until the 1950s,
when tranquilizers began offering a less permanent
and more predictable alternative.
By the mid-60s, lobotomies were most often found in science fiction and horror films,
where they became a potent metaphor
for brutally controlling those who don't fit the norm.
Today, lobotomy serves as a chilling reminder that scientific progress
requires transparency and clear ethical standards.
Because without honest reflection,
even efforts to alleviate human suffering can cause serious harm.

Key Vocabulary

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Vocabulary Meanings

research

/rɪˈsɜːrtʃ/

B1
  • noun
  • - the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions.

frontal

/ˈfrʌntl/

B2
  • adjective
  • - relating to the front of something.

anxiety

/æŋˈzaɪəti/

B1
  • noun
  • - a feeling of worry, nervousness, or unease, typically about an imminent event or something with an uncertain outcome.

cognitive

/ˈkɒɡnətɪv/

C1
  • adjective
  • - relating to cognition; concerned with the mental processes involved in knowing, including perception, attention, memory, and reasoning.

functions

/ˈfʌŋkʃənz/

B1
  • noun
  • - an activity or purpose natural to or intended for a person or thing.

surgery

/ˈsɜːrdʒəri/

B1
  • noun
  • - the treatment of injuries or diseases in people or animals by cutting open the body and removing or repairing the damaged part.

mental

/ˈmentl/

B1
  • adjective
  • - relating to the mind or occurring in the mind.

illness

/ˈɪlnəs/

A2
  • noun
  • - a disease or period of sickness affecting the body or mind.

conditions

/kənˈdɪʃənz/

B1
  • noun
  • - the state of something, especially with regard to its appearance, quality, or working order.

depression

/dɪˈpreʃən/

B1
  • noun
  • - feelings of severe despondency and dejection.

fibers

/ˈfaɪbərz/

B2
  • noun
  • - a thread or filament from which a textile is formed.

lobotomy

/ləˈbɒtəmi/

C1
  • noun
  • - a form of psychosurgery in which the nerve pathways in a lobe or lobes of the brain are severed from those in other areas.

procedure

/prəˈsiːdʒər/

B1
  • noun
  • - an established or official way of doing something.

patients

/ˈpeɪʃənts/

A2
  • noun
  • - a person receiving medical care.

hallucinations

/həˌluːsɪˈneɪʃənz/

C1
  • noun
  • - an experience involving the apparent perception of something not present.

recovery

/rɪˈkʌvəri/

B1
  • noun
  • - a return to a normal state of health, mind, or strength.

stigma

/ˈstɪɡmə/

B2
  • noun
  • - a mark of disgrace associated with a particular circumstance, quality, or person.

alternative

/ɔːlˈtɜːrnətɪv/

B2
  • noun
  • - one of two or more available possibilities.
  • adjective
  • - available as another possibility or choice.

significant

/sɪɡˈnɪfɪkənt/

B2
  • adjective
  • - sufficiently great or important to be worthy of attention; noteworthy.

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