Walter Jackson Freeman II

Source: Wikipedia, the free encyclopedia.
For his son, see Walter Jackson Freeman III.
Walter Jackson Freeman II
Freeman (left) and James W. Watts (right) studying an X ray before a psychosurgical operation, photo published in May 1941
Born(1895-11-14)November 14, 1895
Philadelphia, Pennsylvania, U.S.
DiedMay 31, 1972(1972-05-31) (aged 76)
San Francisco, California, U.S.
Education
Occupations
  • Physician
  • transorbital lobotomy
ChildrenWalter Jackson Freeman III
RelativesWilliam Williams Keen (maternal grandfather)

Walter Jackson Freeman II (November 14, 1895 – May 31, 1972) was an American physician who specialized in lobotomy.[1]

Wanting to simplify lobotomies so that it could be carried out by psychiatrists in

neurosurgeon and could be performed outside of an operating room, often by untrained psychiatrists without the use of anesthesia by using electroconvulsive therapy to induce seizure and unconsciousness. In 1947, Freeman's partner Dr. James W. Watts ended their partnership because he was disgusted by Freeman's modification of the lobotomy from a surgical operation into a simple "office" procedure.[2]

Freeman and his procedure played a major role in popularizing lobotomy; he later traveled across the United States visiting mental institutions. In 1951, one of Freeman's patients at Iowa's Cherokee Mental Health Institute died when he suddenly stopped for a photo during the procedure, and the orbitoclast accidentally penetrated too far into the patient's brain.[

cerebral hemorrhage
, and he was finally banned from performing surgery in 1967. Freeman's procedure eventually spread across the world.

Early years

Walter J. Freeman was born on November 14, 1895, and raised in Philadelphia, Pennsylvania, by his parents. Freeman's grandfather, William Williams Keen, was well known as a surgeon in the Civil War. His father was also a very successful doctor. Freeman attended Yale University beginning in 1912, and graduated in 1916. He then moved on to study neurology at the University of Pennsylvania Medical School. While attending medical school, he studied the work of William Spiller and idolized his groundbreaking work in the new field of the neurological sciences. Freeman applied for a coveted position working alongside Spiller in his home town of Philadelphia, but was rejected.[3]

Shortly afterward, in 1924, Freeman relocated to Washington, D.C., and started practicing as the first neurologist in the city.[3] Upon his arrival in Washington, Freeman began work directing laboratories at St. Elizabeths Hospital.[3] Working at the hospital and witnessing the pain and distress suffered by the patients encouraged him to continue his education in the field.[3] Freeman earned his PhD in neuropathology within the following few years and secured a position at George Washington University in Washington, D.C., as head of the neurology department.[3]

In 1932, his mother died at the Philadelphia Orthopedic Hospital in Philadelphia.[4]

Medical practice

Main articles: Psychosurgery and Lobotomy

The first systematic attempt at human psychosurgery – performed in the 1880s–1890s – is commonly attributed to the Swiss psychiatrist

prefrontal lobotomy in the United States on housewife Alice Hood Hammatt of Topeka, Kansas, who suffered from anxiety, insomnia, and depression.[7][8] By November, only two months after performing their first lobotomy surgery, Freeman and Watts had already worked on 20 cases including several follow-up operations.[3] By 1942, the duo had performed over 200 lobotomy procedures and had published results claiming 63% of patients had improved, 23% were reported to be unchanged and 14% were worse after surgery.[3]

Freeman then "developed a transorbital approach"

transorbital lobotomy.[7] His new procedure allowed him to perform lobotomies without the use of anesthesia, because he used electroconvulsive therapy to induce seizure: "[Freeman] used a mallet to tap an orbitoclast (a slender rod shaped like an icepick) through the orbital roof. Following penetration of the orbital roof, Freeman would sweep the orbitoclast laterally to obliterate frontal lobe tissue. Additionally, he was able to perform the procedure in an office setting because he anesthetized patients with a portable electroshock machine."[2] He performed the transorbital lobotomy surgery for the first time in Washington, D.C., on a housewife named Sallie Ellen Ionesco.[7] In 1950, Walter Freeman's long-time partner James Watts left their practice and split from Freeman due to his opposition to the transorbital lobotomy.[7]

Freeman traveled across the country visiting

cerebral hemorrhage, as did as many as 100 of his other patients, and he was finally banned from performing surgery.[7] His patients often had to be retaught how to eat and use the bathroom. Relapses were common, some never recovered, and about 15%[16] died from the procedure. In 1951, one patient at Iowa's Cherokee Mental Health Institute died when Freeman suddenly stopped for a photo during the procedure, and the surgical instrument accidentally penetrated too far into the patient's brain.[17] Freeman usually wore neither gloves nor mask during these procedures.[17] He lobotomized 19 minors, including a four-year-old child.[18]

At 57 years old, Freeman retired from his position at George Washington University and opened up a modest practice in California.[3]

An extensive collection of Freeman's papers were donated to The George Washington University in 1980. The collection largely deals with the work that Freeman and James W. Watts did on psychosurgery over the course of their medical careers. The collection is currently under the care of GWU's Special Collections Research Center, located in the Estelle and Melvin Gelman Library.[19]

Freeman was known for his eccentricities and he complemented his theatrical approach to demonstrating surgery by sporting a cane, goatee, and narrow-brimmed hat.[3][13]

Death

Freeman died of complications arising from an operation for cancer on May 31, 1972.[20]

He was survived by four children, Walter, Frank, Paul and Lorne, two of whom entered the medical profession, the eldest, Walter Jr., becoming a professor of neurobiology at the University of California, Berkeley.[13]

Contributions to psychiatry

Walter Freeman nominated his mentor

physiological basis.[1] Despite his interest in the mind, Freeman was "uninterested in animal experiments or understanding what was happening in the brain".[3] Freeman was also co-founder and president of the American Board of Psychiatry and Neurology from 1946 to 1947[3] and a contributor and member of the American Psychiatric Association.[1]

Works

  • Freeman, W. and Watts, J.W. Psychosurgery. Intelligence, Emotion and Social Behavior Following Prefrontal Lobotomy for Mental Disorders, Charles C. Thomas Publisher, Springfield (Ill.) 1942, pp. 337.

References

  1. ^ a b c d e "The Lobotomist". American Experience. Retrieved July 10, 2011.
  2. ^
    PMID 28859561
    .
  3. ^
    doi:10.1097/00132985-200504000-00020
    .
  4. New York Times
    . October 28, 1932. Retrieved 2013-12-16.
  5. ^ For example: However, Kotowicz notes a difference, irregularly observed, among medical historians and medical practitioners in their location of the origin of psychosurgery. The latter group, he contends, tend to favour beginning the narrative with Burckhardt whilst the former group favour starting with Moniz. In the context of early psychosurgery, Berrios unusually also refers to the operations performed in 1889 by a surgeon (Harrison Cripps) at the behest of the British psychiatrist Thomas Claye Shaw in which fluid was drawn from the brain of a patient diagnosed with General Paralysis of the Insane. While the purpose of the operation was aimed towards the alleviation of mental symptoms attendant on the condition the procedure did not aim to interfere directly with brain tissue and therefore it has been excluded from most conventional accounts of psychosurgery.
    • Berrios, German E. (1991). "Psychosurgery in Britain and elsewhere: a conceptual history". In Berrios, German E.; Freeman, Hugh (eds.). 150 Years of British psychiatry, 1841–1991. Gaskell. pp. 181–85.
      ISBN 978-0-902241-36-7
      .
  6. PMID 16201322
    .
  7. ^ a b c d e f g h i j k "A Lobotomy Timeline". NPR. Retrieved July 10, 2011.
  8. ^ a b "The Lobotomist: Complete Program Transcript". PBS. Retrieved December 15, 2013.
  9. ^ "Walter J. Freeman II and Lobotomy: Probing for Answers". blogs.britannica.com. Retrieved 2021-04-16.
  10. ^ El-Hai, Jack (2016-03-16). "Fighting the Legend of the 'Lobotomobile'". Retrieved November 20, 2017.
  11. ISBN 978-0-307-38126-2
    .
  12. ISBN 978-0879751784. Archived from the original
    (PDF) on 29 August 2017.
  13. ^ a b c Day, Elizabeth (January 13, 2008). "He was bad, so they put an ice pick in his brain". The Guardian. Retrieved December 26, 2013.
  14. ^ Breggin, Peter R. (24 February 1972). "The Return of Lobotomy and Psychosurgery" (PDF). United States Congressional Record. 118 (5): 5570. Archived from the original (PDF) on 1 December 2017.
  15. ^ "Top 10 Fascinating And Notable Lobotomies". 2009-06-24. Retrieved 26 December 2013.
  16. ISBN 978-0307407672. Alt URL
  17. ^ a b "The Lobotomy Files: One Doctor's Legacy". WSJ.
  18. ^ "Lobotomy – PBS documentary on Walter Freeman". PBS. Archived from the original on 2010-01-25. Retrieved 27 December 2013.
  19. ^ Guide to the Walter Freeman and James Watts Papers, 1918–1988, Special Collections Research Center, Estelle and Melvin Gelman Library, The George Washington University
  20. ^ "Walter Jackson Freeman, Father of the Lobotomy". 27 September 2017. Retrieved 27 December 2017.

Further reading

External links
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