Electro-Shock Therapy: Lobotomies And Asylums

In early American history, individuals with mental illnesses have been neglected and suffered inhuman treatments. Some were beaten, lobotomized, sterilized, restrained, in addition to other kinds of abuse. Mental illness was thought to be the cause of supernatural dreadful curse from the Gods or a demonic possession. Trepanning (the opening of the skull) is the earliest known treatment for individuals with mental illness. This practice was believed to release evil spirits (Kemp, 2007). Laws were passed giving power to take custody over the mentally ill including selling their possessions and properties and be imprisoned (Kofman, 2012). The first psychiatric hospital in the U.S. was the Pennsylvania Hospital where mentally ill patients were left in cold basements because they were considered not affected by cold or hot environments and restraint with iron shackles. They were put on display like zoo animals to the public for sell by the doctors (Kofmen, 2012). These individuals were punished and isolated and kept far out of the eyes of society, hidden as if they did not exist. They were either maintained by living with their families and considered a source of embarrassment or institutionalized

Hippocrates was the first to recognize that mental illness was due to ‘disturbed physiology’ as opposed to ‘displeasure of the gods or evidence of demonic possession’. It was not until about one thousand years later that the first place designated for the mentally ill came to be in 15th century Spain. Before the 15th century, it was largely up to individual’s families to care for them. By the 17th century, society was ‘often housing them with handicapped people, vagrants, and delinquents. Those considered insane are increasingly treated inhumanely, often chained to walls and kept in dungeons’. There are great strides for the medical treatments for the mentally

The treatment of mental illness has gone through many reforms over the years. Stemming from some of the earliest documented cases of treatment such as trephination in 5000 B.C. to the opening of “mental” asylums starting in the late 1300s to the development of the modern healthcare system. Through the 1800s until now, major developments in mental health treatment include the evolution of the “mental” asylum, widespread psychopharmacology, and psychotherapy treatments. Primarily focusing on the treatment methods of the past two hundred or so years, the United States of America has made leaps and bounds to provide humane treatment to aid those in need.

Evaluation and treatment of the mentally ill population has developed from confinement of the mad during colonial times, into the biomedical balancing of neurological impairment seen in these modern times. There were eras of mental health reform, medicalization, and deinstitutionalization sandwiched in between (Nies & McEwen, 2011). Regardless of the stage of understanding and development, communities have not been completely successful in dealing with and treating persons who are mentally unwell. Fortunately, treatment has become more compassionate; social and professional attitudes have morphed into more humanistic and

The history of mental health in the United States show a robust movement towards the mental healthcare system we have today. Prior to the 19th century, individuals with mental health issues were widely considered to be demonically possessed, thus contributing to the stigmatization of mental illness and the proliferation of poor treatment conditions. However, in the 1800s, there was a dramatic change in mental healthcare in the U.S. The government took a proactive role in treating the mentally ill, leading to the dawn of state psychiatric facilities.

It wasn’t until the mid-1900’s that the hospital and mental asylum began to vary. A new kind of treatment was introduced, which influenced the idea that with kindness and a quiet, calming location, the mentally ill could get better. This was called moral treatment.

Other treatments involved teeth pulling, sleep deprivation, cutting holes into the person’s head. Medication was also used as a treatment for some patients. Many mental asylums closed down because people finally figured out what was really going on in the asylums. The government no longer wanted to give funding to this institutions or spending anything on reorganizing the system. The reason for this decline was the advancement in psychiatric treatment meant that a standard hospital was able to provide care to people that required immediate attention, and the drugs available meant that patients did not need twenty-four hour care (The History of the Asylum).

The major and most significant change in the human services was that medical advancement in the treatment of the mentally ill. Mental health science breakthroughs allow for the treatment of mental illness with medication, counseling, and therapy. Prior to this time, the deficiencies in the care of the mentally ill were often cruel and inhumane treatments ("Our History", 2017). Without this change in the treatment of both the poor, children and the mentally ill, the importance of human services professionals and especially the specific area of specialty would never have been acknowledged. scientific breakthroughs. Counseling and therapy rise as accepted interventions for mental illness

“Attempts at cures went from bed rest, asylum stays, and dietary changes” (Noll). Psychiatrists even let their patients dance from time to time to see if expressing themselves helped with the their symptoms. The most popular was asylum stays. Family members would turn family into asylums despite the harsh living conditions. How could someone turn a loved one into an institution knowing they would now comeback the same? “Most treatments were not successful, but many” patients “recovered to live normal lives” (Noll). This was good news to psychiatrists. It showed they were making progress. This interested many others to help learn more about these

The mentally ill were cared for at home by their families until the state recognized that it was a problem that was not going to go away. In response, the state built asylums. These asylums were horrendous; people were chained in basements and treated with cruelty. Though it was the asylums that were to blame for the inhumane treatment of the patients, it was perceived that the mentally ill were untamed crazy beasts that needed to be isolated and dealt with accordingly. In the opinion of the average citizen, the mentally ill only had themselves to blame (Surgeon General’s Report on Mental Health, 1999). Unfortunately, that view has haunted society and left a lasting impression on the minds of Americans. In the era of "moral treatment", that view was repetitively attempted to be altered. Asylums became "mental hospitals" in hope of driving away the stigma yet nothing really changed. They still were built for the untreatable chronic patients and due to the extensive stay and seemingly failed treatments of many of the patients, the rest of the society believed that once you went away, you were gone for good. Then the era of "mental hygiene" began late in the nineteenth century. This combined new concepts of public health, scientific medicine, and social awareness. Yet despite these advancements, another change had to be made. The era was called "community mental health" and

One of the earliest reforms occurred at an asylum in Devon, England. This facility had employed opium, leeches, and purges as cures for mental illness, but in the mid-1800s emphasized non-restraint methods to affect patients’ health (Stigma 64).

What comes to mind when you hear the words “insane asylum”? Do such terms as lunatic, crazy, scary, or even haunted come to mind? More than likely these are the terminology that most of us would use to describe our perception of insane asylums. However, those in history that had a heart’s desire to treat the mentally ill compassionately and humanely had a different viewpoint. Insane asylums were known for their horrendous treatment of the mentally ill, but the ultimate purpose in the reformation of insane asylums in the nineteenth century was to improve the treatment for the mentally ill by providing a humane and caring environment for them to reside.

During the mid-1800’s the mentally ill were either homeless or locked in a cell under deplorable conditions. Introduction of asylums was a way to get the mentally ill better care and better- living conditions. Over a period of years, the admissions grew, but staff to take care of their needs did not. Asylums became overcrowded and treatments that were thought to cure, were basically medieval and unethical

Many people fear electro-shock therapy, but many do not know what it actually is. The idea of purposely getting shocked astonishes people. Electroshock therapy is when someone administers a brief electrical stimulus (or shock) to create a seizure. In many studies, people have found that electro-shock can be extremely effective 5

If we reach that far back in psychiatric history it would appear as though mainstream psychiatry has actually come a long way. To gain insight in to all disciplines of study it’s critical to venture back in time to get a glimpse of its history. It’s necessary to study the roots in an effort to accurately extrapolate where things have been, where things are, and where the vision is directed for the future. Advancements in health care have unfolded through trial and error. These progressive improvements in patient care are profoundly swayed by public attitudes and medical theories. Since we have had such difficulty in finding our way out of the stigma mental illness maintains on today’s society, it is not surprising that psychiatry continues to lag behind other fields of medicine in terms of advancements.