The Astounding Dr. Butcher and his Amazing Lobotomobile

This post is definitely not for the squeamish. Digit, with his sensitivity to “cutting in the vicinity of the eye” may well want to bypass this piece, especially the YouTube video.

Western State Lunatic AsylumIn a comment on the Fairhaven Hotel posting below, I noted that when I was 17 years of age, I spent an entire night, by myself, in the crumbling hulk of the old Western State Hospital in Steilacoom, Washington (how this came to pass is a story beyond the scope of a blog posting). This facility “prospered” in a time before the advent of pyschiatric medications, and drug injury lawyers. Besides employing such “radical” therapies as insulin-induced seizures (portrayed in the movie A Beautiful Mind) and electroshock therapy, many lobotomies were also performed there.

Enter the Astounding Dr. Butcher in his Amazing “Lobotmobile,” more properly known as Dr. Walter Freeman. The Wikipedia entry about his disturbing occupation will serve to give some insight into the late Dr. Butcher: brain-cutter, soul-killer–

Dr. Walter Jackson Freeman II (November 14, 1895 – May 31, 1972) was a physician, born in Philadelphia, Pennsylvania, a graduate of Yale and the University of Pennsylvania Medical School, and an advocate and very prolific practitioner of psychosurgery, specifically lobotomy….

…Freeman performed 2500 lobotomies in 23 states[1], but more significantly he popularized the lobotomy as a legitimate form of psychosurgery. A neurologist and psychiatrist without surgical training, he initially worked with several surgeons, including James W. Watts. In 1936, he and Watts became the first American doctors to perform prefrontal lobotomy.


Frustrated by his lack of surgical training and seeking a faster and less invasive way to perform the procedure, Freeman invented the “ice pick” or transorbital lobotomy, which, at first, literally used an ice pick hammered through the back of the eye socket into the brain. Freeman was able to perform these very quickly, outside of an operating theatre, and without the assistance of an actual surgeon. For his first transorbital lobotomies, Freeman used an actual icepick from his kitchen. Later, he utilized an instrument created specifically for the operation called a leucotome. In 1948 Freeman developed a new technique which involved wrenching the leucotome in an upstroke after the initial insertion. This procedure placed great strain on the instrument and often resulted in the leucotome breaking off in the patient’s skull. As a result, Freeman designed a new, stronger instrument, the orbitoclast.

Freeman embarked on a national campaign in his van which he called his “lobotomobile” to demonstrate the procedure to surgeons working at state-run institutions; Freeman would show off by icepicking both of a patient’s eyesockets at one time – one with each hand.[2] According to some, institutional care was hampered by lack of effective treatments and extreme overcrowding, and Freeman saw the transorbital lobotomy as an expedient tool to get large populations out of treatment and back into private life…. (source)

Freeman seems to have been as much of a showman as a surgeon, with his absurdly morbid “lobotomobile” and his lobotomy “hucksterism.” But it was a different time, and better-vanished time.

The lobotomy as a “cure-all” fell out of favor with the advent of psychiatric drugs* (although it is still ocassionally peformed, today, in “intractable” cases of OCD and Schizophrenia) after destroying countless lives.

And how did Dr. Butcher end up? This informative, albeit disturbing piece from NPR (which you may listen to, as well) tells us:

After 2,500 operations, Freeman performed his final ice-pick lobotomy on a housewife named Helen Mortenson in February 1967. She died of a brain hemorrhage, and Freeman’s career was finally over. Freeman sold his home and spent the rest of his days traveling the country in a camper, visiting old patients, trying desperately to prove that his procedure had transformed thousands of lives for the better. Freeman died of cancer in 1972.

And now, to conclude, I leave you with this short film (8:18) entitled “The Golden Age of Lobotomy.” Do not watch it if stuff like this disturbs you overly; since most of it is “slow,” it is easy to be “lulled” (which is the intent, I think). There are two brief still-shots of Dr. Freeman performing a lobotomy in the film, including one showing his “two-handed technique”

Personally, I think it’s one of the darkest films I’ve ever watched. Watch it full screen in the dark for full effect.

* Ironically, the advent of “minor tranquilizers” (benzodiazapenes, of which the most well known are Valium and Xanax) was itself a period of abuses and excess, when “mother’s little yellow helper” was heralded as a pyschiatric panacea.


Author: Stink

Former jet-fighter jock, currently an eccentric philanthropist and international playboy, Stinkfinger is devoted to juxtaposing the sacred and the profane to both baffle and entertain you, and possibly to save Western civilization from utter dissolution. Stinkfinger neither engages in nor understands the practice of “felching.”

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  1. As with most media sources, NPR frames the matter in a way designed to either generate viewership (shock and awe, sympathy), or further their own point of view. Medicine is an ugly business, generally, let alone mental illness. Tried and true aspirin was heralded a wonder drug for nearly a century, but it carries side-effects, including the risk of provoking Reye’s syndrome, usually in children, which causes liver damage, brain damage, and sometimes death. Virtually every treatment or procedure comes with risk. We are talking about a simple procedure that alleviated pain and suffering for many who would not otherwise have gotten relief. We are also talking about a time period where we lacked medications for mental illness, and as a result, routinely locked away those patients, and performed all sorts of experiments on them, in an effort to get to where we are, today. Think of the latest high-tech non-invasive procedures we perform today that ten years ago required cutting and sawing someone open. It is silly to look back to a more primitive time, and complain of its primitiveness. Freeman offered hope to those without good alternatives.

  2. Brain hemorrhage is of course deadly, you need your head to be examined as soon as possible if you think that you have hit your head hard. .`’*.

    Warmest regards“>

  3. Amazing the stuff we humans will let doctors do to us without educating ourselves first! I have been spending time with a 93 year old woman in Lothian, Maryland (she sprained her ankle and is stuck at home). We were talking about her mother and lo and behold! Her mother had a lobotomy done by Dr. Freeman at some point in her adult life. He actually came back to check on her some time after!! It sounds like it didn’t affect her horribly, but she did have seizures a time or two. I didn’t realize that she’d been worked on by Dr. Butcher! Unreal.

  4. Link removed.
    Fake indicated.

  5. Oh man, that’s some seriously messed up stuff. That guy is lucky no one gave him a taste of his own medicine. He definitely deserved it.

  6. Hi Stink. Thanks for this video. I’m gonna go cry now.

  7. Glad you all liked it (maybe “intellectually and artistically appreciated” is a better term than “liked”). Maximum credit, of course, goes to the Wikipedia author who so succintly summed up Dr. Butcher’s illustrious career, and of course the creator of that disturbing, brilliant short film.

  8. I remember listening to that NPR story years ago. Very interesting.

    Funny because I was sitting here racking my brain trying to remember where I’d heard all this stuff – was it a book? a movie? – and then I saw the link to the NPR thing.

  9. Ohhhh, the icepick lobotomy! Woo ha!
    I remember an episode of the X-Files where Scully almost got one of those.

  10. Oh this is a good post.Big score for the Stinkmeister!

    No shit, dude. Good stuff.

    The video….



  1. Walter Freeman: The Lobotomist « Content Curated By Darin R. McClure & a few photos - [...] seizures. A few died from the procedure. Freeman, undeterred, toured the United States in a van dubbed the …
  2. Walter Freeman: The Lobotomist | Disinformation - [...] undeterred, toured the United States in a van dubbed the “lobotomobile”, stopping to train surgeons at state hospitals. Thus, …

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