One Flew Over the Cuckoorsquos

NestKen Kesey

Inspiration Kesey actually worked as a night warden

on a ward in a mental hospital He was so determined to get the feel of being a patient that he underwent ECT

While at Stanford Kesey volunteered for medical studies on the effects of psychoactive drugs (often hallucinogens) He used these experiences to inform how Chief would see the world

Kesey

Adaptations Cuckoorsquos nest was adapted for both stage

and screen The 1975 film won the ldquobig fiverdquo Oscars

Best film best adapted screenplay best actress best actor and best director

Kesey unsuccessfully sued film producers in 1975 because they changed the point of viewfrom the original story

Narration Narration Be patient with your narrator Chief

Bromden He has had too much electroshock therapy

and too many drugs Kesey probably did too Keep in mind that our narrator is not the

same as our protagonist

Combine Harvester

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Inspiration Kesey actually worked as a night warden

on a ward in a mental hospital He was so determined to get the feel of being a patient that he underwent ECT

While at Stanford Kesey volunteered for medical studies on the effects of psychoactive drugs (often hallucinogens) He used these experiences to inform how Chief would see the world

Kesey

Adaptations Cuckoorsquos nest was adapted for both stage

and screen The 1975 film won the ldquobig fiverdquo Oscars

Best film best adapted screenplay best actress best actor and best director

Kesey unsuccessfully sued film producers in 1975 because they changed the point of viewfrom the original story

Narration Narration Be patient with your narrator Chief

Bromden He has had too much electroshock therapy

and too many drugs Kesey probably did too Keep in mind that our narrator is not the

same as our protagonist

Combine Harvester

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Kesey

Adaptations Cuckoorsquos nest was adapted for both stage

and screen The 1975 film won the ldquobig fiverdquo Oscars

Best film best adapted screenplay best actress best actor and best director

Kesey unsuccessfully sued film producers in 1975 because they changed the point of viewfrom the original story

Narration Narration Be patient with your narrator Chief

Bromden He has had too much electroshock therapy

and too many drugs Kesey probably did too Keep in mind that our narrator is not the

same as our protagonist

Combine Harvester

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Adaptations Cuckoorsquos nest was adapted for both stage

and screen The 1975 film won the ldquobig fiverdquo Oscars

Best film best adapted screenplay best actress best actor and best director

Kesey unsuccessfully sued film producers in 1975 because they changed the point of viewfrom the original story

Narration Narration Be patient with your narrator Chief

Bromden He has had too much electroshock therapy

and too many drugs Kesey probably did too Keep in mind that our narrator is not the

same as our protagonist

Combine Harvester

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Narration Narration Be patient with your narrator Chief

Bromden He has had too much electroshock therapy

and too many drugs Kesey probably did too Keep in mind that our narrator is not the

same as our protagonist

Combine Harvester

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Combine Harvester

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

How it workshellip Combine Harvester A combine harvester is an agricultural

machine that harvests all types of cereals oil seeds and legumes through four main steps

The crop is cut and directed into a rotating chamber with a series of beaters going the opposite direction The grain is dislodged falls to the bottom separated from debris by sieves and wind The grain is transferred to a hopper fortransfer and the debris falls out the rear

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Motifs 1048710 Fog 1048710 Hands 1048710 Naturepurity 1048710 Machinecombine 1048710 Christsavior 1048710 Sanityinsanity 1048710 Laughter

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Images of a ward -

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Mental Hospitals 1930-1960s

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Conditions could behellip

Dirty Cold Overcrowded No privacy No compassion

Sound like prison

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

On the inside Patients were provided with ldquoadequate carerdquo (and

segregated) which often times led to inadequate care poor facilities and loss

of dignity 1048710They were usually given uniforms and daily ldquochoresrdquo In

fact it wasnrsquot until 1973 that New York state banned public hospitals from requiring patients to work in exchange for their room and board

1048710Families were often ashamed of the patients and would deny their existence

1048710Ultimately some of these hospitals became holding areas for a personrsquos entirelife

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Medical Care Deaths and injuries sometimes resulted from both

appropriate and inappropriate treatments 1048710 Patients were treated with medically approved

procedures like being put n tanks of ice-cold water spun in chairs for hours and forced medications (powerful psychoactive drugs)

1048710 Patients were also ldquotreatedrdquo with non-medically approved procedures

which were simply designed to control them For example patients could be shackled to walls placed in seclusion (most often without clothing) or placed in restraints (being strapped to a bed with leather restraints often in a spread-eagle position)

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Treatment of the mentally ill

Group therapy Drug Therapy Electroshock Therapy Lobotomy

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Drug Therapy

Thorazine 1048710 the first psychotropic drug was a milestone in

treatment therapy making it possible to calm unruly behavior anxiety agitation and confusion without using physical restraints

1048710 chemical restraintrdquo Chlorpromazine 1048710 schizophrenic psychosis or manic depressive disorder

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Electric Shock Therapy or Electric Convulsive Therapy

Became very popular 1930rsquos- 40rsquos 1048710 Originated to control negative behaviors in animals

(electroshock) 1048710 A doctor had noticed that schizophrenic epileptics

who had a seizure often were more ldquonormalrdquo after the seizuremdash which led to chemical convulsives and ultimately electroconvulsive treatment

1048710 Used to alter the chemistry in the human brain to produce desired behaviors

1048710 Cruelly it was used as a control device within most wards

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

ESTECT

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

ECTEST Used to treat some forms of severe

depression Used to ldquocontrolrdquo the elderly Used on children in an attempt to correct

their wild andor unwanted behaviors

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Lobotomy Surgical procedure for cutting nerve pathways in the

frontal lobes of the brain The operation has been performed on mentally ill patients whose behavioral patterns were not improved by other forms of treatment it was supposed to be a last resort The procedure was pioneered by Nobel laureate Egas Moniz in the 1930s

1048710 Between 1939-1955 over 100000 lobotomies were performed in the United States

1048710 If performed correctly disconnecting the frontal lobes there caused no loss of intellect no impairment of memory and no problems with speech or gait

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Lobotomy bullThe goal was to cut the nerves that

run from front of the brain to the rear A techniques was devised that involved drilling two holes on either side of the forehead insert a surgical knife and sever the prefrontal cortex from the rest of the brain

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Ice Pick Lobotomy bullInvented in 1936 - Walter Freeman bullInsert an ordinary ice pick above each

eye of a patient with only local anesthetic drive it through the thin bone with a light tap of a mallet swish the pick back and forth then remove

bullA formerly difficult patient is now passive

VOILA

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Abuse of lobotomy Freeman developed what others called

assembly line lobotomies going from one patient to the next with his gold-plated ice pick even having his assistants time him to see if he could break the lobotomy speed record It is said that even some seasoned surgeons fainted at the sight

1048710Doctors would recommend the procedure for everything from psychosis to depression to neurosis to criminality

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Every patient probably loses something by this operation some spontaneity some sparkle some flavor of the personalityrdquo

1048710 The aim was that the patient might be transformed from a disturbed to a quiet clement [insane person] There was no intention to help the patient The goal was only to eradicate the behavior which others found undesirable

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

ldquoMercy killing of the psycherdquo 1048710 The frontal lobe is the seat of the

higher functions such as love concern for others empathy self-insight creativity initiative autonomy rationality abstract reasoning judgment future planning foresight will-power determination and concentration

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Deinstitutionalization mid ndash 1960s

A radical deinstitutionalization revolution began

1048710 It was supposed to end the cruel and inadequate care of institutions

1048710 Individuals would live in their communities and have a normalized life

1048710 Group homes residential care facilities and rooming houses were developed

1048710 The movement helped to break up the control that was happening in the hospitals

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Questionshellip What constitutes a mentally ill person How does one diagnose mentally ill vs

eccentric or ldquodifferentrdquo people

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip

Food for thoughthellip

Does society force men to act a certain way

Rules ndash good or bad Do institutions of government religion etc

control social norms

• One Flew Over the Cuckoorsquos Nest
• Inspiration
• Kesey
• Adaptations
• Narration
• Combine Harvester
• How it workshellip
• Motifs
• Images of a ward -
• Slide 10
• Slide 11
• Slide 12
• Mental Hospitals 1930-1960s
• Conditions could behellip
• On the inside
• Slide 16
• Slide 17
• Slide 18
• Medical Care
• Treatment of the mentally ill
• Drug Therapy
• Electric Shock Therapy or Electric Convulsive Therapy
• ESTECT
• ECTEST
• Lobotomy
• Lobotomy (2)
• Ice Pick Lobotomy
• Slide 28
• Slide 29
• Abuse of lobotomy
• Slide 31
• Slide 32
• Deinstitutionalization mid ndash 1960s
• Questionshellip
• Food for thoughthellip