Lobotomy

When the actress Celia Imrie was 14, she was admitted to an NHS hospital where she was given medication intended for delusional, hallucinating, agitated schizophrenics. Though not diabetic, she was regularly injected with insulin, which lowered her blood sugar so that she became shaky, anxious, ravenously hungry and so confused she couldn’t recognise her own family. Yet she was one of the luckier ones. Other patients were given enough insulin to induce a coma caused by dangerously low glucose levels, and some even died.  Why was Imrie subjected to this? Because she was anorexic and had been placed in the care of a notorious psychiatrist who believed in aggressive physical

There is much more desperation in this searching and enlightening history than there are remedies. Andrew Scull is a distinguished sociologist and scholar of psychiatry. He comes across as wise, sanguine and unsurprised by his findings in this survey of how American – for which also read British – psychiatry has understood and treated the insane, distressed and traumatised from 1820 to the present. His book, however, will leave readers who are unfamiliar with the story horrified and aghast. Since my own breakdown and sectioning in early 2019 I have been working with sufferers, social workers and psychiatrists on improving the understanding and treatment of mental distress. Members of the