10 Mind-Boggling Psychiatric Treatments

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by Dan Greenberg

Nobody ever claimed a visit to the doctor was a pleasant way to pass the time. But if you're timid about diving onto a psychiatrist's couch or paranoid about popping pills, remember: It could be worse. Like getting-a-hole-drilled-into-your-skull worse.

1. INSULIN COMA-THERAPY

The coma-therapy trend began in 1927. Viennese physician Manfred Sakel accidentally gave one of his diabetic patients an insulin overdose, and it sent her into a coma. But what could have been a major medical faux pas turned into a triumph. The woman, a drug addict, woke up and declared her morphine craving gone. Later, Sakel (who really isn't earning our trust here) made the same mistake with another patient—who also woke up claiming to be cured. Before long, Sakel was intentionally testing the therapy with other patients and reporting a 90 percent recovery rate, particularly among schizophrenics. Strangely, however, Sakel's treatment successes remain a mystery.

Presumably, a big dose of insulin causes blood sugar levels to plummet, which starves the brain of food and sends the patient into a coma. But why this unconscious state would help psychiatric patients is anyone's guess. Regardless, the popularity of insulin therapy faded, mainly because it was dangerous. Slipping into a coma is no walk in the park, and between one and two percent of treated patients died as a result.

2. TREPANATION

Ancient life was not without its hazards. Between wars, drunken duels, and the occasional run-in with an inadequately domesticated pig, it's no surprise that archaic skulls tend to have big holes in them. But not all holes are created with equal abandon. Through the years, archaeologists have uncovered skulls marked by a carefully cut circular gap, which shows signs of being made long before the owner of the head passed away. These fractures were no accident; they were the result of one of the earliest forms of psychiatric treatment called trepanation. The basic theory behind this "therapy" holds that insanity is caused by demons lurking inside the skull. As such, boring a hole into the patient's head creates a door through which the demons can escape, and—voila!—out goes the crazy.

Despite the peculiarity of the theory and lack of major-league anesthetics, trepanation was by no means a limited phenomenon. From the Neolithic era to the early 20th century, cultures all over the world used it as a way to cure patients of their ills. Doctors eventually phased out the practice as less invasive procedures were developed. Average Joes, on the other hand, didn't all follow suit. Trepanation patrons still exist. In fact, they even have their very own organizations, like the International Trepanation Advocacy Group.

3. ROTATIONAL THERAPY

Charles Darwin's grandfather Erasmus Darwin was a physician, philosopher, and scientist, but he wasn't particularly adept at any of the three. Consequently, his ideas weren't always taken seriously. Of course, this could be because he liked to record them in bad poetic verse (sample: "By immutable immortal laws / Impress'd in Nature by the great first cause, / Say, Muse! How rose from elemental strife / Organic forms, and kindled into life"). It could also be because his theories were a bit far-fetched, such as his spinning-couch treatment. Darwin's logic was that sleep could cure disease and that spinning around really fast was a great way to induce the slumber.

Nobody paid much attention to Darwin's idea at first, but later, American physician Benjamin Rush adapted the treatment for psychiatric purposes. He believed that spinning would reduce brain congestion and, in turn, cure mental illness. He was wrong. Instead, Rush just ended up with dizzy patients. These days, rotating chairs are limited to the study of vertigo and space sickness.

4. HYDROTHERAPY

If the word "hydrotherapy" conjures up images of Hollywood stars lazily soaking in rich, scented baths, then you probably weren't an early 20th-century psychiatric patient. Building off the idea that a dip in the water is often calming, psychiatrists of yore attempted to remedy various symptoms with corresponding liquid treatments. For instance, hyperactive patients got warm, tiring baths, while lethargic patients received stimulating sprays.

Some doctors, however, got a bit too zealous about the idea, prescribing therapies that sounded more like punishment than panacea. One treatment involved mummifying the patient in towels soaked in ice-cold water. Another required the patient to remain continuously submerged in a bath for hours or even days—which might not sound so bad, except they were strapped in and only allowed out to use the restroom. Finally, some doctors ordered the use of high-pressure jets. Sources indicate that at least one patient was strapped to the wall in the crucifixion position (never a good sign) and blasted with water from a fire hose. Like many extreme treatments, hydrotherapy was eventually replaced with psychiatric drugs, which tended to be more effective.

5. MESMERISM

Much like Yoda, Austrian physician Franz Mesmer (1734-1815) believed that an invisible force pervaded everything in existence, and that disruptions in this force caused pain and suffering. But Mesmer's ideas would have been of little use to Luke Skywalker. His basic theory was that the gravity of the moon affected the body's fluids in much the same way it caused ocean tides, and that some diseases accordingly waxed and waned with the phases of the moon. The dilemma, then, was to uncover what could be done about gravity's pernicious effects. Mesmer's solution: use magnets. After all, gravity and magnetism were both about objects being attracted to each other. Thus, placing magnets on certain areas of a patient's body might be able to counteract the disruptive influence of the moon's gravity and restore the normal flow of bodily fluids.

Surprisingly, many patients praised the treatment as a miracle cure, but the medical community dismissed it as superstitious hooey and chalked up his treatment successes to the placebo effect. Mesmer and his theories were ultimately discredited, but he still left his mark. Today, he's considered the father of modern hypnosis because of his inadvertent discovery of the power of suggestion, and his name lives on in the English word mesmerize

6. MALARIA THERAPY

Ah, if only we were talking about a therapy for malaria. Instead, this is malaria as therapy—specifically, as a treatment for syphilis. There was no cure for the STD until the early 1900s, when Viennese neurologist Wagner von Jauregg got the idea to treat syphilis sufferers with malaria-infected blood. Predictably, these patients would develop the disease, which would cause an extremely high fever that would kill the syphilis bacteria. Once that happened, they were given the malaria drug quinine, cured, and sent home happy and healthy. The treatment did have its share of side effects—that nasty sustained high fever, for one—but it worked, and it was a whole lot better than dying. In fact, Von Jauregg won the Nobel Prize for malaria therapy, and the treatment remained in use until the development of penicillin came along and gave doctors a better, safer way to cure the STD.

7. CHEMICALLY INDUCED SEIZURES

Nobody ever said doctors had flawless logic. A good example: seizure therapy. Hungarian pathologist Ladislas von Meduna pioneered the idea. He reasoned that, because schizophrenia was rare in epileptics, and because epileptics seemed blissfully happy after seizures, then giving schizophrenics seizures would make them calmer. In order to do this, von Meduna tested numerous seizure-inducing drugs (including such fun candidates as strychnine, caffeine, and absinthe) before settling on metrazol, a chemical that stimulates the circulatory and respiratory systems. And although he claimed the treatment cured the majority of his patients, opponents argued that the method was dangerous and poorly understood.

To this day, no one is quite clear on why seizures can help ease some schizophrenic symptoms, but many scientists believe the convulsions release chemicals otherwise lacking in patients' brains. Ultimately, the side effects (including fractured bones and memory loss) turned away both doctors and patients.

8. PHRENOLOGY

Around the turn of the 19th century, German physician Franz Gall developed phrenology, a practice based on the idea that people's personalities are depicted in the bumps and depressions of their skulls. Basically, Gall believed that the parts of the brain a person used more often would get bigger, like muscles. Consequently, these pumped-up areas would take up more skull space, leaving visible bumps in those places on your head. Gall then tried to determine which parts of the skull corresponded to which traits. For instance, bumps over the ears meant you were destructive; a ridge at the top of the head indicated benevolence; and thick folds on the back of the neck were sure signs of a sexually oriented personality. In the end, phrenologists did little to make their mark in the medical field, as they couldn't treat personality issues, only diagnose them (and inaccurately, at that). By the early 1900s, the fad had waned, and modern neuroscience had garnered dominion over the brain.

9. HYSTERIA THERAPY

Once upon a time, women suffering from pretty much any type of mental illness were lumped together as victims of hysteria. The Greek physician Hippocrates popularized the term, believing hysteria encompassed conditions ranging from nervousness to fainting fits to spontaneous muteness. The root cause, according to him, was a wandering womb. So, whither does it wander? Curious about Hippocrates's theory, Plato asked himself that very question. He claimed that if the uterus "remains unfruitful long beyond its proper time, it gets discontented and angry and wanders in every direction through the body, closes up the passages of the breath, and, by obstructing respiration, drives women to extremity." Consequently, cures for hysteria involved finding a way to "calm down" the uterus. And while there was no dearth of methods for doing this (including holding foul-smelling substances under the patient's nose to drive the uterus away from the chest), Plato believed the only surefire way to solve the problem was to get married and have babies. After all, the uterus always ended up in the right place when it came time to bear a child. Although "womb-calming" as a psychiatric treatment died out long ago, hysteria as a diagnosis hung around until the 20th century, when doctors began identifying conditions such as depression, post-traumatic stress disorder, and phobias.

10. LOBOTOMY

Dr. Walter Freeman, left, and Dr. James W. Watts study an X ray before a psychosurgical operation
Harris A Ewing, Saturday Evening Post, Public Domain, Wikimedia Commons

Everybody's favorite psychiatric treatment, the modern lobotomy was the brainchild of António Egas Moniz, a Portuguese doctor. Moniz believed that mental illnesses were generally caused by problems in the neurons of the frontal lobe, the part of the brain just behind the forehead. So when he heard about a monkey whose violent, feces-throwing urges had been curbed by cuts to the frontal lobe, Moniz was moved to try out the same thing with some of his patients. (The lobe-cutting, not the feces-throwing.) He believed the technique could cure insanity while leaving the rest of the patient's mental function relatively normal, and his (admittedly fuzzy) research seemed to support that. The accolades flooded in, and (in one of the lower points in the Karolinska Institute's history) Moniz was awarded the Nobel Prize in 1949.

After the lobotomy rage hit American shores, Dr. Walter Freeman took to traveling the country in his "lobotomobile" (no, really), performing the technique on everyone from catatonic schizophrenics to disaffected housewives. His road-ready procedure involved inserting a small ice pick into the brain through the eye socket and wiggling it around a bit. While some doctors thought he'd found a way to save hopeless cases from the horrors of life-long institutionalization, others noted that Freeman didn't bother with sterile techniques, had no surgical training whatsoever, and tended to be a bit imprecise when describing his patients' recovery.

As the number of lobotomies increased, a major problem became apparent: The patients weren't just calm—they were virtual zombies who scarcely responded to the world around them. Between that and the bad press lobotomies received in films and novels such as One Flew Over the Cuckoo's Nest, the treatment soon fell out of favor.

Mapping Technology Reveals 'Lost Cities' on National Geographic

Lin uses his iPad to visualize scanning data of a crusaders' fortress at the lagoon in Acre, Israel.
Lin uses his iPad to visualize scanning data of a crusaders' fortress at the lagoon in Acre, Israel.
Blakeway Productions/National Geographic

Imagine what Pompeii looked like before the lava hit, or Mayan pyramids before the jungle took over. In the past decade, scientists have been able to explore human settlements long since abandoned by using a new wave of accessible technology. Instead of needing an expensive plane and crew to fly aerial sensors, for example, explorers can mount them on cheaper drones and pilot them into previously unreachable areas. The resulting data can tell us more about the past, and the future, than ever before.

That’s the premise of Lost Cities with Albert Lin, a new TV series premiering on National Geographic on Sunday, October 20.

Lin, an engineer and National Geographic Explorer, uses cutting-edge tools to shed light on centuries-old cities in the most beautiful places on Earth. Ground-penetrating radar reveals buried structures without disturbing the landscape. A drone-mounted remote sensing method called LIDAR—short for "Light Detection and Ranging"—shoots lasers at objects to generate data, which Lin visualizes with 3D mapping software. The results suggest what the ruins probably looked like when they were new.

Albert Lin and crew in Peru
Thomas Hardy, Adan Choqque Arce, Joseph Steel, Duncan Lees, Albert Lin, and Alonso Arroyo launch the LIDAR drone at Wat'a in Peru.
National Geographic

“It’s like a window into a world that we’ve never had before,” Lin tells Mental Floss. “It’s shooting millions of laser pulses per second through a distance of air. By digitally removing the top layer of everything above the ground—trees, brush, cacti—you’re washing away the past. All of the sudden you’re left with these fingerprints—experiments in how we organized ourselves through time.”

For the six-episode series, Lin and the expert storytelling team were dispatched to the South Pacific, the Middle East, the Andes, the Arctic, and other destinations. Lin explains that while most of the sites are known to archaeologists, they’ve never been so precisely mapped in three-dimensional detail.

In the first episode, Lin travels to Nan Madol, an enigmatic complex of temples and other structures on the Micronesian island of Pohnpei. With the help of local researchers and indigenous leaders, Lin and the team scan the ruins and digitally erase trees, water, and forest undergrowth to unveil the complex's former grandeur.

“Technology and innovation have always been that gateway to go beyond the threshold, and see what’s around the corner,” Lin says. “Seeing these worlds for the first time since they were left, it’s almost like reversing the burning of the library of Alexandria. We can take the synthesis of knowledge of all these watershed moments of our human journey, and imagine a better future.”

Lost Cities With Albert Lin premieres Sunday, October 20 at 10/9c and resumes on Monday, October 21 at 10/9c on National Geographic.

8 Ways Science Can Boost Your Halloween Fun

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Halloween is all about embracing the supernatural, but science shouldn't entirely fall by the wayside during the spookiest of holidays. Here are a few ways it can actually improve your holiday, from making trick-or-treating easier to fooling your brain into thinking you're eating tasty treats even though you're nibbling on candy cast-offs.

1. Slow the decomposition of your Halloween jack-o'-lantern.

A Halloween display of five jack-o-lanterns
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You don't have to be an expert gardener to keep your jack-o'-lantern looking fresh all Halloween season long. While scouting out pumpkins, pick hard, unblemished ones and steer clear of those with watery dark spots. These splotches indicate frost damage.

Hold off on carving until right before Halloween so your gourds won't rot—but if you can't resist, try squirting their exteriors with lemon juice after you're done slicing and dicing. The acid inhibits pumpkin enzymes, which react with oxygen and cause browning. A light misting of bleach solution will help keep fungus at bay. Some apply vegetable oil or Vaseline to prevent shriveling and drying. We experimented with various techniques in this video.

For extra TLC, you might even want to bring your jack-o'-lanterns in at night if temperatures dip; if you live in a hot and humid area, extend its life by placing it in the fridge overnight. Try using glow sticks or LED lights instead of flesh-singeing candles.

2. Use apps to plan a treat-or-treating route.

Three children in Halloween costumes trick-or-treating
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Thanks to technology, trick-or-treaters (and their hungry adult companions) can now scout out which neighbors are doling out the best candy and which are sticking with Tootsie Rolls, apples, and toothbrushes. Simply download the app for Nextdoor, the neighborhood-based social network, to check out an interactive "treat map" that lets users tag whether their home is handing out treats, and what that treat is.

Since safety is far more important than sugar, guardians should also consider adding a tracking app to their arsenal come Halloween, especially if their kid's venturing out alone. The Find My Family, Friends, Phone app gives the real-time locations of trick-or-treaters, provides alerts for when they turn home, and also comes with a "panic" button that provides emergency contact details when pressed.

3. Optimize your candy's flavor (even if it's SweeTarts).

Hard candies and gummies strewn across a table
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Not crazy about this year's Halloween loot? Fool yourself into thinking those black licorice pieces and peanut chews taste better than they actually do by eating them after you scarf down the chocolate and Sour Patch Kids. According to a 2012 study published in Psychological Science, being aware that these items of candy are your very last candies actually tricks the brain into appreciating them more (and thus thinking they're tastier than they really are).

Meanwhile, a 2013 study from the same journal found that creating a candy-eating ritual enhances flavor and overall satisfaction. Nibble the ridged edges off a Reese's peanut butter cup before tackling the creamy center, sort the M&Ms by color, and take your time unwrapping a chocolate bar.

4. Create a DIY fog machine with carbon.

Dry ice in a glass bowl
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Save money at Party City by creating your own fog machine at home. When dropped in water, dry ice—or frozen carbon dioxide—creates a gas that's a combination of carbon dioxide and water vapor, but looks like the fog you'd see rolling through a haunted graveyard [PDF].

5. Eat sort-of-heart-healthy Halloween candy.

A stack of dark chocolate chunks on a dark stone background
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Halloween candy isn't always bad for you. While shopping for this year's trick-or-treat bounty, steer clear of sugary confections and milk chocolate mini-bars. Opt for dark chocolate treats instead. Research suggests that our gut microbes ferment the antioxidants and fiber in cocoa, creating heart-healthy anti-inflammatory compounds. Plus, dark chocolate or cocoa also appears to help lower blood pressure for people with hypertension, decrease bad cholesterol, and stave off cardiovascular disease and diabetes, among other benefits.

6. Analyze data on Halloween candy trends and give the people what they want.

Lollipops
5second/iStock via Getty Images

Thanks to data science, you can make sure you're giving out the best treats on the block. Bulk candy retailer CandyStore.com combed through 10 years of data (2007 to 2016, with a particular focus on the months leading up to Halloween) to gauge America's top-selling sweets. They created an interactive map to display their results, which includes the top three most popular Halloween handouts in each state and Washington, D.C. Be prepared for plenty of stoop-side visitors and adorable photo ops.

7. Bake better Halloween treats with chemistry.

Frosted Halloween cookies shaped like ghosts and pumpkins
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Cooking is essentially chemistry—and depending on your technique, you can whip up chewy, fluffy, or decadent Halloween treats according to taste.

Folding chunks of chilled butter into your dough will give you thick, cake-like cookies, as will swapping baking soda for baking powder. When butter melts, its water converts into gas, which leaves lots of tiny holes. If the butter flecks in question are colder and larger, they'll leave bigger air pockets. As for the baking powder, it produces carbon dioxide gas both when it's mixed into the dough and when it's heated. For an extra boost in texture, you can also try adding more flour.

Prefer chewier cookies? Start out with melted butter in the dough, and stick with plain old baking soda.

And for extra-fragrant and flavorful baked goods, opt to use dark sugars—like molasses, honey, and brown sugar—because they're filled with glucose and fructose instead of plain old sucrose. As cookies bake, they undergo two processes: caramelization, in which the sugar crystals liquefy into a brown soup; and the Maillard reaction, a chemical reaction between the dough's proteins and amino acids (flour, egg, etc.) and the reducing sugars that causes tasty browning.

8. Take deep breaths to stay calm in haunted houses.

A brown-haired woman in a red polka dot blouse standing with a frightened expression next to a spider web.
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Halloween can be tough for people with anxiety or low thresholds for fear. While visiting a haunted house or watching a scary movie, remember to take deep breaths, which fends off the body's flight-or-fight response, and reframe your anxiety in your mind as "excitement." It's also a good idea to schedule spine-chilling activities after an activity that triggers feel-good endorphins—say, after a walk to check out your neighbors' awesome Halloween displays.

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