10 Mind-Boggling Psychiatric Treatments

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iStock

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.

10 Products for a Better Night's Sleep

Amazon/Comfort Spaces
Amazon/Comfort Spaces

Getting a full eight hours of sleep can be tough these days. If you’re having trouble catching enough Zzzs, consider giving these highly rated and recommended products a try.

1. Everlasting Comfort Pure Memory Foam Knee Pillow; $25

Everlasting Comfort Knee Pillow
Everlasting Comfort/Amazon

For side sleepers, keeping the spine, hips, and legs aligned is key to a good night’s rest—and a pain-free morning after. Everlasting Comfort’s memory foam knee pillow is ergonomically designed to fit between the knees or thighs to ensure proper alignment. One simple but game-changing feature is the removable strap, which you can fasten around one leg; this keeps the pillow in place even as you roll at night, meaning you don’t have to wake up to adjust it (or pick it up from your floor). Reviewers call the pillow “life-changing” and “the best knee pillow I’ve found.” Plus, it comes with two pairs of ear plugs.

Buy it: Amazon

2. Letsfit White Noise Machine; $21

Letsfit White Noise Machine
Letsfit/Amazon

White noise machines: They’re not just for babies! This Letsfit model—which is rated 4.7 out of five with nearly 3500 reviews—has 14 potential sleep soundtracks, including three white noise tracks, to better block out everything from sirens to birds that chirp enthusiastically at dawn (although there’s also a birds track, if that’s your thing). It also has a timer function and a night light.

Buy it: Amazon

3. ECLIPSE Blackout Curtains; $16

Eclipse Black Out Curtains
Eclipse/Amazon

According to the National Sleep Foundation, too much light in a room when you’re trying to snooze is a recipe for sleep disaster. These understated polyester curtains from ECLIPSE block 99 percent of light and reduce noise—plus, they’ll help you save on energy costs. "Our neighbor leaves their backyard light on all night with what I can only guess is the same kind of bulb they use on a train headlight. It shines across their yard, through ours, straight at our bedroom window," one Amazon reviewer who purchased the curtains in black wrote. "These drapes block the light completely."

Buy it: Amazon

4. JALL Wake Up Light Sunrise Alarm Clock; $38

JALL Wake Up Light Sunrise Alarm Clock
JALL/Amazon

Being jarred awake by a blaring alarm clock can set the wrong mood for the rest of your day. Wake up in a more pleasant way with this clock, which gradually lights up between 10 percent and 100 percent in the 30 minutes before your alarm. You can choose between seven different colors and several natural sounds as well as a regular alarm beep, but why would you ever use that? “Since getting this clock my sleep has been much better,” one reviewer reported. “I wake up not feeling tired but refreshed.”

Buy it: Amazon

5. Philips SmartSleep Wake-Up Light; $200

Philips SmartSleep Wake-Up Light
Philips/Amazon

If you’re looking for an alarm clock with even more features, Philips’s SmartSleep Wake-Up Light is smartphone-enabled and equipped with an AmbiTrack sensor, which tracks things like bedroom temperature, humidity, and light levels, then gives recommendations for how you can get a better night’s rest.

Buy it: Amazon

6. Slumber Cloud Stratus Sheet Set; $159

Stratus sheets from Slumber Cloud.
Slumber Cloud

Being too hot or too cold can kill a good night’s sleep. The Good Housekeeping Institute rated these sheets—which are made with Outlast fibers engineered by NASA—as 2020’s best temperature-regulating sheets.

Buy it: SlumberCloud

7. Comfort Space Coolmax Sheet Set; $29-$40

Comfort Spaces Coolmax Sheets
Comfort Spaces/Amazon

If $159 sheets are out of your price range, the GHI recommends these sheets from Comfort Spaces, which are made with moisture-wicking Coolmax microfiber. Depending on the size you need, they range in price from $29 to $40.

Buy it: Amazon

8. Coop Home Goods Eden Memory Foam Pillow; $80

Coop Eden Pillow
Coop Home Goods/Amazon

This pillow—which has a 4.5-star rating on Amazon—is filled with memory foam scraps and microfiber, and comes with an extra half-pound of fill so you can add, or subtract, the amount in the pillow for ultimate comfort. As a bonus, the pillows are hypoallergenic, mite-resistant, and washable.

Buy it: Amazon

9. Baloo Weighted Blanket; $149-$169

Baloo Weighted Blanket
Baloo/Amazon

Though the science is still out on weighted blankets, some people swear by them. Wirecutter named this Baloo blanket the best, not in small part because, unlike many weighted blankets, it’s machine-washable and -dryable. It’s currently available in 12-pound ($149) twin size and 20-pound ($169) queen size. It’s rated 4.7 out of five stars on Amazon, with one reviewer reporting that “when it's spread out over you it just feels like a comfy, snuggly hug for your whole body … I've found it super relaxing for falling asleep the last few nights, and it looks nice on the end of the bed, too.” 

Buy it: Amazon 

10. Philips Smartsleep Snoring Relief Band; $200

Philips SmartSleep Snoring Relief Band
Philips/Amazon

Few things can disturb your slumber—and that of the ones you love—like loudly sawing logs. Philips’s Smartsleep Snoring Relief Band is designed for people who snore when they’re sleeping on their backs, and according to the company, 86 percent of people who used the band reported reduced snoring after a month. The device wraps around the torso and is equipped with a sensor that delivers vibrations if it detects you moving to sleep on your back; those vibrations stop when you roll onto your side. The next day, you can see how many hours you spent in bed, how many of those hours you spent on your back, and your response rate to the vibrations. The sensor has an algorithm that notes your response rate and tweaks the intensity of vibrations based on that. “This device works exactly as advertised,” one Amazon reviewer wrote. “I’d say it’s perfect.”

Buy it: Amazon

This article contains affiliate links to products selected by our editors. Mental Floss may receive a commission for purchases made through these links.

Common Misconceptions About Dreams

If your nightmares look like Henry Fuseli's The Nightmare (1781), we're so sorry.
If your nightmares look like Henry Fuseli's The Nightmare (1781), we're so sorry.
Henry Fuseli, Detroit Institute of Arts, Wikimedia Commons // Public Domain

Contrary to what Ebenezer Scrooge initially thought in Charles Dickens's A Christmas Carol, nightmares aren’t merely a side effect of eating cheese before bed. In fact, studies have shown that pre-sleep snacks—dairy or otherwise—probably don’t influence your dreams at all. But even if you can’t blame your latest wacky snooze vision on last night’s midnight helping of chicken nuggets, you can try to trace it back to some stressor from your daily life.

Since dream interpretation isn’t an exact science—and sleep in general is one of science’s murkier territories—quite a few myths have arisen about what, why, and how we dream. In this episode of Misconceptions, Mental Floss's own Justin Dodd walks us through some of the more common fallacies about dreams. (And if you’re convinced you never dream, well, he has some news for you on that front, too.)

For more videos like this one, subscribe to the Mental Floss YouTube channel here.