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    Gracefully Insane

    Page 27
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      Scandals, at McLean Hospital

      Schizophrenia

      and Danish twins study

      vs. hippiephrenia

      “Schizophrenics Can Recover” (Stanton)

      Schizophrenogenic

      Schnitzler, Arthur

      Schrafft family

      Schreiber, Judge

      Schwartz, Barbara

      Schwartz, Morris

      Scofield, Edward

      Scotch douches

      Scribonius Largus

      Sculptured landscape, curative power of

      Seidel, Frederick

      Selkirk, Alexander

      Semrad, Elvin

      Sex, and adolescent psychiatry

      Sexton, Anne

      Sexual harassment scandal

      Sharpe, Douglas

      Shaw, Louis Agassiz

      Shaw, Parkman “Parky,”

      Shaw, Roberta

      Shaw, Robert Gould

      Shaw, Robert Gould

      Shaw family

      Shein, Harvey

      Shein, Mrs.

      Sheldon, John

      Sheldon, William

      Shem, Samuel. See Bergman, Stephen

      Shepherd Pratt

      Shepley, Rutan and Coolidge (architects)

      Shine, William

      Shock therapies. See also individual therapies

      Shorter, Edward

      Shurcliff, Sidney Nichols

      Signac, Paul

      Silver Hill

      Silverman, Samuel

      Simon, Linda

      Sister Kate’s Soul Stew and Submarine Sandwich Shoppe (band)

      Skiing expeditions

      Sleep therapy

      Slocum, Jonathan

      Smith, Sally Bedell

      Smith College

      and Plath, Sylvia

      The Snake Pit

      Somerville Asylum

      South Belknap Hall

      Sperber, Michael

      Springsteen, Bruce

      St. Elizabeth’s Hospital

      St. Mark’s School

      St. Regis hotel

      Stanford University Medical School

      Stanley R. McCormick Hall

      Stanton, Alfred

      and Barnhouse, Ruth Tiffany

      and modern psychiatry

      portrait of

      and research

      and suicide wave

      Stanton, Bruce

      Stanton, Harriet

      Stanton Lecture

      State Department of Mental Health

      Stein, Gertrude

      Stern, Daniel

      Stieglitz, Leopold

      Stigmatization

      Stiver, Irene

      Stone, Alan

      Storkerson, Peter

      Strawberry Discharge

      Street drugs. See also individual drugs

      Stuart, Gilbert

      Stuart, Sarah Payne

      Submarine Sandwich Shoppe

      Sugarman Funeral Home

      Suicide

      and Prozac

      See also Psychiatric suicide; Suicide wave

      Suicide wave. See also Psychiatric suicide; Suicide

      Sullivan, Harry Stack

      Summer camp

      Sutton, Silvia

      Swan, John

      Sweeney, Agnes

      Syphilis

      Talbott, John

      Talking to Angels (Perkins)

      Talk therapy. See also Psychotherapy

      Tannen, Julius

      Tartakoff, Helen

      “Tavistock, June,”

      Taylor, Isaac

      Taylor, James

      Taylor, Kate

      Taylor, Livingston

      Teicher, Martin

      Tennis

      Testicles, ultraviolet irradiation of

      Thayer, Elaine Orr

      Thayer, Nancy

      Thayer, Scofield

      Therapy

      and poetry. See Poetry therapy

      Therapy, music. See Music therapy

      Therm-O-Rite Products Company

      Thomas, Jack

      Thomson, Captane

      Thorazine

      and Plath, Sylvia

      Thornton, Peter

      Tillotson, Kenneth

      Tillotson, Mrs.

      “Time Has Come Today,”

      Time magazine

      To Bedlam and Part Way Back (Sexton)

      Tonic baths

      Tooth extraction

      Topectomy

      Total push experiment

      Tranquilizer, the

      Trees, at McLean Hospital

      “The Trees of McLean,”

      Tuesdays with Morrie

      Tuke, William

      Tunney, Gene

      Tunney, John

      Tuttle, George

      Typhoid vaccine therapy

      Uline Ice Company

      Ultraviolet irradiation, of testicles

      Under Observation (Vuckovic and Berger)

      University of North Carolina Medical School

      University of Texas Tower

      University of Vienna

      Upham, Appleton, and Company

      Upham, George Phineas, Jr. (son)

      Upham, George Phineas (father)

      Upham Hall

      and adolescent treatment center

      architecture

      and Charles, Ray

      closing of

      and Everett, Frank

      and Shaw, Louis Agassiz

      and Wilkinson, Joan Tunney

      and Ziegel brothers

      U. S. News & World Report

      Valenstein, Elliot

      Valley Head Hospital

      Vapor bath

      The Varieties of Religious Experience (William James)

      Vaux, Calvert. See also Olmsted-Vaux design

      Veblen, Thorstein

      Venesection

      Very, Jones

      Veterans Administration hospital (Boston)

      Veterans Administration hospitals

      Visiting Committee

      Voltaire

      Vomiting, induced

      Vuckovic, Alexander

      “Waking in the Blue” (Robert Lowell)

      Wakoski, Diane

      Warburg family

      Warner, Silas

      Warner Brothers

      War of 1812,

      Warren, John Collins (father)

      Warren, John (son)

      Warren, Mason

      Washburn, Stephen

      The Waste Land (T. S. Eliot)

      Water treatments. See also Hydrotherapy

      Watkins Sanitarium

      Watson, James Sibley

      Watts, James. See also Freeman, Walter Jackson

      The Way

      Webster, Daniel

      Wells, F. Lyman

      Westwood Lodge

      Wet mitt friction

      Wet sheets

      Whitman, Charles

      Wilkinson, Joan Tunney

      Willard, Dr.

      Williams, C. K.

      Williams, Harold

      Williams, Vernon

      Winslow family

      Wittgenstein

      Wolfe, Richard

      Women, and lobotomies

      Women’s Division

      Wood, Franklin

      “Woody Allen syndrome,”

      Worcester State Asylum

      Working farm

      Work-ups

      World War II,

      “Worthington, Sarah,”

      Wyman, Morrill

      Wyman, Rufus

      Wyman Hall

      Wyzanski, Charles

      Yale alumni magazine

      Yale-New Haven Hospital

      Yale University

      and constitutional medicine

      Yale Younger Poets Award

      Yellow Submarine

      York Retreat

      “Youth Forum,”

      Yudowitz, Bernard

      Zander machine

      Ziegel, Henry

      Ziegel, William

      Zoo, the, (band)

      PublicAffairs is a publishing house founded in 1997. It is a tribute to the standards, values, and flair of three person
    s who have served as mentors to countless reporters, writers, editors, and book people of all kinds, including me.

      I.F. STONE, proprietor of I. F. Stone’s Weekly, combined a commitment to the First Amendment with entrepreneurial zeal and reporting skill and became one of the great independent journalists in American history. At the age of eighty, Izzy published The Trial of Socrates, which was a national bestseller. He wrote the book after he taught himself ancient Greek.

      BENJAMIN C. BRADLEE was for nearly thirty years the charismatic editorial leader of The Washington Post. It was Ben who gave the Post the range and courage to pursue such historic issues as Watergate. He supported his reporters with a tenacity that made them fearless and it is no accident that so many became authors of influential, best-selling books.

      ROBERT L. BERNSTEIN, the chief executive of Random House for more than a quarter century, guided one of the nation’s premier publishing houses. Bob was personally responsible for many books of political dissent and argument that challenged tyranny around the globe. He is also the founder and longtime chair of Human Rights Watch, one of the most respected human rights organizations in the world.

      For fifty years, the banner of Public Affairs Press was carried by its owner Morris B. Schnapper, who published Gandhi, Nasser, Toynbee, Truman, and about 1,500 other authors. In 1983, Schnapper was described by The Washington Post as “a redoubtable gadfly.” His legacy will endure in the books to come.

      Peter Osnos, Founder and Editor-at-Large

      1 I found the following entry in the August 15, 1960, edition of the patient-edited newsletter, “Around and About McLean”: “There’s a real treat in store for us next Tuesday night at the P.A.A. [Patient Activities Association] get-together at 7:30. Miss Joan Baez will entertain, singing ballads and accompanying herself on the guitar. This will be a return engagement for Miss Baez, who has played twice recently at Codman and once before at P.A.A.”

      2 McLean’s current literature emphasizes that this isn’t your grandfather’s shock therapy: “Although ECT was introduced in the 1930s, its therapeutic use today is very different from what is portrayed as ‘shock treatment’ in books and films. ECT, in fact, is a safe, effective procedure provided by highly skilled professionals” and so on and so forth.

      3 Actually, an excellent copy of the McLean portrait greets visitors when they enter the administration building. A patient attacked and damaged the original in the 1960s; restored, it now hangs in the office of Dr. Bruce Cohen, McLean’s president and psychiatrist-in-chief.

      4 Warren was the first doctor to use ether successfully, but he did not discover it. A quarrel over credit for the discovery of ether’s anesthetic properties supposedly sent one of the claimants, Dr. Charles Jackson, to McLean. The story goes as follows: Jackson believed that his former lodger, an entrepreneur named William Morton, had stolen the anesthesia idea from him. Legend has it that when Jackson happened across Morton’s gravestone in Mount Auburn Cemetery and saw him credited as the “inventor and revealer” of anesthesia, he suffered a mental breakdown and was sent to McLean. “Jackson’s face no longer looked human, and the cries he uttered were unlike human cries,” one writer recounted. “The creature that cried and thrashed with its limbs in Mount Auburn Cemetery was unchained madness.” Actor Julius Tannen (continued from page 38) depicted Jackson dancing maniacally on Morton’s grave in the 1944 movie account of the ether controversy, The Great Moment. Because anesthesia was one of the world’s most important medical discoveries, the ether wars rage on. Two medical historians, Dr. Richard Patterson and Richard Wolfe, now argue that Jackson was unfairly denied credit for pioneering the use of ether as anesthesia and that it was Morton’s supporters who spread false accounts of Jackson’s dipsomania and lunacy. In the twentieth century, Jackson’s family jawboned McLean’s Franklin Wood into furnishing them with a summary of their forebear’s medical record. (Jackson had conducted some ether experiments at McLean to see if the gas calmed severely disturbed patients. Those experiments failed, but after his breakdown, the grateful trustees allowed him to live as a “guest” at the asylum for seven years until his death in 1880.) Even though Jackson’s death certificate cited the cause of death as “insanity,” Wood reported that Jackson had suffered a stroke, followed by aphasia, causing loss of speech and memory. “There is nothing in this record that would indicate in any way that Dr. Jackson was intemperate in the use of alcohol or that he was a ‘raving maniac,’” Wood wrote.

      5 Sheldon lives in the collective memory of medical history as the theoretician of “constitutional medicine,” which argued that physique and posture provided clues to temperament and intelligence. It was thanks to Sheldon that incoming freshmen at Harvard and Yale were photographed nude from the 1940s through the early 1960s, by way of testing his since-discredited hypotheses.

      6 Stanley had attempted to unionize the ranch workers on his New Mexico spread, to no avail. The McLean doctors record that “the patient had been so far interested in Socialism as to have given some money, surreptitiously, to the ‘Cause.’”

      7 Krafft-Ebing was famous for his textbook Psychopathia Sexualis; both he and the equally prominent Magnan believed that insanity was brought on by hereditary degeneration, a detail probably unknown to Nettie.

      8 Riven Rock is the name of a 1998 novel by T. Coraghessan Boyle that dramatizes Stanley’s and Katharine’s plight during his lengthy California exile.

      9 In the 1960s, a researcher named Heinrich Landolt also noticed that epilepsy and schizophrenia are reciprocally related, and he floated a theory of “forced normalization,” which holds that epileptics’ mental afflictions lapse during a seizure and reassert themselves when the seizure is being treated. More generally, many schizophrenic patients do become temporarily “clear” when subjected to extreme stress. The classic examples are a medical emergency or a fire on the disturbed ward; patients usually respond to rescuers’ commands. So an induced epileptic seizure, electric shock, or even dunking in frigid water sometimes awakens the responses of “blocked” patients. But the underlying psychiatric disorder almost always reappears in short order.

      10 I interviewed a McLean aide who witnessed a mass ECT session at the Greystone Park Psychiatric Hospital in Morristown, New Jersey. “That was a vivid experience,” he said. “I saw about one hundred patients getting shock therapy in a huge room. They were all strapped down, and they were all twitching and jerking. This is the way they did it. I could just feel the electricity going through the air. There was no screaming, no physical agony, just this twitching.”

      11 In 1928, Freud described his feelings about psychotic patients in a letter to Istvan Hollos: “I do not like these patients.... I am annoyed with them.... I feel them to be so far distant from me and from everything human. A curious sort of intolerance, which surely makes me unfit to be a psychiatrist.”

      12 The Elaine Orr Thayer-E.E. Cummings love-affair-turned-marriage-disaster is one of the great soap-opera love stories of the twentieth century. Scofield lost interest in his beautiful bride within fifteen months of their honeymoon. When they returned to New York, he took up residence in the Benedick, a luxury apartment building for bachelors, and she moved into Washington Square in Greenwich Village. Thayer encouraged Cummings to frequent Elaine and even reimbursed the penurious young poet for expenses incurred while entertaining his wife. The two became lovers, and Elaine became pregnant. Her daughter was born Nancy Thayer but was legally adopted by Cummings when he and Elaine married a few years later.

      When Nancy was a young girl, her mother left Cummings for a man she fell in love with during a transatlantic crossing. Cummings was devastated, especially when Elaine insisted that their marriage be annulled to satisfy her new Catholic husband. As a result, Nancy was to know neither of her fathers. Her mother initially told her that Scofield was dead. When Nancy attained her majority, Elaine told her that Scofield was alive but insane. “But you needn’t worry,” Elaine said to Nancy, “it is not hereditary.” The lawyer handling Scofi
    eld’s affairs refused to let her visit the man she thought was her father “because you are said to resemble your mother.”

      Several years later, Nancy’s mother let slip that she had once been married to Cummings, who had become one of the country’s best-known poets. As if by coincidence, Cummings invited Nancy to visit him and his wife Marion at their farm in New Hampshire. Nancy found him charming and intelligent and allowed herself to wonder how her mother could have broken off relations with this wonderful man. At one point, while sitting for a portrait for Cummings, she thought, “I am falling in love with this man.” Married with two children, Thayer decided to stop seeing the fifty-four-year-old poet. At their final interview, Cummings said, “Did anyone ever tell you I was your father?” The two remained friends until Cummings’s death. Elaine Orr never warmed to the father-and-child reunion. She refused to discuss the paternity question with her daughter: “It was my life, and has nothing whatever to do with you,” she said, adding, “your children will blame you for what you have done.”

      As a result of Cummings’s disclosure, Nancy came into an unexpected inheritance. Although she had no claim on Scofield Thayer’s vast art collection, conservatively valued at $10 million when he died, she became the executor of the Cummings estate after her father’s death. And she assisted Richard S. Kennedy with his 1980 biography of Cummings, Dreams in the Mirror, from which this account is taken.

      13 Watson was armorer to the stars. He provided E.E. Cummings with a 38-caliber pistol during the dramatic breakup of the Thayer-Cummings marriage. Cummings was threatening a murder-suicide scenario that, happily, never took place.

      14 Yet McLean contributed significantly to the psychiatric drug revolution. In 1953, McLean’s Dr. Willis Bower published the results of the first U.S. clinical trial of Thorazine, an antipsychotic drug that had gained widespread acceptance in Europe. Partly on the strength of Bower’s enthusiastic write-up in the New England Journal of Medicine, Thorazine—hailed as a “chemical lobotomy” or “chemical straitjacket”—became the drug of choice in mental hospitals across America.

     


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