A Legacy of Shattered LivesDrug Pioneer Was Neither Healer Nor Hero
Records disclose psychiatrist credited with revolutionizing mental treatment killed and injured patients with drugs.
by Christine Hahn
Special to Freedom
An investigation supported by the Fund for Investigative Journalism, Washington, D.C.
adeleine was rolled into the operating room on a gurney and prepared for surgery, her head shaven. A local anaesthetic was applied to a portion of her scalp. The surgeon cut away a flap of skin and drilled a hole through her skull. Wielding a spatula-type instrument, he made several sweeping incisions through her brain, slicing all the way to the back of her skull. While the surgeon worked, psychiatrist Ewen Cameron stood over the young woman, plying her with questions until he was assured the surgeon had achieved the desired result. When Madeleine stared vacuously and could only grunt in response, the surgery ended. Madeleine lived the rest of her life an automaton in the confines of an insane asylum.
The experiments were part of the infamous MK ULTRA program conducted under the aegis of the U.S. intelligence agencies in the 1950s and 1960s, exposed in media and in hearings before the U.S. Congress in the 1970s. Cameron brutalized and maimed patients with drugs, shocks and lobotomies as he sought a means to depattern and program the human mind. Canadian survivors still able to seek reparation eventually obtained a $750,000 shared settlement from the U.S. government in 1988.
Virtually all accounts of this dark chapter of the 20th century have named Cameron, who died in 1967, as the main culprit responsible for the vicious treatment. But evidence has existed all along that the experiments were never isolated to Cameron, whether funded by intelligence agencies or not, and that the mindset that sanctioned them pervaded North American psychiatryeven decades after they occurred.
It wasnt a criminal experiment using people as guinea pigs, Heinz Lehmann, a colleague of Camerons, said in a 1984 Montreal Gazette account of his contemporarys efforts. Lehmann, a New York state mental health official from 1981 until his death in 1999including deputy commissioner in the research division of the state Office of Mental Healthhad taught at McGill. He became the Allan Memorial Institutes clinical director in 1958, a position he held until 1971. It was a heroic, very aggressive treatment based on a certain theory which proved to be wrong.
The treatment Camerons patients received was no secret to Lehmann. I knew ... and I didnt approve, he said. But not for moral reasons. I didnt believe in his theory.
Lehmann, instead, had his own theoriesand performed his own experiments, at times with fatal consequences.
Behind the Facade
ailed as one of the leading lights of 20th century medicine, Lehmann was the first in North America to use so-called antipsychotic drugs on his patients and has been credited with transforming and shaping the course of modern psychiatrytaking treatment of mental illness beyond the destruction or removal of brain tissue, as with psychosurgery or electric and insulin shocks.
The German-born Lehmann, who moved to Montreal in 1937, began using the drug on psychiatric patients in 1953.
By 1955, due to Lehmanns work, chlorpromazine was being used in every major psychiatric institution in the United States and Canada.
Lehmann went on to receive virtually every significant U.S. and Canadian medical and psychiatric award. They included, in 1957, the Albert Lasker Award from the American Public Health Association, considered second only to the Nobel Prize in prestige, and the Annual Award of Merit from the Canadian Mental Health Association. In 1976, he received the Order of Canadathe countrys highest civilian honor; in 1998 he was inducted into the Canadian Medical Hall of Fame.
Yet, while Lehmann was lauded in psychiatric circles for reputed dedication to his patients, investigation reveals that some of those patients suffered horrific deaths during his experiments. Evidence shows that Lehmann routinely ignored patients rights, medical ethics and drug side effects. This doctor also did not hold a valid medical license in Quebec for the 26 years during which most of his work was done.
Harming with Impunity
ocuments obtained by the Citizens Commission on Human Rights Canada disclose that Lehmann conducted hundreds of human experiments from the late 1930s to the early 1970s. Between 1955 and 1973 alone he conducted 330the equivalent of a new experiment every three weeks.
Before his work with chlorpromazine, he was involved in lobotomizing, shocking and otherwise invading subjects with various poisons and drugs.
Our two major therapies were insulin-induced hypoglycemic coma and electroconvulsive shock therapies (ECT) for schizophrenia and affective disorders, Lehmann wrote. Paraldehyde and the barbiturates were about our only means to quell agitation and violence in addition to physical seclusion and restraint.... 70 to 80 per cent of patients relapsed.... The treatments were very invasive, cumbersome and often dangerous.
The latter admission apparently lacked remorse; according to his records, Lehmann neither scaled back his treatment nor sought less harmful methods.
The psychiatrist casually recounted carrying pure nitrous oxide by inhalation to the point where there was complete loss of consciousness, injecting sulphur oil which was painful and caused a fever and injecting turpentine into the abdominal muscles of a patient to create an abscess to see whether a strong fever produced by an infection might drive out a pre-existing illness.
Lehmann also administered carbon dioxide to patients, an excruciating treatment. Lehmann, however, described these tests in an eerily cheerful manner: It should be noted that the carbon dioxide treatment was so aversive that one chronically mute patient promised he would speak if he would be spared another treatment.
When his experiments had fatal results, there were no consequences for Lehmann, who operated with impunity upon the faceless, nameless inmates of Quebecs mental institutions between the 1940s and 1960s.
You Have to Take Certain Chances
he official record states that Lehmann introduced chlorpromazine in Montreal in May 1953 while working at Verdun Protestant Hospital (later renamed Douglas Hospital).
Lehmann and a colleague, Gorman Hanrahan, published an article in 1954 advocating the psychiatric use of chlorpromazine after the drug had been tested on 74 patients. They wrote of the results that spawned their enthusiasm for the drug:
Patients receiving the drug become lethargic. Manic patients often will not object to rest and patients who present management problems become tractable. Assaultive and interfering behavior ceases almost entirely. The patients under treatment display a lack of spontaneous interest in the environment.... They tend to remain silent and immobile when left alone and to reply to questions in a slow monotone.... Some patients dislike the treatment and complain of their drowsiness and weakness. Some state they feel washed out as after an exhausting illness, a complaint which is indeed in keeping with their appearance.
Over time, publicity driven by the psychiatric and pharmaceutical industries transformed his patients nightmares into acclaimed results. A 1999 eulogy to Lehmann in the Montreal Gazette stated of those first trials with chlorpromazine: Lehmann tried it on schizophrenic patients at Douglas. Almost overnight, patients became calm and stopped much of their disruptive behavior.
Lehmann knew the extreme and sometimes deadly effects of the drug, even describing it himself as a pharmacological substitute for lobotomy. Despite extensive evidence accumulated in the 1950s and early 1960s of its dangers, he did not slacken his pace.
In 1965, for example, he conducted a study entitled Skin Pigmentation, a Rare Side Effect of Chlorpromazine after patients at Verdun developed slate-blue pigmentation of the face and forearms from chlorpromazine. He experimented with 15 patients, concluding that a greyish-brownish-bluish skin discoloration is found in patients who have received the drug in high dosages for a considerable length of time.
Black and white photos accompanying the study are vivid and disturbing, showing a patient with severe skin discoloration described in the study as a complexity of violet, grey, brown, blue and yellow.
In a 1967 study, Lehmann and colleagues experimented on 38 patients, administering doses ranging from 200 to a staggering 3,200 milligrams.
Lehmann later told the Montreal Gazette that he gave up to five or six times the usual dose of chlorpromazine, explaining, you have to take certain chances.
I was lucky my treatment worked out, he said, but I was anxious during the first few weeks.