THE MASS of favorable reports on lobotomy recently prompted Halstead, Carmichael and Bucy1 to comment critically:
Unfortunately, aside from their value as vital statistics it is impossible to assess the validity of these findings. At no point have there been other than superficial attempts made to standardize the criteria for the pre-operative and post-operative clinical status of the patient. Not a single patient has been adequately studied. For a moral and social responsibility to do this, there has been substituted a phenomenal array of case statistics. Unfortunately, the pyramiding of unknowns is scarcely a pathway to knowledge.
This paper is an attempt to remedy the alleged lack in the literature of a single case adequately studied. In 1942, one of us (R. S. B.) collaboratively reported the apparent recovery of a patient with sexual psychopathy after lobotomy.2 The patient, a sexual offender without psychosis, entered prison in 1939,