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Saturday, April 3, 2021

Personification

From Wikipedia, the free encyclopedia
 
Set of porcelain figures of personifications of the four continents, German, c. 1775, from left: Asia, Europe, Africa, America. Of these, Africa has retained her classical attributes. Formerly James Hazen Hyde collection.

Personification occurs when a thing or abstraction is represented as a person, in literature or art, as an anthropomorphic metaphor. The type of personification discussed here excludes passing literary effects such as "Shadows hold their breath", and covers cases where a personification appears as a character in literature, or a human figure in art. The technical term for this, since ancient Greece, is prosopopoeia. In the arts many things are commonly personified. These include numerous types of places, especially cities, countries and the four continents, elements of the natural world such as the months or Four Seasons, Four Elements, Four Winds, Five Senses, and abstractions such as virtues, especially the four cardinal virtues and sins, the nine Muses, or death.

Jean Goujon, The Four Seasons, reliefs on the Hôtel Carnavalet, Paris, c. 1550s.

In many polytheistic early religions, deities had a strong element of personification, suggested by descriptions such as "god of". In ancient Greek religion, and the related Ancient Roman religion, this was perhaps especially strong, in particular among the minor deities. Many such deities, such as the tyches or tutelary deities for major cities, survived the arrival of Christianity, now as symbolic personifications stripped of religious significance. An exception was the winged goddess of Victory, Victoria/Nike, who developed into the visualization of the Christian angel.

Generally, personifications lack much in the way of narrative myths, although classical myth at least gave many of them parents among the major Olympian deities. The iconography of several personifications "maintained a remarkable degree of continuity from late antiquity until the 18th century". Female personifications tend to outnumber male ones, at least until modern national personifications, many of which are male.

Sandro Botticelli, Calumny of Apelles (c. 1494–95), with 8 personification figures: (from left) Hope, Repentance, Perfidy, innocent victim, Calumny, Fraud, Rancour, Ignorance, the king, Suspicion.

Personifications are very common elements in allegory, and historians and theorists of personification complain that the two have been too often confused, or discussion of them dominated by allegory. Single images of personifications tend to be titled as an "allegory", arguably incorrectly. By the late 20th century personification seemed largely out of fashion, but the semi-personificatory superhero figures of many comic book series came in the 21st century to dominate popular cinema in a number of superhero film franchises.

According to Ernst Gombrich, "we tend to take it for granted rather than to ask questions about this extraordinary predominantly feminine population which greets us from the porches of cathedrals, crowds around our public monuments, marks our coins and our banknotes, and turns up in our cartoons and our posters; these females variously attired, of course, came to life on the medieval stage, they greeted the Prince on his entry into a city, they were invoked in innumerable speeches, they quarrelled or embraced in endless epics where they struggled for the soul of the hero or set the action going, and when the medieval versifier went out on one fine spring morning and lay down on a grassy bank, one of these ladies rarely failed to appear to him in his sleep and to explain her own nature to him in any number of lines".

History

Constance and Fortitude in Vienna. Early modern statues with classical iconography.

Classical world

Personification as an artistic device is easier to discuss when belief in the personification as an actual spiritual being has died down; this seems to have happened in the ancient Graeco-Roman world, probably even before Christianization. In other cultures, especially Hinduism and Buddhism, many personification figures still retain their religious significance, which is why they are not covered here. For example Bharat Mata was devised as a Hindu goddess figure to act as a national personification by intellectuals in the Indian independence movement from the 1870s, but now has some actual Hindu temples.

Personification is found very widely in classical literature, art and drama, as well as the treatment of personifications as relatively minor deities, or the rather variable category of daemons. In classical Athens, every geographical division of the state for local government purposes had a personified deity which received some cultic attention, as well as Demos, a male personification for the governing assembly of free citizens, and Boule, a female one for the ruling council. These appear in art, but are often hard to identify if not labelled.

Personification in the Bible is mostly limited to passing phrases which can probably be regarded as literary flourishes, with the important and much-discussed exception of Wisdom in the Book of Proverbs, 1–9, where a female personification is treated at some length, and makes speeches. The Four Horsemen of the Apocalypse from the Book of Revelation can be regarded as personification figures, although the text does not specify what all personify.

According to James J. Paxson in his book on the subject "all personification figures prior to the sixth century A.D. were ... female"; but major rivers have male personifications much earlier, and are more often male, which often extends to "Water" in the Four Elements. The predominance of females is at least partly because Latin grammar gives nouns for abstractions the female gender.

Pairs of winged victories decorated the spandrels of Roman triumphal arches and similar spaces, and ancient Roman coinage was an especially rich source of images, many carrying their name, which was helpful for medieval and Renaissance antiquarians. Sets of tyches representing the major cities of the empire were used in the decorative arts. Most imaginable virtues and virtually every Roman province was personified on coins at some point, the provinces often initially seated dejected as "CAPTA" ("taken") after its conquest, and later standing, creating images such as Britannia that were often revived in the Renaissance or later.

Lucian (2nd century AD) records a detailed description of a lost painting by Apelles (4th century BC) called the Calumny of Apelles, which some Renaissance painters followed, most famously Botticelli. This included eight personifications of virtues and vices: Hope, Repentance, Perfidy, Calumny, Fraud, Rancour, Ignorance, Suspicion, as well as two other figures.

Platonism, which in some manifestations proposed systems involving numbers of spirits, was naturally conducive to personification and allegory, and is an influence on the uses of it from classical times through various revivals up to the Baroque period.

Literature

The "Queen of Fortune", helped by four other personifications, turns her wheel. English miniature for John Lydgate's Troy Book, 15th-century.

According to Andrew Escobedo, “literary personification mashalls inanimate things, such as passions, abstract ideas, and rivers, and makes them perform actions in the landscape of the narrative.” He dates “the rise and fall of its [personification’s] literary popularity” to "roughly, between the fifth and seventeenth centuries". Late antique philosophical books that made heavy use of personification and were specially influential in the Middle Ages included the Psychomachia of Prudentius (early 5th century), with an elaborate plot centred around battles between the virtues and vices, and The Consolation of Philosophy (c. 524) by Boethius, which takes the form of a dialogue between the author and "Lady Philosophy". Fortuna and the Wheel of Fortune were prominent and memorable in this, which helped to make the latter a favourite medieval trope. Both authors were Christians, and the origins in the pagan classical religions of the standard range of personifications had been left well behind.

A medieval creation was the Four Daughters of God, a shortened group of virtues consisting of: Truth, Righteousness or Justice, Mercy, and Peace. There were also the seven virtues, made up of the four classical cardinal virtues of prudence, justice, temperance and courage (or fortitude), these going back to Plato's Republic, with the three theological virtues of faith, hope and charity. The seven deadly sins were their counterparts.

Two of the triumphal cars, carrying Chastity and Love, from a lavish illuminated manuscript (early 16th century) of Petrach's Triomphi

The major works of Middle English literature had many personification characters, and often formed what are called "personification allegories" where the whole work is an allegory, largely driven by personifications. These include Piers Plowman by William Langland ( c. 1370–90), where most of the characters are clear personifications named as their qualities, and several works by Geoffrey Chaucer, such as The House of Fame (1379–80). However, Chaucer tends to take his personifications in the direction of being more complex characters and give them different names, as when he adapts part of the French Roman de la Rose (13th century). The English mystery plays and the later morality plays have many personifications as characters, alongside their biblical figures. Frau Minne, the spirit of courtly love in German medieval literature, had equivalents in other vernaculars.

In Italian literature Petrach's Triomphi, finished in 1374, is based around a procession of personifications carried on "cars", as was becoming fashionable in courtly festivities; it was illustrated by many different artists. Dante has several personification characters, but prefers using real persons to represent most sins and virtues.

In Elizabethan literature many of the characters in Edmund Spenser's enormous epic The Faerie Queene, though given different names, are effectively personifications, especially of virtues. The Pilgrim's Progress (1678) by John Bunyan was the last great personification allegory in English literature, from a strongly Protestant position (though see Thomson's Liberty below). A work like Shelley's The Triumph of Life, unfinished at his death in 1822, which to many earlier writers would have called for personifications to be included, avoids them, as does most Romantic literature, apart from that of William Blake. Leading critics had begun to complain about personification in the 18th century, and such "complaints only grow louder in the nineteenth century". According to Andrew Escobedo, there is now "an unstated scholarly consensus" that "personification is a kind of frozen or hollow version of literal characters", which "depletes the fiction".

Visual arts

Personifications, often in sets, frequently appear in medieval art, often illustrating or following literary works. The virtues and vices were probably the most common, and the virtues appear in many large sculptural programmes, for example the exteriors of Chartres Cathedral and Amiens Cathedral. In painting, both virtues and vices are personified along the lowest zone of the walls of the Scrovegni Chapel by Giotto (c. 1305), and are the main figures in Ambrogio Lorenzetti's Allegory of Good and Bad Government (1338–39) in the Palazzo Pubblico of Siena. In the Allegory of Bad Government Tyranny is enthroned, with Avarice, Pride, and Vainglory above him. Beside him on the magistrate's bench sit Cruelty, Deceit, Fraud, Fury, Division, and War, while Justice lies tightly bound below. The so-called Mantegna Tarocchi (c. 1465–75) are sets of fifty educational cards depicting personifications of social classes, the planets and heavenly bodies, and also social classes.

A new pair, once common on the portals of large churches, are Ecclesia and Synagoga. Death envisaged as a skeleton, often with a scythe and hour-glass, is a late medieval innovation, that became very common after the Black Death. However, it is rarely seen in funerary art "before the Counter-Reformation".

When not illustrating literary texts, or following a classical model as Botticelli does, personifications in art tend to be relatively static, and found together in sets, whether of statues decorating buildings or paintings, prints or media such as porcelain figures. Sometimes one or more virtues take on and invariably conquer vices. Other paintings by Botticelli are exceptions to such simple compositions, in particular his Primavera and The Birth of Venus, in both of which several figures form complex allegories. An unusually powerful single personification figure is depicted in Melencolia I (1514) an engraving by Albrecht Dürer. Venus, Cupid, Folly and Time (c. 1545) by Agnolo Bronzino has five personifications, apart from Venus and Cupid. In all these cases, the meaning of the work remains uncertain, despite intensive academic discussion, and even the identity of the figures continues to be argued over.

Theory

Ariel between Wisdom and Gaiety by Eric Gill, Broadcasting House, 1932

Around 300 BC, Demetrius of Phalerum is the first writer on rhetoric to describe prosopopoeia, which was already a well-established device in rhetoric and literature, from Homer onwards. Quintilian's lengthy Institutio Oratoria gives a comprehensive account, and a taxonomy of common personifications; no more comprehensive account was written until after the Renaissance. The main Renaissance humanists to deal with the subject at length were Erasmus in his De copia and Petrus Mosellanus in Tabulae de schematibus et tropis, who were copied by other writers throughout the 16th century.

From the late 16th century theoretical writers such as Karel van Mander in his Schilder-boeck (1604) began to treat personification in terms of the visual arts. At the same time the emblem book, describing and illustrating emblematic images that were largely personifications, became enormously popular, both with intellectuals and artists and craftsmen looking for motifs. The most famous of these was the Iconologia of Cesare Ripa, first published unillustrated in 1593, but from 1603 published in many different illustrated editions, using different artists. This set at least the identifying attributes carried by many personifications until the 19th century.

From the 20th century into the 21st, the past use of personification has received greatly increased critical attention, just as the artistic practice of it has greatly declined. Among a number of key works, The Allegory of Love: A Study in Medieval Tradition (1936), by C. S. Lewis was an exploration of courtly love in medieval and Renaissance literature.

Innovation

Sculptures Trade (male) and Tolerance (female) in Brno

The classical repertoire of virtues, seasons, cities and so forth supplied the majority of subjects until the 19th century, but some new personifications became required. The 16th century saw the new personification of the Americas, and made the four continents an appealing new set, four figures being better suited to many contexts than three. The 18th-century discovery of Australia was not so quickly followed by an addition to the set, if only for reasons of geometry; Australia is not included in the continents at the corners of the Albert Memorial (1860s). This does have a set of three-figure groups representing agriculture, commerce, engineering and manufacturing, typical of the requirements for large public schemes of the period. A rather late example is the Alexander Hamilton U.S. Custom House in New York City (1901–07), which has large groups for the four continents by the entrance, and 12 figures personifying seafaring nations from history high on the facade.

The invention of movable type printing saw Dame Imprimerie ("Lady Printing Press") introduced to the pageants of Lyons, a major printing centre, along with "Typosine", a new muse of printing. A large gilt-bronze statue by Evelyn Beatrice Longman, something of a specialist in "allegorical" statues, was commissioned by AT&T for the top of their New York headquarters. Since 1916 it has been titled at different times as the Genius of Telegraphy, Genius of Electricity, and since the 1930s Spirit of Communication. Shakespeare's spirit Ariel was adopted by the sculptor Eric Gill as a personification of broadcasting, and features in his sculptures on Broadcasting House in London (opened 1932).

National personifications

Cartoon on the Entente Cordiale from Punch by John Bernard Partridge, 1904; John Bull stalks off with a defiant Marianne and turns his back on the Kaiser, who pretends not to care.

A number of national personifications stick to the old formulas, with a female in classical dress, carrying attributes suggesting power, wealth, or other virtues. Britannia is an example, derived from her figure on Roman coins, with a glance at the ancient goddess Roma; Germania and Helvetia are others.

Libertas, the Roman goddess of liberty, had been important under the Roman Republic, and was somewhat uncomfortably co-opted by the empire; it was not seen as an innate right, but as granted to some under Roman law. She had appeared on the coins of the assassins of Julius Caesar, defenders of the Roman republic. The medieval republics, mostly in Italy, greatly valued their liberty, and often use the word, but produce very few direct personifications. With the rise of nationalism and new states, many nationalist personifications included a strong element of liberty, perhaps culminating in the Statue of Liberty. The long poem Liberty by the Scottish James Thomson (1734), is a lengthy monologue spoken by the "Goddess of Liberty", describing her travels through the ancient world, and then English and British history, before the resolution of the Glorious Revolution of 1688 confirms her position there. Thomson also wrote the lyrics for Rule Britannia, and the two personifications were often combined as a personified "British Liberty", to whom a large monument was erected in the 1750s on his estate at Gibside by a Whig magnate.

But, sometimes alongside these formal figures, a new type of national personification has arisen, typified by John Bull (1712) and Uncle Sam (c. 1812). Both began as figures in more or less satirical literature, but achieved their prominence when taken in to political cartoons and other visual media. The post-revolutionary Marianne in France, official since 1792, is something of a mixture of styles, sometimes formal and classical, at others a woman of the streets of Paris personified. The Dutch Maiden is one of the earliest of these figures, and was mainly visual from the start, her efforts to repulse unwelcome Spanish advances shown in 16th-century popular prints.

Anthropomorphism

From Wikipedia, the free encyclopedia
 
In this illustration by Milo Winter of Aesop's fable, "The North Wind and the Sun", a personified North Wind tries to strip the cloak off of a traveler.
 

Anthropomorphism is the attribution of human traits, emotions, or intentions to non-human entities. It is considered to be an innate tendency of human psychology.

Personification is the related attribution of human form and characteristics to abstract concepts such as nations, emotions, and natural forces, such as seasons and weather.

Both have ancient roots as storytelling and artistic devices, and most cultures have traditional fables with anthropomorphized animals as characters. People have also routinely attributed human emotions and behavioral traits to wild as well as domesticated animals.

Etymology

Anthropomorphism derives from its verb form anthropomorphize, itself derived from the Greek ánthrōpos (ἄνθρωπος, lit. "human") and morphē (μορφή, "form"). It is first attested in 1753, originally in reference to the heresy of applying a human form to the Christian God.

Examples in prehistory

The 35,000 to 40,000 year-old Löwenmensch figurine
 
Anthropomorphic "pebble" figures from the 7th millennium BC

From the beginnings of human behavioral modernity in the Upper Paleolithic, about 40,000 years ago, examples of zoomorphic (animal-shaped) works of art occur that may represent the earliest evidence we have of anthropomorphism. One of the oldest known is an ivory sculpture, the Löwenmensch figurine, Germany, a human-shaped figurine with the head of a lioness or lion, determined to be about 32,000 years old.

It is not possible to say what these prehistoric artworks represent. A more recent example is The Sorcerer, an enigmatic cave painting from the Trois-Frères Cave, Ariège, France: the figure's significance is unknown, but it is usually interpreted as some kind of great spirit or master of the animals. In either case there is an element of anthropomorphism.

This anthropomorphic art has been linked by archaeologist Steven Mithen with the emergence of more systematic hunting practices in the Upper Palaeolithic. He proposes that these are the product of a change in the architecture of the human mind, an increasing fluidity between the natural history and social intelligences, where anthropomorphism allowed hunters to identify empathetically with hunted animals and better predict their movements.

In religion and mythology

In religion and mythology, anthropomorphism is the perception of a divine being or beings in human form, or the recognition of human qualities in these beings.

Ancient mythologies frequently represented the divine as deities with human forms and qualities. They resemble human beings not only in appearance and personality; they exhibited many human behaviors that were used to explain natural phenomena, creation, and historical events. The deities fell in love, married, had children, fought battles, wielded weapons, and rode horses and chariots. They feasted on special foods, and sometimes required sacrifices of food, beverage, and sacred objects to be made by human beings. Some anthropomorphic deities represented specific human concepts, such as love, war, fertility, beauty, or the seasons. Anthropomorphic deities exhibited human qualities such as beauty, wisdom, and power, and sometimes human weaknesses such as greed, hatred, jealousy, and uncontrollable anger. Greek deities such as Zeus and Apollo often were depicted in human form exhibiting both commendable and despicable human traits. Anthropomorphism in this case is, more specifically, anthropotheism.

From the perspective of adherents to religions in which humans were created in the form of the divine, the phenomenon may be considered theomorphism, or the giving of divine qualities to humans.

Anthropomorphism has cropped up as a Christian heresy, particularly prominently with the Audians in third century Syria, but also in fourth century Egypt and tenth century Italy. This often was based on a literal interpretation of Genesis 1:27: "So God created humankind in his image, in the image of God he created them; male and female he created them".

Criticism

Some religions, scholars, and philosophers objected to anthropomorphic deities. The earliest known criticism was that of the Greek philosopher Xenophanes (570–480 BCE) who observed that people model their gods after themselves. He argued against the conception of deities as fundamentally anthropomorphic:

But if cattle and horses and lions had hands
or could paint with their hands and create works such as men do,
horses like horses and cattle like cattle
also would depict the gods' shapes and make their bodies
of such a sort as the form they themselves have.
...
Ethiopians say that their gods are snub–nosed [σιμούς] and black
Thracians that they are pale and red-haired.

Xenophanes said that "the greatest god" resembles man "neither in form nor in mind".

Both Judaism and Islam reject an anthropomorphic deity, believing that God is beyond human comprehension. Judaism's rejection of an anthropomorphic deity grew during the Hasmonean period (circa 300 BCE), when Jewish belief incorporated some Greek philosophy. Judaism's rejection grew further after the Islamic Golden Age in the tenth century, which Maimonides codified in the twelfth century, in his thirteen principles of Jewish faith.

In the Ismaili interpretation of Islam, assigning attributes to God as well as negating any attributes from God (via negativa) both qualify as anthropomorphism and are rejected, as God cannot be understood by either assigning attributes to Him or taking attributes away from Him. Therefore, Abu Yaqub Al-Sijistani, a renowned Ismaili thinker, suggested the method of double negation; for example: “God is not existent” followed by “God is not non-existent”. This glorifies God from any understanding or human comprehension.

Hindus do not reject the concept of a deity in the abstract unmanifested, but note practical problems. Lord Krishna said in the Bhagavad Gita, Chapter 12, Verse 5, that it is much more difficult for people to focus on a deity as the unmanifested than one with form, using anthropomorphic icons (murtis), because people need to perceive with their senses.

In secular thought, one of the most notable criticisms began in 1600 with Francis Bacon, who argued against Aristotle's teleology, which declared that everything behaves as it does in order to achieve some end, in order to fulfill itself. Bacon pointed out that achieving ends is a human activity and to attribute it to nature misconstrues it as humanlike. Modern criticisms followed Bacon's ideas such as critiques of Baruch Spinoza and David Hume. The latter, for instance, embedded his arguments in his wider criticism of human religions and specifically demonstrated in what he cited as their "inconsistence" where, on one hand, the Deity is painted in the most sublime colors but, on the other, is degraded to nearly human levels by giving him human infirmities, passions, and prejudices. In Faces in the Clouds, anthropologist Stewart Guthrie proposes that all religions are anthropomorphisms that originate in the brain's tendency to detect the presence or vestiges of other humans in natural phenomena.

There are also scholars who argue that anthropomorphism is the overestimation of the similarity of humans and nonhumans, therefore, it could not yield accurate accounts.

In literature

Religious texts

There are various examples of personification in both the Hebrew Bible and Christian New Testaments, as well as in the texts of some other religions.

Fables

From the Panchatantra: Rabbit fools Elephant by showing the reflection of the moon

Anthropomorphism, also referred to as personification, is a well established literary device from ancient times. The story of "The Hawk and the Nightingale" in Hesiod's Works and Days preceded Aesop's fables by centuries. Collections of linked fables from India, the Jataka Tales and Panchatantra, also employ anthropomorphized animals to illustrate principles of life. Many of the stereotypes of animals that are recognized today, such as the wily fox and the proud lion, can be found in these collections. Aesop's anthropomorphisms were so familiar by the first century CE that they colored the thinking of at least one philosopher:

And there is another charm about him, namely, that he puts animals in a pleasing light and makes them interesting to mankind. For after being brought up from childhood with these stories, and after being as it were nursed by them from babyhood, we acquire certain opinions of the several animals and think of some of them as royal animals, of others as silly, of others as witty, and others as innocent.

Apollonius noted that the fable was created to teach wisdom through fictions that are meant to be taken as fictions, contrasting them favorably with the poets' stories of the deities that are sometimes taken literally. Aesop, "by announcing a story which everyone knows not to be true, told the truth by the very fact that he did not claim to be relating real events". The same consciousness of the fable as fiction is to be found in other examples across the world, one example being a traditional Ashanti way of beginning tales of the anthropomorphic trickster-spider Anansi: "We do not really mean, we do not really mean that what we are about to say is true. A story, a story; let it come, let it go."

Fairy tales

Anthropomorphic motifs have been common in fairy tales from the earliest ancient examples set in a mythological context to the great collections of the Brothers Grimm and Perrault. The Tale of Two Brothers (Egypt, 13th century BCE) features several talking cows and in Cupid and Psyche (Rome, 2nd century CE) Zephyrus, the west wind, carries Psyche away. Later an ant feels sorry for her and helps her in her quest.

Modern literature

From The Emperor's Rout (1831)

Building on the popularity of fables and fairy tales, specifically children's literature began to emerge in the nineteenth century with works such as Alice's Adventures in Wonderland (1865) by Lewis Carroll, The Adventures of Pinocchio (1883) by Carlo Collodi and The Jungle Book (1894) by Rudyard Kipling, all employing anthropomorphic elements. This continued in the twentieth century with many of the most popular titles having anthropomorphic characters, examples being The Tale of Peter Rabbit (1901) and later books by Beatrix Potter; The Wind in the Willows by Kenneth Grahame (1908); Winnie-the-Pooh (1926) and The House at Pooh Corner (1928) by A. A. Milne; and The Lion, the Witch, and the Wardrobe (1950) and the subsequent books in The Chronicles of Narnia series by C. S. Lewis. In many of these stories the animals can be seen as representing facets of human personality and character. As John Rowe Townsend remarks, discussing The Jungle Book in which the boy Mowgli must rely on his new friends the bear Baloo and the black panther Bagheera, "The world of the jungle is in fact both itself and our world as well". A notable work aimed at an adult audience is George Orwell's Animal Farm, in which all the main characters are anthropomorphic animals. Non-animal examples include Rev.W Awdry's children's stories of Thomas the Tank Engine and other anthropomorphic locomotives.

The fantasy genre developed from mythological, fairy tale, and Romance motifs and characters, sometimes with anthropomorphic animals. The best-selling examples of the genre are The Hobbit (1937) and The Lord of the Rings (1954–1955), both by J. R. R. Tolkien, books peopled with talking creatures such as ravens, spiders, and the dragon Smaug and a multitude of anthropomorphic goblins and elves. John D. Rateliff calls this the "Doctor Dolittle Theme" in his book The History of the Hobbit and Tolkien saw this anthropomorphism as closely linked to the emergence of human language and myth: "...The first men to talk of 'trees and stars' saw things very differently. To them, the world was alive with mythological beings... To them the whole of creation was "myth-woven and elf-patterned".

Richard Adams developed a distinctive take on anthropomorphic writing in the 1970s: his debut novel, Watership Down (1972), featured rabbits that could talk, with their own distinctive language (Lapine) and mythology, and included a warren, Efrafa, run along the lines of a police state. Despite this, Adams attempted to ensure his characters' behavior mirrored that of wild rabbits, engaging in fighting, copulating and defecating, drawing on Ronald Lockley's study The Private Life of the Rabbit as research. Adams returned to anthropomorphic storytelling in his later novels The Plague Dogs (1977) and Traveller (1988).

By the 21st century, the children's picture book market had expanded massively. Perhaps a majority of picture books have some kind of anthropomorphism, with popular examples being The Very Hungry Caterpillar (1969) by Eric Carle and The Gruffalo (1999) by Julia Donaldson.

Anthropomorphism in literature and other media led to a sub-culture known as furry fandom, which promotes and creates stories and artwork involving anthropomorphic animals, and the examination and interpretation of humanity through anthropomorphism. This can often be shortened in searches as "anthro", used by some as an alternative term to "furry".

Anthropomorphic characters have also been a staple of the comic book genre. The most prominent one was Neil Gaiman's the Sandman which had a huge impact on how characters that are physical embodiments are written in the fantasy genre. Other examples also include the mature Hellblazer (personified political and moral ideas), Fables and its spin-off series Jack of Fables, which was unique for having anthropomorphic representation of literary techniques and genres. Various Japanese manga and anime have used anthropomorphism as the basis of their story. Examples include Squid Girl (anthropomorphized squid), Hetalia: Axis Powers (personified countries), Upotte!! (personified guns), Arpeggio of Blue Steel and Kancolle (personified ships).

In film, television, and video games

Big Buck Bunny is a free animated short featuring anthropomorphic characters

Film

Some of the most notable examples are the Walt Disney characters the Magic Carpet from Disney's Aladdin franchise, Mickey Mouse, Donald Duck, Goofy, and Oswald the Lucky Rabbit; the Looney Tunes characters Bugs Bunny, Daffy Duck, and Porky Pig; and an array of others from the 1920s to present day.

In the Disney/Pixar franchises Cars and Planes, all the characters are anthropomorphic vehicles, while in Toy Story, they are anthropomorphic toys. Other Pixar franchises like Monsters, Inc. features anthropomorphic monsters, and Finding Nemo features anthropomorphic marine life creatures (like fish, sharks, and whales). Discussing anthropomorphic animals from DreamWorks franchise Madagascar, Laurie suggests that "social differences based on conflict and contradiction are naturalized and made less 'contestable' through the classificatory matrix of human and nonhuman relations". Other DreamWorks franchises like Shrek features fairy tale characters, and Blue Sky Studios of 20th Century Fox franchises like Ice Age features anthropomorphic extinct animals.

All of the characters in Walt Disney Animation Studios' Zootopia (2016) are anthropomorphic animals, that is an entirely nonhuman civilization.

The live-action/computer-animated franchise Alvin and the Chipmunks by 20th Century Fox centers around anthropomorphic talkative and singing chipmunks. The female singing chipmunks called The Chipettes are also centered in some of the franchise's films.

Television

Since the 1960s, anthropomorphism has also been represented in various animated television shows such as Biker Mice From Mars (1993–1996) and SWAT Kats: The Radical Squadron (1993–1995). Teenage Mutant Ninja Turtles, first aired in 1987, features four pizza-loving anthropomorphic turtles with a great knowledge of ninjutsu, led by their anthropomorphic rat sensei, Master Splinter. Nickelodeon's longest running animated TV series SpongeBob SquarePants (1999–present), revolves around SpongeBob, a yellow sea sponge, living in the underwater town of Bikini Bottom with his anthropomorphic marine life friends. Cartoon Network's animated series The Amazing World of Gumball (2011–2019) takes place about anthropomorphic animals and inanimate objects. All of the characters in Hasbro Studios' TV series My Little Pony: Friendship Is Magic (2010–2019) are anthropomorphic fantasy creatures, with most of them being ponies living in the pony-inhabited land of Equestria.

In the American animated TV series Family Guy, one of the show's main characters, Brian, is a dog. Brian shows many human characteristics – he walks upright, talks, smokes, and drinks Martinis – but also acts like a normal dog in other ways; for example he cannot resist chasing a ball and barks at the mailman, believing him to be a threat.

The PBS Kids animated series Let's Go Luna! centers on an anthropomorphic female Moon who speaks, sings, and dances. She comes down out of the sky to serve as a tutor of international culture to the three main characters: a boy frog and wombat and a girl butterfly, who are supposed to be preschool children traveling a world populated by anthropomorphic animals with a circus run by their parents.

Video games

In Armello, anthropomorphic animals battle for control of the animal kingdom

Sonic the Hedgehog, a video game franchise debuting in 1991, features a speedy blue hedgehog as the main protagonist. This series' characters are almost all anthropomorphic animals such as foxes, cats, and other hedgehogs who are able to speak and walk on their hind legs like normal humans. As with most anthropomorphisms of animals, clothing is of little or no importance, where some characters may be fully clothed while some wear only shoes and gloves.

Another popular example in video games is the Super Mario series, debuting in 1985 with Super Mario Bros., of which main antagonist includes a fictional species of anthropomorphic turtle-like creatures known as Koopas. Other games in the series, as well as of other of its greater Mario franchise, spawned similar characters such as Yoshi, Donkey Kong and many others.

Art history

Anthropomorphic pareidolia by Giuseppe Arcimboldo

Claes Oldenburg

Claes Oldenburg's soft sculptures are commonly described as anthropomorphic. Depicting common household objects, Oldenburg's sculptures were considered Pop Art. Reproducing these objects, often at a greater size than the original, Oldenburg created his sculptures out of soft materials. The anthropomorphic qualities of the sculptures were mainly in their sagging and malleable exterior which mirrored the not so idealistic forms of the human body. In "Soft Light Switches" Oldenburg creates a household light switch out of vinyl. The two identical switches, in a dulled orange, insinuate nipples. The soft vinyl references the aging process as the sculpture wrinkles and sinks with time.

Minimalism

In the essay "Art and Objecthood", Michael Fried makes the case that "Literalist art" (Minimalism) becomes theatrical by means of anthropomorphism. The viewer engages the minimalist work, not as an autonomous art object, but as a theatrical interaction. Fried references a conversation in which Tony Smith answers questions about his six-foot cube, "Die".

Q: Why didn't you make it larger so that it would loom over the observer?

A: I was not making a monument.

Q: Then why didn't you make it smaller so that the observer could see over the top?

A: I was not making an object.

Fried implies an anthropomorphic connection by means of "a surrogate person – that is, a kind of statue."

The minimalist decision of "hollowness" in much of their work was also considered by Fried to be "blatantly anthropomorphic". This "hollowness" contributes to the idea of a separate inside; an idea mirrored in the human form. Fried considers the Literalist art's "hollowness" to be "biomorphic" as it references a living organism.

Post Minimalism

Curator Lucy Lippard's Eccentric Abstraction show, in 1966, sets up Briony Fer's writing of a post minimalist anthropomorphism. Reacting to Fried's interpretation of minimalist art's "looming presence of objects which appear as actors might on a stage", Fer interprets the artists in Eccentric Abstraction to a new form of anthropomorphism. She puts forth the thoughts of Surrealist writer Roger Caillois, who speaks of the "spacial lure of the subject, the way in which the subject could inhabit their surroundings." Caillous uses the example of an insect who "through camouflage does so in order to become invisible... and loses its distinctness." For Fer, the anthropomorphic qualities of imitation found in the erotic, organic sculptures of artists Eva Hesse and Louise Bourgeois, are not necessarily for strictly "mimetic" purposes. Instead, like the insect, the work must come into being in the "scopic field... which we cannot view from outside."

Mascots

Fatso the Fat-Arsed Wombat, a popular symbol of the Sydney 2000 Summer Olympics created as a parody of the commercial official mascots.

For branding, merchandising, and representation, figures known as mascots are now often employed to personify sports teams, corporations, and major events such as the World's Fair and the Olympics. These personifications may be simple human or animal figures, such as Ronald McDonald or the donkey that represents the United States's Democratic Party. Other times, they are anthropomorphic items, such as "Clippy" or the "Michelin Man". Most often, they are anthropomorphic animals such as the Energizer Bunny or the San Diego Chicken.

The practice is particularly widespread in Japan, where cities, regions, and companies all have mascots, collectively known as yuru-chara. Two of the most popular are Kumamon (a bear who represents Kumamoto Prefecture) and Funassyi (a pear who represents Funabashi, a suburb of Tokyo).

Animals

Other examples of anthropomorphism include the attribution of human traits to animals, especially domesticated pets such as dogs and cats. Examples of this include thinking a dog is smiling simply because it is showing his teeth, or a cat mourns for a dead owner.  Anthropomorphism may be beneficial to the welfare of animals. A 2012 study by Butterfield et al. found that utilizing anthropomorphic language when describing dogs created a greater willingness to help them in situations of distress. Previous studies have shown that individuals who attribute human characteristics to animals are less willing to eat them, and that the degree to which individuals perceive minds in other animals predicts the moral concern afforded to them. It is possible that anthropomorphism leads humans to like non-humans more when they have apparent human qualities, since perceived similarity has been shown to increase prosocial behavior toward other humans.

In science

In science, the use of anthropomorphic language that suggests animals have intentions and emotions has traditionally been deprecated as indicating a lack of objectivity. Biologists have been warned to avoid assumptions that animals share any of the same mental, social, and emotional capacities of humans, and to rely instead on strictly observable evidence. In 1927 Ivan Pavlov wrote that animals should be considered "without any need to resort to fantastic speculations as to the existence of any possible subjective states". More recently, The Oxford companion to animal behaviour (1987) advised that "one is well advised to study the behaviour rather than attempting to get at any underlying emotion". Some scientists, like William M Wheeler (writing apologetically of his use of anthropomorphism in 1911), have used anthropomorphic language in metaphor to make subjects more humanly comprehensible or memorable.

Despite the impact of Charles Darwin's ideas in The Expression of the Emotions in Man and Animals (Konrad Lorenz in 1965 called him a "patron saint" of ethology) ethology has generally focused on behavior, not on emotion in animals.

Even insects play together, as has been described by that excellent observer, P. Huber, who saw ants chasing and pretending to bite each other, like so many puppies.

The study of great apes in their own environment and in captivity has changed attitudes to anthropomorphism. In the 1960s the three so-called "Leakey's Angels", Jane Goodall studying chimpanzees, Dian Fossey studying gorillas and Biruté Galdikas studying orangutans, were all accused of "that worst of ethological sins – anthropomorphism". The charge was brought about by their descriptions of the great apes in the field; it is now more widely accepted that empathy has an important part to play in research.

De Waal has written: "To endow animals with human emotions has long been a scientific taboo. But if we do not, we risk missing something fundamental, about both animals and us." Alongside this has come increasing awareness of the linguistic abilities of the great apes and the recognition that they are tool-makers and have individuality and culture.

Writing of cats in 1992, veterinarian Bruce Fogle points to the fact that "both humans and cats have identical neurochemicals and regions in the brain responsible for emotion" as evidence that "it is not anthropomorphic to credit cats with emotions such as jealousy".

In computing

In science fiction, an artificially-intelligent computer or robot, even though it has not been programmed with human emotions, often spontaneously experiences those emotions anyway: for example, Agent Smith in The Matrix was influenced by a "disgust" toward humanity. This is an example of anthropomorphism: in reality, while an artificial intelligence could perhaps be deliberately programmed with human emotions, or could develop something similar to an emotion as a means to an ultimate goal if it is useful to do so, it would not spontaneously develop human emotions for no purpose whatsoever, as portrayed in fiction.

One example of anthropomorphism would be to believe that one's computer is angry at them because they insulted it; another would be to believe that an intelligent robot would naturally find a woman attractive and be driven to mate with her. Scholars sometimes disagree with each other about whether a particular prediction about an artificial intelligence's behavior is logical, or whether the prediction constitutes illogical anthropomorphism. An example that might initially be considered anthropomorphism, but is in fact a logical statement about an artificial intelligence's behavior, would be the Dario Floreano experiments where certain robots spontaneously evolved a crude capacity for "deception", and tricked other robots into eating "poison" and dying: here, a trait, "deception", ordinarily associated with people rather than with machines, spontaneously evolves in a type of convergent evolution. The conscious use of anthropomorphic metaphor is not intrinsically unwise; ascribing mental processes to the computer, under the proper circumstances, may serve the same purpose as it does when humans do it to other people: it may help persons to understand what the computer will do, how their actions will affect the computer, how to compare computers with humans, and conceivably how to design computer programs. However, inappropriate use of anthropomorphic metaphors can result in false beliefs about the behavior of computers, for example by causing people to overestimate how "flexible" computers are. According to Paul R. Cohen and Edward Feigenbaum, in order to differentiate between anthropomorphization and logical prediction of AI behavior, "the trick is to know enough about how humans and computers think to say exactly what they have in common, and, when we lack this knowledge, to use the comparison to suggest theories of human thinking or computer thinking."

Computers overturn the childhood hierarchical taxonomy of "stones (non-living) → plants (living) → animals (conscious) → humans (rational)", by introducing a non-human "actor" that appears to regularly behave rationally. Much of computing terminology derives from anthropomorphic metaphors: computers can "read", "write", or "catch a virus". Information technology presents no clear correspondence with any other entities in the world besides humans; the options are either to leverage an emotional, imprecise human metaphor, or to reject imprecise metaphor and make use of more precise, domain-specific technical terms.

People often grant an unnecessary social role to computers during interactions. The underlying causes are debated; Youngme Moon and Clifford Nass propose that humans are emotionally, intellectually and physiologically biased toward social activity, and so when presented with even tiny social cues, deeply-infused social responses are triggered automatically. The field of "social computing" attempts to make computers easier to use by leveraging anthropomorphism as a "language" of human-computer interaction.

Psychology

Foundational research

In psychology, the first empirical study of anthropomorphism was conducted in 1944 by Fritz Heider and Marianne Simmel. In the first part of this experiment, the researchers showed a 2-and-a-half minute long animation of several shapes moving around on the screen in varying directions at various speeds. When subjects were asked to describe what they saw, they gave detailed accounts of the intentions and personalities of the shapes. For instance, the large triangle was characterized as a bully, chasing the other two shapes until they could trick the large triangle and escape. The researchers concluded that when people see objects making motions for which there is no obvious cause, they view these objects as intentional agents.

Modern psychologists generally characterize anthropomorphism as a cognitive bias. That is, anthropomorphism is a cognitive process by which people use their schemas about other humans as a basis for inferring the properties of non-human entities in order to make efficient judgements about the environment, even if those inferences are not always accurate. Schemas about humans are used as the basis because this knowledge is acquired early in life, is more detailed than knowledge about non-human entities, and is more readily accessible in memory. Anthropomorphism can also function as a strategy to cope with loneliness when other human connections are not available.

Three-factor theory

Since making inferences requires cognitive effort, anthropomorphism is likely to be triggered only when certain aspects about a person and their environment are true. Psychologist Adam Waytz and his colleagues created a three-factor theory of anthropomorphism to describe these aspects and predict when people are most likely to anthropomorphize. The three factors are:

  • Elicited agent knowledge, or the amount of prior knowledge held about an object and the extent to which that knowledge is called to mind.
  • Effectance, or the drive to interact with and understand one's environment.
  • Sociality, the need to establish social connections.

When elicited agent knowledge is low and effectance and sociality are high, people are more likely to anthropomorphize. Various dispositional, situational, developmental, and cultural variables can affect these three factors, such as need for cognition, social disconnection, cultural ideologies, uncertainty avoidance, etc.

Developmental perspective

Children appear to anthropomorphize and use egocentric reasoning from an early age and use it more frequently than adults. Examples of this are describing a storm cloud as "angry" or drawing flowers with faces. This penchant for anthropomorphism is likely because children have acquired vast amounts of socialization, but not as much experience with specific non-human entities, so thus they have less developed alternative schemas for their environment. In contrast, autistic children tend to describe anthropomorphized objects in purely mechanical terms because they have difficulties with theory of mind.

Effect on learning

Anthropomorphism can be used to assist learning. Specifically, anthropomorphized words and describing scientific concepts with intentionality can improve later recall of these concepts.

In mental health

In people with depression, social anxiety, or other mental illnesses, emotional support animals are a useful component of treatment partially because anthropomorphism of these animals can satisfy the patients' need for social connection.

In marketing

Anthropomorphism of inanimate objects can affect product buying behavior. When products seem to resemble a human schema, such as the front of a car resembling a face, potential buyers evaluate that product more positively than if they do not anthropomorphize the object.

People also tend to trust robots to do more complex tasks such as driving a car or childcare if the robot resembles humans in ways such as having a face, voice, and name; mimicking human motions; expressing emotion; and displaying some variability in behavior.

Psychosurgery

From Wikipedia, the free encyclopedia

Psychosurgery
MeSHD011612

Psychosurgery, also called neurosurgery for mental disorder (NMD), is the neurosurgical treatment of mental disorder. Psychosurgery has always been a controversial medical field. The modern history of psychosurgery begins in the 1880s under the Swiss psychiatrist Gottlieb Burckhardt. The first significant foray into psychosurgery in the twentieth century was conducted by the Portuguese neurologist Egas Moniz who during the mid-1930s developed the operation known as leucotomy. The practice was enthusiastically taken up in the United States by the neuropsychiatrist Walter Freeman and the neurosurgeon James W. Watts who devised what became the standard prefrontal procedure and named their operative technique lobotomy, although the operation was called leucotomy in the United Kingdom. In spite of the award of the Nobel prize to Moniz in 1949, the use of psychosurgery declined during the 1950s. By the 1970s the standard Freeman-Watts type of operation was very rare, but other forms of psychosurgery, although used on a much smaller scale, survived. Some countries have abandoned psychosurgery altogether; in others, for example the US and the UK, it is only used in a few centres on small numbers of people with depression or obsessive-compulsive disorder (OCD). In some countries it is also used in the treatment of schizophrenia and other disorders.

Psychosurgery is a collaboration between psychiatrists and neurosurgeons. During the operation, which is carried out under a general anaesthetic and using stereotactic methods, a small piece of brain is destroyed or removed. The most common types of psychosurgery in current or recent use are anterior capsulotomy, cingulotomy, subcaudate tractotomy and limbic leucotomy. Lesions are made by radiation, thermo-coagulation, freezing or cutting. About a third of patients show significant improvement in their symptoms after operation. Advances in surgical technique have greatly reduced the incidence of death and serious damage from psychosurgery; the remaining risks include seizures, incontinence, decreased drive and initiative, weight gain, and cognitive and affective problems.

Currently, interest in the neurosurgical treatment of mental illness is shifting from ablative psychosurgery (where the aim is to destroy brain tissue) to deep brain stimulation (DBS) where the aim is to stimulate areas of the brain with implanted electrodes.

Medical uses

All the forms of psychosurgery in use today (or used in recent years) target the limbic system, which involves structures such as the amygdala, hippocampus, certain thalamic and hypothalamic nuclei, prefrontal and orbitofrontal cortex, and cingulate gyrus — all connected by fibre pathways and thought to play a part in the regulation of emotion. There is no international consensus on the best target site.

Anterior cingulotomy was first used by Hugh Cairns in the UK, and developed in the US by H.T. Ballantine jnr. In recent decades it has been the most commonly used psychosurgical procedure in the US. The target site is the anterior cingulate cortex; the operation disconnects the thalamic and posterior frontal regions and damages the anterior cingulate region.

Anterior capsulotomy was developed in Sweden, where it became the most frequently used procedure. It is also used in Scotland and Canada. The aim of the operation is to disconnect the orbitofrontal cortex and thalamic nuclei by inducing a lesion in the anterior limb of internal capsule.

Subcaudate tractotomy was the most commonly used form of psychosurgery in the UK from the 1960s to the 1990s. It targets the lower medial quadrant of the frontal lobes, severing connections between the limbic system and supra-orbital part of the frontal lobe.

Limbic leucotomy is a combination of subcaudate tractotomy and anterior cingulotomy. It was used at Atkinson Morley Hospital London in the 1990s and also at Massachusetts General Hospital.

Amygdalotomy, which targets the amygdala, was developed as a treatment for aggression by Hideki Narabayashi in 1961 and is still used occasionally, for example at the Medical College of Georgia.

There is debate about whether deep brain stimulation (DBS) should be classed as a form of psychosurgery.

Effectiveness

Success rates for anterior capsulotomy, anterior cingulotomy, subcaudate tractotomy, and limbic leucotomy in treating depression and OCD have been reported as between 25 and 70 percent. The quality of outcome data is poor and the Royal College of Psychiatrists in their 2000 report concluded that there were no simple answers to the question of modern psychosurgery's clinical effectiveness; studies suggested improvements in symptoms following surgery but it was impossible to establish the extent to which other factors contributed to this improvement. Research into the effects of psychosurgery has not been able to overcome a number of methodological problems, including the problems associated with non-standardised diagnoses and outcome measurements, the small numbers treated at any one centre, and positive publication bias. Controlled studies are very few in number and there have been no placebo-controlled studies. There are no systematic reviews or meta-analyses.

Modern techniques have greatly reduced the risks of psychosurgery, although risks of adverse effects still remain. Whilst the risk of death or vascular injury has become extremely small, there remains a risk of seizures, fatigue, and personality changes following operation.

A recent follow-up study of eight depressed patients who underwent anterior capsulotomy in Vancouver, Canada, classified five of them as responders at two to three years after surgery. Results on neuropsychological testing were unchanged or improved, although there were isolated deficits and one patient was left with long-term frontal psychobehavioral changes and fatigue. One patient, aged 75, was left mute and akinetic for a month following surgery and then developed dementia.

By country

China

In China, psychosurgical operations which make a lesion in the nucleus accumbens are used in the treatment of drug and alcohol dependence. Psychosurgery is also used in the treatment of schizophrenia, depression, and other mental disorders. Psychosurgery is not regulated in China, and its use has been criticised in the West.

India

India had an extensive psychosurgery programme until the 1980s, using it to treat addiction, and aggressive behaviour in adults and children, as well as depression and OCD. Cingulotomy and capsulotomy for depression and OCD continue to be used, for example at the BSES MG Hospital in Mumbai.

Japan

In Japan the first lobotomy was performed in 1939 and the operation was used extensively in mental hospitals. However, psychosurgery fell into disrepute in the 1970s, partly due to its use on children with behavioural problems.

Australia and New Zealand

In the 1980s there were 10–20 operations a year in Australia and New Zealand. The number had decreased to one or two a year by the 1990s. In Victoria, there were no operations between 2001 and 2006, but between 2007 and 2012 the Victoria Psychosurgery Review Board dealt with 12 applications, all them for DBS.

Europe

In the twenty-year period 1971–1991 the Committee on Psychosurgery in the Netherlands and Belgium oversaw 79 operations. Since 2000 there has been only one centre in Belgium performing psychosurgery, carrying out about 8 or 9 operations a year (some capsulotomies and some DBS), mostly for OCD.

In France about five people a year were undergoing psychosurgery in the early 1980s. In 2005 the Health Authority recommended the use of ablative psychosurgery and DBS for OCD.

In the early 2000s in Spain about 24 psychosurgical operations (capsulotomy, cingulotomy, subcaudate tractotomy, and hypothalamotomy) a year were being performed. OCD was the most common diagnosis, but psychosurgery was also being used in the treatment of anxiety and schizophrenia, and other disorders.

In the UK between the late 1990s and 2009 there were just two centres using psychosurgery: a few stereotactic anterior capsulotomies are performed every year at the University Hospital of Wales, Cardiff, while anterior cingulotomies are carried out by the Advanced Interventions Service at Ninewells Hospital, Dundee. The patients have diagnoses of depression, obsessive-compulsive disorder, and anxiety. Ablative psychosurgery was not performed in England between the late 1990s and 2009, although a couple of hospitals have been experimenting with DBS. In 2010 Frenchay Hospital, Bristol, performed an anterior cingulotomy on a woman who had previously undergone DBS.

In Russia in 1998 the Institute of the Human Brain (Russian Academy of Sciences) started a programme of stereotactic cingulotomy for the treatment of drug addiction. About 85 people, all under the age of 35, were operated on annually. In the former USSR, leucotomies were used for the treatment of schizophrenia in the 1940s, but the practice was prohibited by the Ministry of Health in 1950.

North America

In the US the Massachusetts General Hospital has a psychosurgery program. Operations are also performed at a few other centres.

In Mexico psychosurgery is used in the treatment of anorexia, and in the treatment of aggression.

In Canada anterior capsulotomies are used in the treatment of depression and OCD.

South America

Venezuela has three centres performing psychosurgery. Capsulotomies, cingulotomies and amygdalotomies are used to treat OCD and aggression.

History

Early psychosurgery

Evidence of trepanning (or trephining)—the practice of drilling holes in the skull—has been found in a skull from a Neolithic burial site in France, dated to about 5100 BC. There have also been archaeological finds in South America, while in Europe trepanation was carried out in classical and medieval times. The first systematic attempt at psychosurgery is commonly attributed to the Swiss psychiatrist Gottlieb Burckhardt. In December 1888 Burckhardt operated on the brains of six patients (one of whom died a few days after the operation) at the Préfargier Asylum, cutting out a piece of cerebral cortex. He presented the results at the Berlin Medical Congress and published a report, but the response was hostile and he did no further operations. Early in the 20th century, Russian neurologist Vladimir Bekhterev and Estonian neurosurgeon Ludvig Puusepp operated on three patients with mental illness, with discouraging results.

1930s–1950s

Although there had been earlier attempts to treat psychiatric disorders with brain surgery, it was Portuguese neurologist Egas Moniz who was responsible for introducing the operation into mainstream psychiatric practice. He also coined the term psychosurgery. Moniz developed a theory that people with mental illnesses, particularly "obsessive and melancholic cases" had a disorder of the synapses which allowed unhealthy thoughts to circulate continuously in their brains. Moniz hoped that by surgically interrupting pathways in their brain he could encourage new healthier synaptic connections. In November 1935, under Moniz's direction, surgeon Pedro Almeida Lima drilled a series of holes on either side of a woman's skull and injected ethanol to destroy small areas of subcortical white matter in the frontal lobes. After a few operations using ethanol, Moniz and Almeida Lima changed their technique and cut out small cores of brain tissue. They designed an instrument which they called a leucotome and called the operation a leucotomy (cutting of the white matter). After twenty operations, they published an account of their work. The reception was generally not friendly but a few psychiatrists, notably in Italy and the US, were inspired to experiment for themselves.

In the US, psychosurgery was taken up and zealously promoted by neurologist Walter Freeman and neurosurgeon James Watts. They started a psychosurgery program at George Washington University in 1936, first using Moniz's method but then devised a method of their own in which the connections between the prefrontal lobes and deeper structures in the brain were severed by making a sweeping cut through a burr hole on either side of the skull. They called their new operation a lobotomy.

Freeman went on to develop a new form of lobotomy which dispensed with the need for a neurosurgeon. He hammered an ice pick-like instrument, an orbitoclast, through the eye socket and swept through the frontal lobes. The transorbital or "ice pick" lobotomy was done under local anesthesia or using electroconvulsive therapy to render the patient unconscious and could be performed in mental hospitals lacking surgical facilities. Such was Freeman's zeal that he began to travel around the nation in his own personal van, which he called his "lobotomobile", demonstrating the procedure in psychiatric hospitals. Freeman's patients included 19 children, one of whom was 4 years old.

The 1940s saw a rapid expansion of psychosurgery, in spite of the fact that it involved a significant risk of death and severe personality changes. By the end of the decade, up to 5000 psychosurgical operations were being carried out annually in the US. In 1949, Moniz was awarded the Nobel Prize for Physiology or Medicine.

Beginning in the 1940s various new techniques were designed in the hope of reducing the adverse effects of the operation. These techniques included William Beecher Scoville's orbital undercutting, Jean Talairach's anterior capsulotomy, and Hugh Cairn's bilateral cingulotomy. Stereotactic techniques made it possible to place lesions more accurately, and experiments were done with alternatives to cutting instruments such as radiation. Psychosurgery nevertheless went into rapid decline in the 1950s, due to the introduction of new drugs and a growing awareness of the long-term damage caused by the operations, as well as doubts about its efficacy. By the 1970s, the standard or transorbital lobotomy had been replaced with other forms of psychosurgical operations.

1960s to the present

During the 1960s and 1970s, psychosurgery became the subject of increasing public concern and debate, culminating in the US with congressional hearings. Particularly controversial in the United States was the work of Harvard neurosurgeon Vernon Mark and psychiatrist Frank Ervin, who carried out amygdalotomies in the hope of reducing violence and "pathologic aggression" in patients with temporal lobe seizures and wrote a book entitled Violence and the Brain in 1970. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research in 1977 endorsed the continued limited use of psychosurgical procedures. Since then, a few facilities in some countries, such as the US, have continued to use psychosurgery on small numbers of patients. In the US and other Western countries, the number of operations has further declined over the past 30 years, a period during which there had been no major advances in ablative psychosurgery. Recently, a significant advance was demonstrated in the surgical treatment of a patient who 10 year depressive episode was resistant to all other treatments. https://medtube.net/tribune/a-case-of-major-depression-cured-by-pioneering-methods-of-psychosurgery/

Ethics

Psychosurgery has a controversial history and despite modifications still raises serious questions about benefit, risks, and the adequacy with which consent is obtained. Its continued use is defended by references to the "therapeutic imperative" to do something in the case of psychiatric patients who have not responded to other forms of treatment, and the evidence that some patients see improvement in their symptoms following surgery. There remain however problems concerning the rationale, indications and efficacy of psychosurgery, and the results of the operation raise questions of "identity, spirit, relationships, integrity and human flourishing".

Individuals who underwent psychosurgery

Streaming algorithm

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