Occasionally, head injury patients are referred to me with a request that I "do something."

It is a testament to the flexibility and regenerative powers of the human brain that many head injured people recover physically and cognitively as much as they do. But there is not, to my knowledge (and I don't have any expertise in the area of work with head injury patients) any thing that can be done psychotherapeutically to address the personality changes, impulse control, impaired judgement, psychotic symptoms, & emotional lability that often occur.

There was a doctor at the big state mental hospital at Spencer, WV, who performed hundreds of 'ice pick' lobotomies, I think right up until the very early 1960's. I had a friend who worked there as a tech who said the back wards of the hospital were inhabited by a number of people who had the "benefits" of his treatment. I've only encountered one lobotomy patient, and that was long before I went to graduate school and moved into mental health. She was quite bizarre in her presentation.