every patient probably loses something by this operation, some spontaneity, some sparkle, some flavor of the personality.”14 They would later write an even more sober assessment: “prefrontal lobotomy smashes the fantasy life and ruins creative capacity . . . one is justified in speaking of the [lobotomized] individual as good solid cake but no icing.”15 This, they argued, was a small price to pay in the case of a previously hopeless patient.

