Assisted by journalist/novelist Charles Fleming, Howard Dully recounts a family tragedy whose Sophoclean proportions he could only sketch in his powerful 2005 broadcast on NPR's All Things Considered.

"In 1960," he writes, "I was given a transorbital, or 'ice pick' lobotomy. My stepmother arranged it. My father agreed to it. Dr. Walter Freeman, the father of the American lobotomy, told me he was going to do some 'tests'. It took 10 minutes and cost 200 dollars."

Fellow doctors called Freeman's technique barbaric: an ice pick¿like instrument was inserted about three inches into each eye socket and twirled to sever connections from the frontal lobe to the rest of the brain. The procedure was intended to help curb a variety of psychoses by muting emotional responses, but sometimes it irreversibly reduced patients to a childlike state or (in 15 percent of the operations Freeman performed) killed them outright. Dully's 10-minute "test" did neither, but in some ways it had a far crueler result, since it didn't end the unruly behavior that had set his stepmother against him to begin with.

"I spent the next 40 years in and out of insane asylums, jails, and halfway houses," he tells us. "I was homeless, alcoholic, and drug-addicted. I was lost."

From all accounts, there was no excuse for the lobotomy. Dully had never been "crazy", and his (not very) bad behavior sounds like the typical acting-up of a child in desperate need of affection. His stepmother responded with unrelenting abuse and neglect, and his father allowed her to demonize his son and never admitted his complicity in the lobotomy; Freeman capitalized on their monumental dysfunction. It's a tale of epic horror, and while Dully's courage in telling it inspires awe, listeners are left to speculate about what drove supposedly responsible adults to such unconscionable acts.