Charles Bradley (doctor)
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Charles Bradley (December 1, 1902 – 1979) was a
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physician who was best known for the serendipitous discovery that the use of
Benzedrine Amphetamine (contracted from alpha- methylphenethylamine) is a strong central nervous system (CNS) stimulant that is used in the treatment of attention deficit hyperactivity disorder (ADHD), narcolepsy, and obesity. It is also commonly used a ...
in children with behavior problems resulted in an improvement in their performance in a residential setting.Charles Bradley, M.D., 1902–1979
''Am J Psychiatry'' 155:968, July 1998
Investigations leading from his work led directly to the current pharmaceutical treatment of
ADHD Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by excessive amounts of inattention, hyperactivity, and impulsivity that are pervasive, impairing in multiple contexts, and otherwise age-inapp ...
.


Background

In 1887 Emma Bradley, a seven-year-old child, fell ill with
encephalitis Encephalitis is inflammation of the brain. The severity can be variable with symptoms including reduction or alteration in consciousness, headache, fever, confusion, a stiff neck, and vomiting. Complications may include seizures, hallucinations, ...
. Unlike most victims of the disease, she had access to the finest care of that era. Her father had assisted
Alexander Graham Bell Alexander Graham Bell (, born Alexander Bell; March 3, 1847 – August 2, 1922) was a Scottish-born inventor, scientist and engineer who is credited with patenting the first practical telephone. He also co-founded the American Telephone and Te ...
in the marketing of the telephone and had invested wisely. George and Helen Bradley were able to convert their estate in
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into a hospital with a full-time doctor, nurses and other staff. They were unstinting in their efforts to obtain the finest advice and recommendations from major medical centers. Their efforts were in vain when at the age of 27, physically and mentally devastated by the disease, Emma Bradley died. Following the death of their only child, it was the family’s hope that future children might be helped. In 1932, following the provisions of their will, the nation’s first children’s psychiatric hospital was opened in
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.


Discovery

Charles Bradley was the great nephew of George Bradley. As a pediatrician who had studied
neurology Neurology (from el, wikt:νεῦρον, νεῦρον (neûron), "string, nerve" and the suffix wikt:-logia, -logia, "study of") is the branch of specialty (medicine), medicine dealing with the diagnosis and treatment of all categories of co ...
during his residency at
Babies Hospital Morgan Stanley Children's Hospital of NewYork-Presbyterian (MSCH or CHONY) is a women's and children's hospital at 3959 Broadway, near West 165th Street, in the Washington Heights neighborhood of Manhattan, New York City. It is a part of NewYork-Pr ...
in New York, he became the second director of the hospital. He conducted extensive, neurological workups on the patients at the facility. Included in the workup was
pneumoencephalography Pneumoencephalography (sometimes abbreviated PEG; also referred to as an "air study") was a common medical procedure in which most of the cerebrospinal fluid (CSF) was drained from around the brain by means of a lumbar puncture and replaced with ai ...
, a study which often led to severe headaches which Dr. Bradley assumed, resulted from the loss of spinal fluid. In an attempt to stimulate the
choroid plexus The choroid plexus, or plica choroidea, is a plexus of cells that arises from the tela choroidea in each of the ventricles of the brain. Regions of the choroid plexus produce and secrete most of the cerebrospinal fluid (CSF) of the central nerv ...
to produce spinal fluid he prescribed Benzedrine. It was noted by the teachers and nurses, whom cared for the children, that the patients who had received Benzedrine showed an improvement both in behavior and in academic performance. This was apparent even to the children, who began to call the medication “arithmetic pills” as a result of the improvement in their academic performance. Following these events Dr. Bradley published several works regarding the behavioral effects of Benzedrine. Jule Eisenbud
Review of Bradley's ''Schizophrenia in Childhood''
''
Psychoanalytic Quarterly ''The Psychoanalytic Quarterly'' is a quarterly academic journal of psychoanalysis established in 1932 and, since 2018, published by Taylor and Francis. The journal describes itself as "the oldest free-standing psychoanalytic journal in America". T ...
'', 10 (1941) :482-483
However, over 25 years passed before this class of drugs came into favor for the treatment of behavior problems in children.


Other contributions

Dr Bradley was also credited with the invention of a device to make pneumoencephalography in children easier and wrote extensively on childhood schizophrenia. He was also a leader in the use of residential treatment for children with behavioral problems.


References

{{DEFAULTSORT:Bradley, Charles American pediatricians Attention deficit hyperactivity disorder researchers 1902 births 1979 deaths