In England during the 1930s and 1940s, Dax worked with
John Rawlings Rees,
Francis Reitmann and other
biological psychiatrists who advocated the use of somatic (physical) treatments for patients with mental problems. He contributed to the development of chemical shock,
electroconvulsive therapy, and
lobotomy while working at
Netherne Hospital,
Coulsdon, and continued to use lobotomy in Australia. "Modified leucotomy was introduced into Victoria by Dr. Cunningham Dax .. By the end of 1959, 300 patients had had leucotomies.. but in the years immediately following [this] was reduced to a mere trickle, 23 in 1960, 6 in 1961. .. [even by the dubious scientific standards of self assessment by the people doing this treatment] 1955 was a 'bad' year with 38% failures, and 1958 .. was even less favourable with 45% failures." Overall 32% were rated "no improvement or had deteriorated further", [a typical psychiatric tactic to include two categories for "marked" and "moderate" improvement and just one for the rest, which included deaths]. Only 1% died immediately as a result of the operation but a total of 31 people, 10%, were dead from various causes when their cases were reviewed. Between 1946 and 1951—when Dax was the Medical Superintendent of Netherne Hospital—he and Reitmann, continuing the 1930s research into art and psychosis at the
Maudsley Hospital, pioneered the use of art as part of mainstream psychiatric treatment. Their interest was to research using art both for treatment and for assisting the diagnosis of mental disorder. Dax employed the artist
Edward Adamson to facilitate a research art studio at Netherne, and 689 of the people compelled to live at Netherne painted with Adamson in this period, according to Robertson. Dax published his findings in 1953 in his "Experimental Studies in Psychiatric Art". He began a collection of artworks produced by psychiatric patients, taking about 20 objects from Netherne when he went to Melbourne, including paintings from the research art studio and tapestries made in occupational therapy. The Cunningham Dax Collection became one of the largest collections of its type in the world. The Collection can be viewed at the
Dax Centre, located in
Parkville, Victoria. The Centre runs public education programs and seeks to promote mental health and wellbeing by fostering a greater understanding of the mind, mental illness and trauma through art and creativity. Adamson carried on the studio for 35 years, and is one of the pioneers of
Art Therapy in Britain, and founded the Adamson Collection, now comprising approximately 6000 paintings, drawings, sculptures and ceramics created at Netherne, and currently almost all re-located to the
Wellcome Library in anticipation of a securer future in several international institutions. ==Mental Hygiene Authority of Victoria==