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Williams |
These studies of
the psychologists and pathologists bring the relations of mind and body
into sharp relief. But even more definite in this regard was the work of
the brain physiologists. Chief of these, during the middle period of the
century, was the man who is sometimes spoken of as the "father of brain
physiology," Marie Jean Pierre Flourens, of the Jardin des Plantes
of Paris, the pupil and worthy successor of Magendie. His experiments in
nerve physiology were begun in the first quarter of the century, but his
local experiments upon the brain itself were not culminated until about
1842. At this time the old dispute over phrenology had broken out afresh,
and the studies of Flourens were aimed, in part at least, at the strictly
scientific investigation of this troublesome topic.
In the course of these studies Flourens
discovered that in the medulla oblongata, the part of the brain which connects
that organ with the spinal cord, there is a centre of minute size which
cannot be injured in the least without causing the instant death of the
animal operated upon. It may be added that it is this spot which is reached
by the needle of the garroter in Spanish executions, and that the same
centre also is destroyed when a criminal is "successfully" hanged, this
time by the forced intrusion of a process of the second cervical vertebra.
Flourens named this spot the "vital knot." Its extreme importance, as is
now understood, is due to the fact that it is the centre of nerves that
supply the heart; but this simple explanation, annulling the conception
of a specific "life centre," was not at once apparent.
Other experiments of Flourens seemed to
show that the cerebellum is the seat of the centres that co-ordinate muscular
activities, and that the higher intellectual faculties are relegated to
the cerebrum. But beyond this, as regards localization, experiment faltered.
Negative results, as regards specific faculties, were obtained from all
localized irritations of the cerebrum, and Flourens was forced to conclude
that the cerebral lobe, while being undoubtedly the seat of higher intellection,
performs its functions with its entire structure. This conclusion, which
incidentally gave a quietus to phrenology, was accepted generally, and
became the stock doctrine of cerebral physiology for a generation.
It will be seen, however, that these studies
of Flourens had a double bearing. They denied localization of cerebral
functions, but they demonstrated the localization of certain nervous processes
in other portions of the brain. On the whole, then, they spoke positively
for the principle of localization of function in the brain, for which a
certain number of students contended; while their evidence against cerebral
localization was only negative. There was here and there an observer who
felt that this negative testimony was not conclusive. In particular, the
German anatomist Meynert, who had studied the disposition of nerve tracts
in the cerebrum, was led to believe that the anterior portions of the cerebrum
must have motor functions in preponderance; the posterior positions, sensory
functions. Somewhat similar conclusions were reached also by Dr. Hughlings-Jackson,
in England, from his studies of epilepsy. But no positive evidence was
forthcoming until 1861, when Dr. Paul Broca brought before the Academy
of Medicine in Paris a case of brain lesion which he regarded as having
most important bearings on the question of cerebral localization.
The case was that of a patient at the Bicetre,
who for twenty years had been deprived of the power of speech, seemingly
through loss of memory of words. In 1861 this patient died, and an autopsy
revealed that a certain convolution of the left frontal lobe of his cerebrum
had been totally destroyed by disease, the remainder of his brain being
intact. Broca felt that this observation pointed strongly to a localization
of the memory of words in a definite area of the brain. Moreover, it transpired
that the case was not without precedent. As long ago as 1825 Dr. Boillard
had been led, through pathological studies, to locate definitely a centre
for the articulation of words in the frontal lobe, and here and there other
observers had made tentatives in the same direction. Boillard had even
followed the matter up with pertinacity, but the world was not ready to
listen to him. Now, however, in the half-decade that followed Broca's announcements,
interest rose to fever-beat, and through the efforts of Broca, Boillard,
and numerous others it was proved that a veritable centre having a strange
domination over the memory of articulate words has its seat in the third
convolution of the frontal lobe of the cerebrum, usually in the left hemisphere.
That part of the brain has since been known to the English-speaking world
as the convolution of Broca, a name which, strangely enough, the discoverer's
compatriots have been slow to accept.
This discovery very naturally reopened
the entire subject of brain localization. It was but a short step to the
inference that there must be other definite centres worth the seeking,
and various observers set about searching for them. In 1867 a clew was
gained by Eckhard, who, repeating a forgotten experiment by Haller and
Zinn of the previous century, removed portions of the brain cortex of animals,
with the result of producing convulsions. But the really vital departure
was made in 1870 by the German investigators Fritsch and Hitzig, who, by
stimulating definite areas of the cortex of animals with a galvanic current,
produced contraction of definite sets of muscles of the opposite side of
the body. These most important experiments, received at first with incredulity,
were repeated and extended in 1873 by Dr. David Ferrier, of London, and
soon afterwards by a small army of independent workers everywhere, prominent
among whom were Franck and Pitres in France, Munck and Goltz in Germany,
and Horsley and Schafer in England. The detailed results, naturally enough,
were not at first all in harmony. Some observers, as Goltz, even denied
the validity of the conclusions in toto. But a consensus of opinion, based
on multitudes of experiments, soon placed the broad general facts for which
Fritsch and Hitzig contended beyond controversy. It was found, indeed,
that the cerebral centres of motor activities have not quite the finality
at first ascribed to them by some observers, since it may often happen
that after the destruction of a centre, with attending loss of function,
there may be a gradual restoration of the lost function, proving that other
centres have acquired the capacity to take the place of the one destroyed.
There are limits to this capacity for substitution, however, and with this
qualification the definiteness of the localization of motor functions in
the cerebral cortex has become an accepted part of brain physiology.
Nor is such localization confined to motor
centres. Later experiments, particularly of Ferrier and of Munck, proved
that the centres of vision are equally restricted in their location, this
time in the posterior lobes of the brain, and that hearing has likewise
its local habitation. Indeed, there is every reason to believe that each
form of primary sensation is based on impressions which mainly come to
a definitely localized goal in the brain. But all this, be it understood,
has no reference to the higher forms of intellection. All experiment has
proved futile to localize these functions, except indeed to the extent
of corroborating the familiar fact of their dependence upon the brain,
and, somewhat problematically, upon the anterior lobes of the cerebrum
in particular. But this is precisely what should be expected, for the clearer
insight into the nature of mental processes makes it plain that in the
main these alleged "faculties" are not in themselves localized. Thus, for
example, the "faculty" of language is associated irrevocably with centres
of vision, of hearing, and of muscular activity, to go no further, and
only becomes possible through the association of these widely separated
centres. The destruction of Broca's centre, as was early discovered, does
not altogether deprive a patient of his knowledge of language. He may be
totally unable to speak (though as to this there are all degrees of variation),
and yet may comprehend what is said to him, and be able to read, think,
and even write correctly. Thus it appears that Broca's centre is peculiarly
bound up with the capacity for articulate speech, but is far enough from
being the seat of the faculty of language in its entirety.
In a similar way, most of the supposed
isolated "faculties" of higher intellection appear, upon clearer analysis,
as complex aggregations of primary sensations, and hence necessarily dependent
upon numerous and scattered centres. Some "faculties," as memory and volition,
may be said in a sense to be primordial endowments of every nerve cell
- even of every body cell. Indeed, an ultimate analysis relegates all intellection,
in its primordial adumbrations, to every particle of living matter. But
such refinements of analysis, after all, cannot hide the fact that certain
forms of higher intellection involve a pretty definite collocation and
elaboration of special sensations. Such specialization, indeed, seems a
necessary accompaniment of mental evolution. That every such specialized
function has its localized centres of co-ordination, of some such significance
as the demonstrated centres of articulate speech, can hardly be in doubt
- though this, be it understood, is an induction, not as yet a demonstration.
In other words, there is every reason to believe that numerous "centres,"
in this restricted sense, exist in the brain that have as yet eluded the
investigator. Indeed, the current conception regards the entire cerebral
cortex as chiefly composed of centres of ultimate co-ordination of impressions,
which in their cruder form are received by more primitive nervous tissues
- the basal ganglia, the cerebellum and medulla, and the spinal cord.
This, of course, is equivalent to postulating
the cerebral cortex as the exclusive seat of higher intellection. This
proposition, however, to which a safe induction seems to lead, is far afield
from the substantiation of the old conception of brain localization, which
was based on faulty psychology and equally faulty inductions from few premises.
The details of Gall's system, as propounded by generations of his mostly
unworthy followers, lie quite beyond the pale of scientific discussion.
Yet, as I have said, a germ of truth was there - the idea of specialization
of cerebral functions - and modern investigators have rescued that central
conception from the phrenological rubbish heap in which its discoverer
unfortunately left it buried. |
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