MEMORY
Primary memory. Analysis of the phenomenon of memory.
Retention and reproduction are both caused by paths of association
in the brain. The conditions of goodness in memory. Native
retentiveness is unchangeable. All improvement of memory consists
in better _thinking_. Other conditions of good memory.
Recognition, or the sense of familiarity. Exact measurements of
memory. Forgetting. Pathological cases. Professor Ladd
criticised.
INDEX.
PSYCHOLOGY.
CHAPTER I.
THE SCOPE OF PSYCHOLOGY.
Psychology is the Science of Mental Life, both of its phenomena
and of their conditions. The phenomena are such things as we call
feelings, desires, cognitions, reasonings, decisions, and the like;
and, superficially considered, their variety and complexity is such as
to leave a chaotic impression on the observer. The most natural and
consequently the earliest way of unifying the material was, first,
to classify it as well as might be, and, secondly, to affiliate the
diverse mental modes thus found, upon a simple entity, the personal
Soul, of which they are taken to be so many facultative manifestations.
Now, for instance, the Soul manifests its faculty of Memory, now of
Reasoning, now of Volition, or again its Imagination or its Appetite.
This is the orthodox 'spiritualistic' theory of scholasticism and of
common-sense. Another and a less obvious way of unifying the chaos is
to seek common elements in the divers mental facts rather than a common
agent behind them, and to explain them constructively by the various
forms of arrangement of these elements, as one explains houses by
stones and bricks. The 'associationist' schools of Herbart in Germany,
and of Hume the Mills and Bain in Britain have thus constructed a
_psychology without a soul_ by taking discrete 'ideas,' faint or
vivid, and showing how, by their cohesions, repulsions, and forms
of succession, such things as reminiscences, perceptions, emotions,
volitions, passions, theories, and all the other furnishings of an
individual's mind may be engendered. The very Self or _ego_ of the
individual comes in this way to be viewed no longer as the pre-existing
source of the representations, but rather as their last and most
complicated fruit.
Now, if we strive rigorously to simplify the phenomena in either of
these ways, we soon become aware of inadequacies in our method. Any
particular cognition, for example, or recollection, is accounted for
on the soul-theory by being referred to the spiritual faculties of
Cognition or of Memory. These faculties themselves are thought of as
absolute properties of the soul; that is, to take the case of memory,
no reason is given why we should remember a fact as it happened, except
that so to remember it constitutes the essence of our Recollective
Power. We may, as spiritualists, try to explain our memory's failures
and blunders by secondary causes. But its _successes_ can invoke no
factors save the existence of certain objective things to be remembered
on the one hand, and of our faculty of memory on the other. When,
for instance, I recall my graduation-day, and drag all its incidents
and emotions up from death's dateless night, no mechanical cause can
explain this process, nor can any analysis reduce it to lower terms or
make its nature seem other than an ultimate _datum_, which, whether we
rebel or not at its mysteriousness, must simply be taken for granted if
we are to psychologize at all. However the associationist may represent
the present ideas as thronging and arranging themselves, still, the
spiritualist insists, he has in the end to admit that _something_,
be it brain, be it 'ideas,' be it 'association,' _knows_ past time
_as_ past, and fills it out with this or that event. And when the
spiritualist calls memory an 'irreducible faculty,' he says no more
than this admission of the associationist already grants.
And yet the admission is far from being a satisfactory simplification
of the concrete facts. For why should this absolute god-given Faculty
retain so much better the events of yesterday than those of last
year, and, best of all, those of an hour ago? Why, again, in old
age should its grasp of childhood's events seem firmest? Why should
illness and exhaustion enfeeble it? Why should repeating an experience
strengthen our recollection of it? Why should drugs, fevers, asphyxia,
and excitement resuscitate things long since forgotten? If we content
ourselves with merely affirming that the faculty of memory is so
peculiarly constituted by nature as to exhibit just these oddities,
we seem little the better for having invoked it, for our explanation
becomes as complicated as that of the crude facts with which we
started. Moreover there is something grotesque and irrational in the
supposition that the soul is equipped with elementary powers of such an
ingeniously intricate sort. Why _should_ our memory cling more easily
to the near than the remote? Why should it lose its grasp of proper
sooner than of abstract names? Such peculiarities seem quite fantastic;
and might, for aught we can see _a priori_, be the precise opposites of
what they are. Evidently, then, _the faculty does not exist absolutely,
but works under conditions_; and _the quest of the conditions_ becomes
the psychologist's most interesting task.
However firmly he may hold to the soul and her remembering faculty, he
must acknowledge that she never exerts the latter without a _cue_, and
that something must always precede and _remind_ us of whatever we are
to recollect. "An _idea_," says the associationist, "an idea associated
with the remembered thing; and this explains also why things repeatedly
met with are more easily recollected, for their associates on the
various occasions furnish so many distinct avenues of recall." But this
does not explain the effects of fever, exhaustion, hypnotism, old age,
and the like. And in general, the pure associationist's account of our
mental life is almost as bewildering as that of the pure spiritualist.
This multitude of ideas, existing absolutely, yet clinging together,
and weaving an endless carpet of themselves, like dominoes in ceaseless
change, or the bits of glass in a kaleidoscope,--whence do they get
their fantastic laws of clinging, and why do they cling in just the
shapes they do?
For this the associationist must introduce the order of experience in
the outer world. The dance of the ideas is a copy, somewhat mutilated
and altered, of the order of phenomena. But the slightest reflection
shows that phenomena have absolutely no power to influence our ideas
until they have first impressed our senses and our brain. The bare
existence of a past fact is no ground for our remembering it. Unless
we have seen it, or somehow _undergone_ it, we shall never know of its
having been. The expediences of the body are thus one of the conditions
of the faculty of memory being what it is. And a very small amount
of reflection on facts shows that one part of the body, namely, the
brain, is the part whose experiences are directly concerned. If the
nervous communication be cut off between the brain and other parts,
the experiences of those other parts are non-existent for the mind.
The eye is blind, the ear deaf, the hand insensible and motionless.
And conversely, if the brain be injured, consciousness is abolished or
altered, even although every other organ in the body be ready to play
its normal part. A blow on the head, a sudden subtraction of blood, the
pressure of an apoplectic hemorrhage, may have the first effect; whilst
a very few ounces of alcohol or grains of opium or hasheesh, or a whiff
of chloroform or nitrous oxide gas, are sure to have the second. The
delirium of fever, the altered self of insanity, are all due to foreign
matters circulating through the brain, or to pathological changes in
that organ's substance. The fact that the brain is the one immediate
bodily condition of the mental operations is indeed so universally
admitted nowadays that I need spend no more time in illustrating it,
but will simply postulate it and pass on. The whole remainder of the
book will be more or less of a proof that the postulate was correct.
Bodily experiences, therefore, and more particularly brain-experiences,
must take a place amongst those conditions of the mental life of which
Psychology need take account. _The spiritualist and the associationist
must both be 'cerebralists'_, to the extent at least of admitting that
certain peculiarities in the way of working of their own favorite
principles are explicable only by the fact that the brain laws are a
codeterminant of the result. Our first conclusion, then, is that a
certain amount of brain-physiology must be presupposed or included in
Psychology.[1]
* * * * *
In still another way the psychologist is forced to be something of a
nerve-physiologist. Mental phenomena are not only conditioned _a parte
ante_ by bodily processes; but they lead to them _a parte post_. That
they lead to _acts_ is of course the most familiar of truths, but I do
not merely mean acts in the sense of voluntary and deliberate muscular
performances. Mental states occasion also changes in the calibre of
blood-vessels, or alteration in the heart-beats, or processes more
subtle still, in glands and viscera. If these are taken into account,
as well as acts which follow at some _remote period_ because the mental
state was once there, it will be safe to lay down the general law
that _no mental modification ever occurs which is not accompanied or
followed by a bodily change_. The ideas and feelings, _e.g_., which
these present printed characters excite in the reader's mind not only
occasion movements of his eyes and nascent movements of articulation in
him, but will some day make him speak, or take sides in a discussion,
or give advice, or choose a book to read, differently from what would
have been the case had they never impressed his retina. Our psychology
must therefore take account not only of the conditions antecedent to
mental states, but of their resultant consequences as well.
* * * * *
But actions originally prompted by conscious intelligence may grow
so automatic by dint of habit as to be apparently unconsciously
performed. Standing, walking, buttoning and unbuttoning, piano-playing,
talking, even saying one's prayers, may be done when the mind is
absorbed in other things. The performances of animal _instinct_ seem
semi-automatic, and the _reflex acts_ of self-preservation certainly
are so. Yet they resemble intelligent acts in bringing about the
_same ends_ at which the animals' consciousness, on other occasions,
deliberately aims. Shall the study of such machine-like yet purposive
acts as these be included in Psychology?
The boundary-line of the mental is certainly vague. It is better not
to be pedantic, but to let the science be as vague as its subject,
and include such phenomena as these if by so doing we can throw any
light on the main business in hand. It will ere long be seen, I trust,
that we can; and that we gain much more by a broad than by a narrow
conception of our subject. At a certain stage in the development
of every science a degree of vagueness is what best consists with
fertility. On the whole, few recent formulas have done more real
service of a rough sort in psychology than the Spencerian one that
the essence of mental life and of bodily life are one, namely, 'the
adjustment of inner to outer relations.' Such a formula is vagueness
incarnate; but because it takes into account the fact that minds
inhabit environments which act on them and on which they in turn
react; because, in short, it takes mind in the midst of all its
concrete relations, it is immensely more fertile than the old-fashioned
'rational psychology,' which treated the soul as a detached existent,
sufficient unto itself, and assumed to consider only its nature and
properties. I shall therefore feel free to make any sallies into
zoology or into pure nerve-physiology which may seem instructive
for our purposes, but otherwise shall leave those sciences to the
physiologists.
* * * * *
Can we state more distinctly still the manner in which the mental life
seems to intervene between impressions made from without upon the body,
and reactions of the body upon the outer world again? Let us look at a
few facts.
If some iron filings be sprinkled on a table and a magnet brought near
them, they will fly through the air for a certain distance and stick
to its surface. A savage seeing the phenomenon explains it as the
result of an attraction or love between the magnet and the filings.
But let a card cover the poles of the magnet, and the filings will
press forever against its surface without its ever occurring to them
to pass around its sides and thus come into more direct contact with
the object of their love. Blow bubbles through a tube into the bottom
of a pail of water, they will rise to the surface and mingle with the
air. Their action may again be poetically interpreted as due to a
longing to recombine with the mother-atmosphere above the surface. But
if you invert a jar full of water over the pail, they will rise and
remain lodged beneath its bottom, shut in from the outer air, although
a slight deflection from their course at the outset, or a re-descent
towards the rim of the jar when they found their upward course impeded,
would easily have set them free.
If now we pass from such actions as these to those of living things,
we notice a striking difference. Romeo wants Juliet as the filings
want the magnet; and if no obstacles intervene he moves towards her by
as straight a line as they. But Romeo and Juliet, if a wall be built
between them, do not remain idiotically pressing their faces against
its opposite sides like the magnet and the filings with the card. Romeo
soon finds a circuitous way, by scaling the wall or otherwise, of
touching Juliet's lips directly. With the filings the path is fixed;
whether it reaches the end depends on accidents. With the lover it is
the end which is fixed, the path may be modified indefinitely.
Suppose a living frog in the position in which we placed our bubbles
of air, namely, at the bottom of a jar of water. The want of breath
will soon make him also long to rejoin the mother-atmosphere, and he
will take the shortest path to his end by swimming straight upwards.
But if a jar full of water be inverted over him, he will not, like the
bubbles, perpetually press his nose against its unyielding roof, but
will restlessly explore the neighborhood until by re-descending again
he has discovered a path round its brim to the goal of his desires.
Again the fixed end, the varying means!
Such contrasts between living and inanimate performances end by leading
men to deny that in the physical world final purposes exist at all.
Loves and desires are to-day no longer imputed to particles of iron or
of air. No one supposes now that the end of any activity which they
may display is an ideal purpose presiding over the activity from its
outset and soliciting or drawing it into being by a sort of _vis a
fronte_. The end, on the contrary, is deemed a mere passive result,
pushed into being _a tergo_, having had, so to speak, no voice in its
own production. Alter the pre-existing conditions, and with inorganic
materials you bring forth each time a different apparent end. But
with intelligent agents, altering the conditions changes the activity
displayed, but not the end reached; for here the idea of the yet
unrealized end co-operates with the conditions to determine what the
activities shall be.
* * * * *
_The pursuance of future ends and the choice of means for their
attainment are thus the mark and criterion of the presence of
mentality_ in a phenomenon. We all use this test to discriminate
between an intelligent and a mechanical performance. We impute no
mentality to sticks and stones, because they never seem to move for
_the sake of_ anything, but always when pushed, and then indifferently
and with no sign of choice. So we unhesitatingly call them senseless.
Just so we form our decision upon the deepest of all philosophic
problems: Is the Kosmos an expression of intelligence rational in its
inward nature, or a brute external fact pure and simple? If we find
ourselves, in contemplating it, unable to banish the impression that it
is a realm of final purposes, that it exists for the sake of something,
we place intelligence at the heart of it and have a religion. If,
on the contrary, in surveying its irremediable flux, we can think
of the present only as so much mere mechanical sprouting from the
past, occurring with no reference to the future, we are atheists and
materialists.
In the lengthy discussions which psychologists have carried on about
the amount of intelligence displayed by lower mammals, or the amount
of consciousness involved in the functions of the nerve-centres of
reptiles, the same test has always been applied: Is the character of
the actions such that we must believe them to be performed _for the
sake_ of their result? The result in question, as we shall hereafter
abundantly see, is as a rule a useful one,--the animal is, on the
whole, safer under the circumstances for bringing it forth. So far
the action has a teleological character; but such mere outward
teleology as this might still be the blind result of _vis a tergo_.
The growth and movements of plants, the processes of development,
digestion, secretion, etc., in animals, supply innumerable instances
of performances useful to the individual which may nevertheless be,
and by most of us are supposed to be, produced by automatic mechanism.
The physiologist does not confidently assert conscious intelligence
in the frog's spinal cord until he has shown that the useful result
which the nervous machinery brings forth under a given irritation
_remains the same when the machinery is altered_. If, to take the stock
instance, the right knee of a headless frog be irritated with acid, the
right foot will wipe it off. When, however, this foot is amputated,
the animal will often raise the _left_ foot to the spot and wipe the
offending material away.
Pflüger and Lewes reason from such facts in the following way: If the
first reaction were the result of mere machinery, they say; if that
irritated portion of the skin discharged the right leg as a trigger
discharges its own barrel of a shot-gun; then amputating the right
foot would indeed frustrate the wiping, but would not make the _left_
leg move. It would simply result in the right stump moving through
the empty air (which is in fact the phenomenon sometimes observed).
The right trigger makes no effort to discharge the left barrel if the
right one be unloaded; nor does an electrical machine ever get restless
because it can only emit sparks, and not hem pillow-cases like a
sewing-machine.
If, on the contrary, the right leg originally moved for the _purpose_
of wiping the acid, then nothing is more natural than that, when the
easiest means of effecting that purpose prove fruitless, other means
should be tried. Every failure must keep the animal in a state of
disappointment which will lead to all sorts of new trials and devices;
and tranquillity will not ensue till one of these, by a happy stroke,
achieves the wished-for end.
In a similar way Goltz ascribes intelligence to the frog's optic
lobes and cerebellum. We alluded above to the manner in which a sound
frog imprisoned in water will discover an outlet to the atmosphere.
Goltz found that frogs deprived of their cerebral hemispheres would
often exhibit a like ingenuity. Such a frog, after rising from the
bottom and finding his farther upward progress checked by the glass
bell which has been inverted over him, will not persist in butting
his nose against the obstacle until dead of suffocation, but will
often re-descend and emerge from under its rim as if, not a definite
mechanical propulsion upwards, but rather a conscious desire to reach
the air by hook or crook were the main-spring of his activity. Goltz
concluded from this that the hemispheres are not the sole seal of
intellect in frogs. He made the same inference from observing that a
brainless frog will turn over from his back to his belly when one of
his legs is sewed up, although the movements required are then very
different from those excited under normal circumstances by the same
annoying position. They seem determined, consequently, not merely by
the antecedent irritant, but by the final end,--though the irritant of
course is what makes the end desired.
Another brilliant German author, Liebmann,[2] argues against the
brain's mechanism accounting for mental action, by very similar
considerations. A machine as such, he says, will bring forth right
results when it is in good order, and wrong results if out of repair.
But both kinds of result flow with equally fatal necessity from their
conditions. We cannot suppose the clock-work whose structure fatally
determines it to a certain rate of speed, noticing that this speed is
too slow or too fast and vainly trying to correct it. Its conscience,
if it have any, should be as good as that of the best chronometer, for
both alike obey equally well the same eternal mechanical laws--laws
from behind. But if the _brain_ be out of order and the man says "Twice
four are two," instead of "Twice four are eight," or else "I must go to
the coal to buy the wharf," instead of "I must go to the wharf to buy
the coal," instantly there arises a consciousness of error. The wrong
performance, though it obey the same mechanical law as the right, is
nevertheless condemned,--condemned as contradicting the inner law--the
law from in front, the purpose or ideal for which the brain _should_
act, whether it do so or not.
We need not discuss here whether these writers in drawing their
conclusion have done justice to all the premises I involved in the
cases they treat of. We quote their arguments only to show how they
appeal to the principle that _no actions but such as are done for an
end, and show a choice of means, can be called indubitable expressions
of Mind_.
I shall then adopt this as the criterion by which to circumscribe the
subject-matter of this work so far as action enters into it. Many
nervous performances will therefore be unmentioned, as being purely
physiological. Nor will the anatomy of the nervous system and organs of
sense be described anew. The reader will find in H. N. Martin's 'Human
Body,' in G. T. Ladd's 'Physiological Psychology,' and in all the other
standard Anatomies and Physiologies, a mass of information which we
must regard as preliminary and take for granted in the present work.[3]
Of the functions of the cerebral hemispheres, however, since they
directly subserve consciousness, it will be well to give some little
account.
FOOTNOTES:
[1] _Cf._ Geo. T. Ladd: Elements of Physiological Psychology (1887),
pt. iii, chap. iii, §§ 9, 12.
[2] Zur Analysis der Wirklichkeit, p. 489.
[3] Nothing is easier than to familiarize one's self with the mammalian
brain. Get a sheep's head, a small saw, chisel, scalpel and forceps
(all three can best be had from a surgical-instrument maker), and
unravel its parts either by the aid of a human dissecting book, such as
Holden's 'Manual of Anatomy,' or by the specific directions _ad hoc_
given in such books as Foster and Langley's 'Practical Physiology'
(Macmillan) or Morrell's 'Comparative Anatomy and Dissection of
Mammalia' (Longmans).
CHAPTER II.
THE FUNCTIONS OF THE BRAIN.
If I begin chopping the foot of a tree, its branches are unmoved by my
act, and its leaves murmur as peacefully as ever in the wind. If, on
the contrary, I do violence to the foot of a fellow-man, the rest of
his body instantly responds to the aggression by movements of alarm or
defence. The reason of this difference is that the man has a nervous
system whilst the tree has none; and the function of the nervous system
is to bring each part into harmonious co-operation with every other.
The afferent nerves, when excited by some physical irritant, be this
as gross in its mode of operation as a chopping axe or as subtle as
the waves of light, conveys the excitement to the nervous centres. The
commotion set up in the centres does not stop there, but discharges
itself, if at all strong, through the efferent nerves into muscles
and glands, exciting movements of the limbs and viscera, or acts of
secretion, which vary with the animal, and with the irritant applied.
These acts of response have usually the common character of being of
service. They ward off the noxious stimulus and support the beneficial
one; whilst if, in itself indifferent, the stimulus be a sign of some
distant circumstance of practical importance, the animal's acts are
addressed to this circumstance so as to avoid its perils or secure its
benefits, as the case may be. To take a common example, if I hear the
conductor calling 'All aboard!' as I enter the depot, my heart first
stops, then palpitates, and my legs respond to the air-waves falling
on my tympanum by quickening their movements. If I stumble as I run,
the sensation of falling provokes a movement of the hands towards the
direction of the fall, the effect of which is to shield the body from
too sudden a shock. If a cinder enter my eye, its lids close forcibly
and a copious flow of tears tends to wash it out.
These three responses to a sensational stimulus differ, however, in
many respects. The closure of the eye and the lachrymation are quite
involuntary, and so is the disturbance of the heart. Such involuntary
responses we know as 'reflex' acts. The motion of the arms to break the
shock of falling may also be called reflex, since it occurs too quickly
to be deliberately intended. Whether it be instinctive or whether it
result from the pedestrian education of childhood may be doubtful; it
is, at any rate, less automatic than the previous acts, for a man might
by conscious effort learn to perform it more skilfully, or even to
suppress it altogether. Actions of this kind, into which instinct and
volition enter upon equal terms, have been called 'semi-reflex.' The
act of running towards the train, on the other hand, has no instinctive
element about it. It is purely the result of education, and is preceded
by a consciousness of the purpose to be attained and a distinct mandate
of the will. It is a 'voluntary act.' Thus the animal's reflex and
voluntary performances shade into each other gradually, being connected
by acts which may often occur automatically, but may also be modified
by conscious intelligence.
An outside observer, unable to perceive the accompanying consciousness,
might be wholly at a loss to discriminate between the automatic acts
and those which volition escorted. But if the criterion of mind's
existence be the choice of the proper means for the attainment of a
supposed end, all the acts seem to be inspired by intelligence, for
_appropriateness_ characterizes them all alike. This fact, now, has led
to two quite opposite theories about the relation to consciousness of
the nervous functions. Some authors, finding that the higher voluntary
ones seem to require the guidance of feeling, conclude that over the
lowest reflexes some such feeling also presides, though it may be a
feeling of which _we_ remain unconscious. Others, finding that reflex
and semi-automatic acts may, notwithstanding their appropriateness,
take place with an unconsciousness apparently complete, fly to the
opposite extreme and maintain that the appropriateness even of
voluntary actions owes nothing to the fact that consciousness attends
them. They are, according to these writers, results of physiological
mechanism pure and simple. In a near chapter we shall return to this
controversy again. Let us now look a little more closely at the brain
and at the ways in which its states may be supposed to condition those
of the mind.
THE FROG'S NERVE-CENTRES.
Both the minute anatomy and the detailed physiology of the brain are
achievements of the present generation, or rather we may say (beginning
with Meynert) of the past twenty years. Many points are still obscure
and subject to controversy; but a general way of conceiving the organ
has been reached on all hands which in its main feature seems not
unlikely to stand, and which even gives a most plausible scheme of the
way in which cerebral and mental operations go hand in hand.
[Illustration: FIG. 1.--_C H_, cerebral Hemispheres; _O Th_, Optic
Thalami; _O L_, Optic Lobes; _Cb_, Cerebellum; _M O_, Medulla
Oblongata; _S C_, Spinal cord.]
The best way to enter the subject will be to take a lower creature,
like a frog, and study by the vivisectional method the functions of
his different nerve-centres. The frog's nerve-centres are figured
in the accompanying diagram, which needs no further explanation. I
will first proceed to state what happens when various amounts of the
anterior parts are removed, in different frogs, in the way in which an
ordinary student removes them; that is, with no extreme precautions
as to the purity of the operation. We shall in this way reach a very
simple conception of the functions of the various centres, involving
the strongest possible contrast between the cerebral hemispheres and
the lower lobes. This sharp conception will have didactic advantages,
for it is often very instructive to start with too simple a formula
and correct it later on. Our first formula, as we shall later see,
will have to be softened down somewhat by the results of more careful
experimentation both on frogs and birds, and by those of the most
recent observations on dogs, monkeys, and man. But it will put us,
from the outset, in clear possession of some fundamental notions and
distinctions which we could otherwise not gain so well, and none of
which the later more completed view will overturn.
If, then, we reduce the frog's nervous system to the spinal cord
alone, by making a section behind the base of the skull, between the
spinal cord and the medulla oblongata, thereby cutting off the brain
from all connection with the rest of the body, the frog will still
continue to live, but with a very peculiarly modified activity. It
ceases to breathe or swallow; it lies flat on its belly, and does not,
like a normal frog, sit up on its fore paws, though its hind legs
are kept, as usual, folded against its body and immediately resume
this position if drawn out. If thrown on its back, it lies there
quietly, without turning over like a normal frog. Locomotion and voice
seem entirely abolished. If we suspend it by the nose, and irritate
different portions of its skin by acid, it performs a set of remarkable
'defensive' movements calculated to wipe away the irritant. Thus, if
the breast be touched, both fore paws will rub it vigorously; if we
touch the outer side of the elbow, the hind foot of the same side
will rise directly to the spot and wipe it. The back of the foot will
rub the knee if that be attacked, whilst if the foot be cut away, the
stump will make ineffectual movements, and then, in many frogs, a pause
will come, as if for deliberation, succeeded by a rapid passage of the
opposite unmutilated foot to the acidulated spot.
The most striking character of all these movements, after their
teleological appropriateness, is their precision. They vary, in
sensitive frogs and with a proper amount of irritation, so little as
almost to resemble in their machine-like regularity the performances of
a jumping-jack, whose legs must twitch whenever you pull the string.
The spinal cord of the frog thus contains arrangements of cells and
fibres fitted to convert skin irritations into movements of defence. We
may call it the _centre for defensive movements_ in this animal. We may
indeed go farther than this, and by cutting the spinal cord in various
places find that its separate segments are independent mechanisms,
for appropriate activities of the head and of the arms and legs
respectively. The segment governing the arms is especially active,
in male frogs, in the breeding season; and these members alone with
the breast and back appertaining to them, everything else being cut
away, will then actively grasp a finger placed between them and remain
hanging to it for a considerable time.
The spinal cord in other animals has analogous powers. Even in man
it makes movements of defence. Paraplegics draw up their legs when
tickled; and Robin, on tickling the breast of a criminal an hour after
decapitation, saw the arm and hand move towards the spot. Of the lower
functions of the mammalian cord, studied so ably by Goltz and others,
this is not the place to speak.
If, in a second animal, the cut be made just behind the optic lobes so
that the cerebellum and medulla oblongata remain attached to the cord,
then swallowing, breathing, crawling, and a rather enfeebled jumping
and swimming are added to the movements previously observed.[4] There
are other reflexes too. The animal, thrown on his back, immediately
turns over to his belly. Placed in a shallow bowl, which is floated on
water and made to rotate, he responds to the rotation by first turning
his head and then waltzing around with his entire body, in the opposite
direction to the whirling of the bowl. If his support be tilted so that
his head points downwards, he points it up; he points it down if it be
pointed upwards, to the right if it be pointed to the left, etc. But
his reactions do not go farther than these movements of the head. He
will not, like frogs whose thalami are preserved, climb up a board if
the latter be tilted, but will slide off it to the ground.
If the cut be made on another frog between the thalami and the optic
lobes, the locomotion both on land and water becomes quite normal, and,
in addition to the reflexes already shown by the lower centres, he
croaks regularly whenever he is pinched under the arms. He compensates
rotations, etc., by movements of the head, and turns over from his
back; but still drops off his tilted board. As his optic nerves are
destroyed by the usual operation, it is impossible to say whether he
will avoid obstacles placed in his path.
When, finally, a frog's cerebral hemispheres alone are cut off by a
section between them and the thalami which preserves the latter, an
unpractised observer would not at first suspect anything abnormal
about the animal. Not only is he capable, on proper instigation, of
all the acts already described, but he guides himself by sight, so
that if an obstacle be set up between him and the light, and he be
forced to move forward, he either jumps over it or swerves to one
side. He manifests sexual passion at the proper season, and, unlike an
altogether brainless frog, which embraces anything placed between his
arms, postpones this reflex act until a female of his own species is
provided. Thus far, as aforesaid, a person unfamiliar with frogs might
not suspect a mutilation; but even such a person would soon remark the
almost entire absence of spontaneous motion--that is, motion unprovoked
by any _present_ incitation of sense. The continued movements of
swimming, performed by the creature in the water, seem to be the fatal
result of the contact of that fluid with its skin. They cease when a
stick, for example, touches his hands. This is a sensible irritant
towards which the feet are automatically drawn by reflex action, and
on which the animal remains sitting. He manifests no hunger, and will
suffer a fly to crawl over his nose unsnapped at. Fear, too, seems
to have deserted him. In a word, he is an extremely complex machine
whose actions, so far as they go, tend to self-preservation; but still
a _machine_, in this sense--that it seems to contain no incalculable
element. By applying the right sensory stimulus to him we are almost
as certain of getting a fixed response as an organist is of hearing a
certain tone when he pulls out a certain stop.
But now if to the lower centres we add the cerebral hemispheres,
or if, in other words, we make an intact animal the subject of our
observations, all this is changed. In addition to the previous
responses to present incitements of sense, our frog now goes through
long and complex acts of locomotion _spontaneously_, or as if moved by
what in ourselves we should call an idea. His reactions to outward
stimuli vary their form, too. Instead of making simple defensive
movements with his hind legs like a headless frog if touched, or of
giving one or two leaps and then sitting still like a hemisphereless
one, he makes persistent and varied efforts at escape, as if, not the
mere contact of the physiologist's hand, but the notion of danger
suggested by it were now his spur. Led by the feeling of hunger, too,
he goes in search of insects, fish, or smaller frogs, and varies his
procedure with each species of victim. The physiologist cannot by
manipulating him elicit croaking, crawling up a board, swimming or
stopping, at will. His conduct has become incalculable. We can no
longer foretell it exactly. Effort to escape is his dominant reaction,
but he _may_ do anything else, even swell up and become perfectly
passive in our hands.
* * * * *
Such are the phenomena commonly observed, and such the impressions
which one naturally receives. Certain general conclusions follow
irresistibly. First of all the following:
_The acts of all the centres involve the use of the same muscles._ When
a headless frog's hind leg wipes the acid, he calls into play all the
leg-muscles which a frog with his full medulla oblongata and cerebellum
uses when he turns from his back to his belly. Their contractions are,
however, _combined_ differently in the two cases, so that the results
vary widely. We must consequently conclude that specific arrangements
of cells and fibres exist in the cord for wiping, in the medulla for
turning over, etc. Similarly they exist in the thalami for jumping
over seen obstacles and for balancing the moved body; in the optic
lobes for creeping backwards, or what not. But in the hemispheres,
since the presence of these organs _brings no new elementary form of
movement_ with it, but only _determines differently the occasions_
on which the movements shall occur, making the usual stimuli less
fatal and machine-like; we need suppose no such machinery _directly_
co-ordinative of muscular contractions to exist. We may rather
assume, when the mandate for a wiping-movement is sent forth by the
hemispheres, that a current goes straight to the wiping-arrangement in
the spinal cord, exciting this arrangement as a whole. Similarly, if an
intact frog wishes to jump over a stone which he sees, all he need do
is to excite from the hemispheres the jumping-centre in the thalami or
wherever it may be, and the latter will provide for the details of the
execution. It is like a general ordering a colonel to make a certain
movement, but not telling him how it shall be done.[5]
_The same muscle, then, is repeatedly represented at different
heights;_ and at each it enters into a different combination with other
muscles to co-operate in some special form of concerted movement.
_At each height the movement is discharged by some particular form
of sensorial stimulus._ Thus in the cord, the skin alone occasions
movements; in the upper part of the optic lobes, the eyes are added;
in the thalami, the semi-circular canals would seem to play a part;
whilst the stimuli which discharge the hemispheres would seem not so
much to be elementary sorts of sensation, as groups of sensations
forming determinate _objects_ or _things. Prey_ is not pursued nor are
_enemies_ shunned by ordinary hemisphereless frogs. Those reactions
upon complex circumstances which we call instinctive rather than
reflex, are already in this animal dependent on the brain's highest
lobes, and still more is this the case with animals higher in the
zoological scale.
The results are just the same if, instead of a frog, we take a pigeon,
and cut out his hemispheres as they are ordinarily cut out for a
lecture-room demonstration. There is not a movement natural to him
which this brainless bird cannot perform if expressly excited thereto;
only the inner promptings seem deficient, and when left to himself
he spends most of his time crouched on the ground with his head sunk
between his shoulders as if asleep.
GENERAL NOTION OF HEMISPHERES.
All these facts lead us, when we think about them, to some such
explanatory conception as this: _The lower centres act from present
sensational stimuli alone; the hemispheres act from perceptions and
considerations,_ the sensations which they may receive serving only as
suggesters of these. But what are perceptions but sensations grouped
together? and what are considerations but expectations, in the fancy,
of sensations which will be felt one way or another according as action
takes this course or that? If I step aside on seeing a rattlesnake,
from considering how dangerous an animal he is, the mental materials
which constitute my prudential reflection are images more or less vivid
of the movement of his head, of a sudden pain in my leg, of a state of
terror, a swelling of the limb, a chill, delirium, unconsciousness,
etc., etc., and the ruin of my hopes. But all these images are
constructed out of my past experiences. They are _reproductions_ of
what I have felt or witnessed. They are, in short, _remote_ sensations;
and the _difference between the hemisphereless animal and the whole
one_ may be concisely expressed by saying that the _one obeys absent,
the other only present, objects._
The hemispheres would then seem to be _the seat of memory_. Vestiges
of past experience must in some way be stored up in them, and must,
when aroused by present stimuli, first appear as representations of
distant goods and evils; and then must discharge into the appropriate
motor channels for warding off the evil and securing the benefits of
the good. If we liken the nervous currents to electric currents, we
can compare the nervous system, _C_, below the hemispheres to a direct
circuit from sense-organ to muscle along the line _S ... C ... M_ of
Fig. 2. The hemisphere, _H_, adds the long circuit or loop-line through
which the current may pass when for any reason the direct line is not
used.
Thus, a tired wayfarer on a hot day throws himself on the damp earth
beneath a maple-tree. The sensations of delicious rest and coolness
pouring themselves through the direct line would naturally discharge
into the muscles of complete extension: he would abandon himself
to the dangerous repose. But the loop-line being open, part of the
current is drafted along it, and awakens rheumatic or catarrhal
reminiscences, which prevail over the instigations of sense, and
make the man arise and pursue his way to where he may enjoy his rest
more safely. Presently we shall examine the manner in which the
hemispheric loop-line may be supposed to serve as a reservoir for such
reminiscences as these. Meanwhile I will ask the reader to notice some
corollaries of its being such a reservoir.
[Illustration: FIG. 2.]
First, no animal without it can deliberate, pause, postpone, nicely
weigh one motive against another, or compare. Prudence, in a word,
is for such a creature an impossible virtue. Accordingly we see that
nature removes those functions in the exercise of which prudence is
a virtue from the lower centres and hands them over to the cerebrum.
Wherever a creature has to deal with complex features of the
environment, prudence is a virtue. The higher animals have so to deal;
and the more complex the features, the higher we call the animals. The
fewer of his acts, then, can _such_ an animal perform without the help
of the organs in question. In the frog many acts devolve wholly on the
lower centres; in the bird fewer; in the rodent fewer still; in the dog
very few indeed; and in apes and men hardly any at all.
The advantages of this are obvious. Take the prehension of food as an
example and suppose it to be a reflex performance of the lower centres.
The animal will be condemned fatally and irresistibly to snap at it
whenever presented, no matter what the circumstances may be; he can no
more disobey this prompting than water can refuse to boil when a fire
is kindled under the pot. His life will again and again pay the forfeit
of his gluttony. Exposure to retaliation, to other enemies, to traps,
to poisons, to the dangers of repletion, must be regular parts of his
existence. His lack of all thought by which to weigh the danger against
the attractiveness of the bait, and of all volition to remain hungry
a little while longer, is the direct measure of his lowness in the
mental scale. And those fishes which, like our cunners and sculpins,
are no sooner thrown back from the hook into the water, than they
automatically seize the hook again, would soon expiate the degradation
of their intelligence by the extinction of their type, did not their
exaggerated fecundity atone for their imprudence. Appetite and the acts
it prompts have consequently become in all higher vertebrates functions
of the cerebrum. They disappear when the physiologist's knife has left
the subordinate centres alone in place. The brainless pigeon will
starve though left on a corn-heap.
Take again the sexual function. In birds this devolves exclusively
upon the hemispheres. When these are shorn away the pigeon pays no
attention to the billings and cooings of its mate. And Goltz found that
a bitch in heat would excite no emotion in male dogs who had suffered
large loss of cerebral tissue. Those who have read Darwin's 'Descent of
Man' know what immense importance in the amelioration of the breed in
birds this author ascribes to the mere fact of sexual selection. The
sexual act is not performed until every condition of circumstance and
sentiment is fulfilled, until time, place, and partner all are fit. But
in frogs and toads this passion devolves on the lower centres. They
show consequently a machine-like obedience to the present incitement of
sense, and an almost total exclusion of the power of choice. Copulation
occurs _per fas aut nefas_, occasionally between males, often with dead
females, in puddles exposed on the highway, and the male may be cut in
two without letting go his hold. Every spring an immense sacrifice of
batrachian life takes place from these causes alone.
No one need be told how dependent all human social elevation is upon
the prevalence of chastity. Hardly any factor measures more than this
the difference between civilisation and barbarism. Physiologically
interpreted, chastity means nothing more than the fact that present
solicitations of sense are overpowered by suggestions of æsthetic and
moral fitness which the circumstances awaken in the cerebrum; and that
upon the inhibitory or permissive influence of these alone action
directly depends.
Within the psychic life due to the cerebrum itself the same general
distinction obtains, between considerations of the more immediate
and considerations of the more remote. In all ages the man whose
determinations are swayed by reference to the most distant ends has
been held to possess the highest intelligence. The tramp who lives
from hour to hour; the bohemian whose engagements are from day to day;
the bachelor who builds but for a single life; the father who acts
for another generation; the patriot who thinks of a whole community
and many generations; and finally, the philosopher and saint whose
cares are for humanity and for eternity,--these range themselves in
an unbroken hierarchy, wherein each successive grade results from an
increased manifestation of the special form of action by which the
cerebral centres are distinguished from all below them.
In the 'loop-line' along which the memories and ideas of the distant
are supposed to lie, the action, so far as it is a physical process,
must be interpreted after the type of the action in the lower centres.
If regarded here as a reflex process, it must be reflex there as
well. The current in both places runs out into the muscles only after
it has first run in; but whilst the path by which it runs out is
determined in the lower centres by reflections few and fixed amongst
the cell-arrangements, in the hemispheres the reflections are many and
instable. This, it will be seen, is only a difference of degree and not
of kind, and does not change the reflex type. The conception of _all_
action as conforming to this type is the fundamental conception of
modern nerve-physiology. So much for our general preliminary conception
of the nerve-centres! Let us define it more distinctly before we see
how well physiological observation will bear it out in detail.
THE EDUCATION OF THE HEMISPHERES.
Nerve-currents run in through sense-organs, and whilst provoking reflex
acts in the lower centres, they arouse ideas in the hemispheres, which
either permit the reflexes in question, check them, or substitute
others for them. All ideas being in the last resort reminiscences,
the question to answer is: _How can processes become organized in the
hemispheres which correspond to reminiscences in the mind?_[6]
Nothing is easier than to conceive a _possible_ way in which this might
be done, provided four assumptions be granted. These assumptions (which
after all are inevitable in any event) are:
1) The same cerebral process which, when aroused from without by a
sense-organ, gives the perception of an object, will give an _idea_ of
the same object when aroused by other cerebral processes from within.
2) If processes 1, 2, 3, 4 have once been aroused together or in
immediate succession, any subsequent arousal of any one of them
(whether from without or within) will tend to arouse the others in the
original order. [This is the so-called law of association.]
3) Every sensorial excitement propagated to a lower centre tends to
spread upwards and arouse an idea.
4) Every idea tends ultimately either to produce a movement or to check
one which otherwise would be produced.
[Illustration: FIG. 3.]
Suppose now (these assumptions being granted) that we have a baby
before us who sees a candle-flame for the first time, and, by virtue
of a reflex tendency common in babies of a certain age, extends his
hand to grasp it, so that his fingers get burned. So far we have two
reflex currents in play: first, from the eye to the extension movement,
along the line 1--1--1--1 of Fig. 3; and second, from the finger to the
movement of drawing back the hand, along the line 2--2--2--2. If this
were the baby's whole nervous system, and if the reflexes were once for
all organic, we should have no alteration in his behavior, no matter
how often the experience recurred. The retinal image of the flame would
always make the arm shoot forward, the burning of the finger would
always send it back. But we know that 'the burnt child dreads the
fire,' and that one experience usually protects the fingers forever.
The point is to see how the hemispheres may bring this result to pass.
[Illustration: FIG. 4.--The dotted lines stand for afferent paths,
the broken lines for paths between the centres; the entire lines for
efferent paths.]
We must complicate our diagram (see Fig. 4). Let the current 1--1,
from the eye, discharge upward as well as downward when it reaches the
lower centre for vision, and arouse the perceptional process _s^1_ in
the hemispheres; let the feeling of the arm's extension also send up
a current which leaves a trace of itself, _m^1_; let the burnt finger
leave an analogous trace, _s^2_; and let the movement of retraction
leave _m^2_. These four processes will now, by virtue of assumption
2), be associated together by the path _s^1--m^1--s^2--m^2_, running
from the first to the last, so that if anything touches off _s^1_,
ideas of the extension, of the burnt finger, and of the retraction will
pass in rapid succession through the mind. The effect on the child's
conduct when the candle-flame is next presented is easy to imagine.
Of course the sight of it arouses the grasping reflex; but it arouses
simultaneously the idea thereof, together with that of the consequent
pain, and of the final retraction of the hand; and if these cerebral
processes prevail in strength over the immediate sensation in the
centres below, the last idea will be the cue by which the final action
is discharged. The grasping will be arrested in mid-career, the hand
drawn back, and the child's fingers saved.
In all this we assume that the hemispheres do not _natively_ couple
any particular sense-impression with any special motor discharge. They
only register, and preserve traces of, such couplings as are already
organized in the reflex centres below. But this brings it inevitably
about that, when a chain of experiences has been already registered and
the first link is impressed once again from without, the last link will
often be awakened in _idea_ long before it can exist in _fact_. And
if this last link were previously coupled with a motion, that motion
may now come from the mere ideal suggestion without waiting for the
actual impression to arise. Thus an animal with hemispheres acts in
_anticipation_ of future things; or, to use our previous formula, he
acts from considerations of distant good and ill. If we give the name
of _partners_ to the original couplings of impressions with motions
in a reflex way, then we may say that the function of the hemispheres
is simply to bring about _exchanges among the partners_. Movement
_m^n_, which natively is sensation _s^n_'s partner, becomes through
the hemispheres the partner of sensation _s^1, s^2_, or _s^3_. It is
like the great commutating switch-board at a central telephone station.
No new elementary process is involved; no impression nor any motion
peculiar to the hemispheres; but any number of combinations impossible
to the lower machinery taken alone, and an endless consequent increase
in the possibilities of behavior on the creature's part.
All this, as a mere scheme,[7] is so clear and so concordant with the
general look of the facts as almost to impose itself on our belief;
but it is anything but clear in detail. The brain-physiology of late
years has with great effort sought to work out the paths by which
these couplings of sensations with movements take place, both in the
hemispheres and in the centres below.
So we must next test our scheme by the facts discovered m this
direction. We shall conclude, I think, after taking them all into
account, that the scheme probably makes the lower centres too
machine-like and the hemispheres not quite machine-like enough, and
must consequently be softened down a little. So much I may say in
advance. Meanwhile, before plunging into the details which await us, it
will somewhat clear our ideas if we contrast the modern way of looking
at the matter with the _phrenological_ conception which but lately
preceded it.
THE PHRENOLOGICAL CONCEPTION.
In a certain sense Gall was the first to seek to explain in detail
how the brain could subserve our mental operations. His way of
proceeding was only too simple. He took the faculty-psychology as his
ultimatum on the mental side, and he made no farther psychological
analysis. Wherever he found an individual with some strongly-marked
trait of character he examined his head; and if he found the latter
prominent in a certain region, he said without more ado that that
region was the 'organ' of the trait or faculty in question. The traits
were of very diverse constitution, some being simple sensibilities
like 'weight' or 'color;' some being instinctive tendencies like
'alimentiveness' or 'amativeness;' and others, again, being complex
resultants like 'conscientiousness,' 'individuality.' Phrenology fell
promptly into disrepute among scientific men because observation
seemed to show that large faculties and large 'bumps' might fail to
coexist; because the scheme of Gall was so vast as hardly to admit
of accurate determination at all--who of us can say even of his own
brothers whether their perceptions of _weight_ and of _time_ are well
developed or not?--because the followers of Gall and Spurzheim were
unable to reform these errors in any appreciable degree; and, finally,
because the whole analysis of faculties was vague and erroneous from
a psychologic point of view. Popular professors of the lore have
nevertheless continued to command the admiration of popular audiences;
and there seems no doubt that Phrenology, however little it satisfy
our scientific curiosity about the functions of different portions of
the brain, may still be, in the hands of intelligent practitioners, a
useful help in the art of reading character. A hooked nose and a firm
jaw are usually signs of practical energy; soft, delicate hands are
signs of refined sensibility. Even so may a prominent eye be a sign
of power over language, and a bull-neck a sign of sensuality. But
the brain behind the eye and neck need no more be the _organ_ of the
signified faculty than the jaw is the organ of the will or the hand
the organ of refinement. These correlations between mind and body are,
however, so frequent that the 'characters' given by phrenologists are
often remarkable for knowingness and insight.
Phrenology hardly does more than restate the problem. To answer the
question, "Why do I like children?" by saying, "Because you have a
large organ of philoprogenitiveness," but renames the phenomenon
to be explained. What _is_ my philoprogenitiveness? Of what mental
elements does it consist? And how _can_ a part of the brain be its
organ? A science of the mind must reduce such complex manifestations
as 'philoprogenitiveness' to their _elements_. A science of the brain
must point out the functions of _its_ elements. A science of the
relations of mind and brain must show how the elementary ingredients
of the former correspond to the elementary functions of the latter.
But phrenology, except by occasional coincidence, takes no account of
elements at all. Its 'faculties,' as a rule, are fully equipped persons
in a particular mental attitude. Take, for example, the 'faculty' of
language. It involves in reality a host of distinct powers. We must
first have images of concrete things and ideas of abstract qualities
and relations; we must next have the memory of words and then the
capacity so to associate each idea or image with a particular word
that, when the word is heard, the idea shall forthwith enter our mind.
We must conversely, as soon as the idea arises in our mind, associate
with it a mental image of the word, and by means of this image we must
innervate our articulatory apparatus so as to reproduce the word as
physical sound. To read or to write a language other elements still
must be introduced. But it is plain that the faculty of spoken language
alone is so complicated as to call into play almost all the elementary
powers which the mind possesses, memory, imagination, association,
judgment, and volition. A portion of the brain competent to be the
adequate seat of such a faculty would needs be an entire brain in
miniature,--just as the faculty itself is really a specification of the
entire man, a sort of homunculus.
Yet just such homunculi are for the most part the phrenological organs.
As Lange says:
"We have a parliament of little men together, each one of whom, as
happens also in a real parliament, possesses but a single idea which
he ceaselessly strives to make prevail"--benevolence, firmness, hope,
and the rest. "Instead of one soul, phrenology gives us forty, each
alone as enigmatic as the full aggregate psychic life can be. Instead
of dividing the latter into effective elements, she divides it into
personal beings of peculiar character.... 'Herr Pastor, sure there be
a horse inside,' called out the peasants to X after their spiritual
shepherd had spent hours in explaining to them the construction of the
locomotive. With a horse inside truly everything becomes clear, even
though it be a queer enough sort of horse--the horse itself calls for
no explanation! Phrenology takes a start to get beyond the point of
view of the ghost-like soul entity, but she ends by populating the
whole skull with ghosts of the same order."[8]
Modern Science conceives of the matter in a very different way. _Brain
and mind alike consist of simple elements, sensory and motor_. "All
nervous centres," says Dr. Hughlings Jackson,[9] "from the lowest to
the very highest (the substrata of consciousness), are made up of
nothing else than nervous arrangements, representing impressions and
movements.... I do not see of what other materials the brain _can_ be
made." Meynert represents the matter similarly when he calls the cortex
of the hemispheres the surface of projection for every muscle and every
sensitive point of the body. The muscles and the sensitive points are
_represented_ each by a cortical point, and the brain is nothing but
the sum of all these cortical points, to which, on the mental side, as
many _ideas_ correspond. _Ideas of sensation, ideas of motion_ are,
on the other hand, _the elementary factors out of which the mind is
built up by the associationists in psychology_. There is a complete
parallelism between the two analyses, the same diagram of little dots,
circles, or triangles joined by lines symbolizes equally well the
cerebral and mental processes: the dots stand for cells or ideas, the
lines for fibres or associations. We shall have later to criticise
this analysis so far as it relates to the mind; but there is no doubt
that it is a most convenient, and has been a most useful, hypothesis,
formulating the facts in an extremely natural way.
If, then, we grant that motor and sensory ideas variously associated
are the materials of the mind, all we need do to get a complete diagram
of the mind's and the brain's relations should be to ascertain which
sensory idea corresponds to which sensational surface of projection,
and which motor idea to which muscular surface of projection. The
associations would then correspond to the fibrous connections between
the various surfaces. This distinct _cerebral localization_ of the
various elementary sorts of idea has been treated as a 'postulate' by
many physiologists (e.g. Munk); and the most stirring controversy in
nerve-physiology which the present generation has seen has been the
_localization-question_.
THE LOCALIZATION OF FUNCTIONS IN THE HEMISPHERES.
Up to 1870, the opinion which prevailed was that which the experiments
of Flourens on pigeons' brains had made plausible, namely, that the
different functions of the hemispheres were not locally separated,
but carried on each by the aid of the whole organ. Hitzig in 1870
showed, however, that in a dog's brain highly specialized movements
could be produced by electric irritation of determinate regions of
the cortex; and Ferrier and Munk, half a dozen years later, seemed to
prove, either by irritations or excisions or both, that there were
equally determinate regions connected with the senses of sight, touch,
hearing, and smell. Munk's special sensorial localizations, however,
disagreed with Ferrier's; and Goltz, from his extirpation-experiments,
came to a conclusion adverse to strict localization of any kind. The
controversy is not yet over. I will not pretend to say anything more
of it historically, but give a brief account of the condition in which
matters at present stand.
The one thing which is _perfectly_ well established is this, that the
'central' convolutions, on either side of the fissure of Rolando, and
(at least in the monkey) the calloso-marginal convolution (which is
continuous with them on the mesial surface where one hemisphere is
applied against the other), form the region by which all the motor
incitations which leave the cortex pass out, on their way to those
executive centres in the region of the pons, medulla, and spinal cord
from which the muscular contractions are discharged in the last resort.
The existence of this so-called 'motor zone' is established by the
lines of evidence successively given below:
(1) _Cortical Irritations._ Electrical currents of small intensity
applied to the surface of the said convolutions in dogs, monkeys, and
other animals, produce well-defined movements in face, fore-limb,
hind-limb, tail, or trunk, according as one point or another of the
surface is irritated. These movements affect almost invariably the
side opposite to the brain irritations: If the left hemisphere be
excited, the movement is of the right leg, side of face, etc. All the
objections at first raised against the validity of these experiments
have been overcome. The movements are certainly not due to irritations
of the base of the brain by the downward spread of the current, for:
_a_) mechanical irritations will produce them, though less easily than
electrical; _b_) shifting the electrodes to a point close by on the
surface changes the movement in ways quite inexplicable by changed
physical conduction of the current; _c_) if the cortical 'centre'
for a certain movement be cut under with a sharp knife but left _in
situ_, although the electric conductivity is physically unaltered by
the operation, the physiological conductivity is gone and currents
of the same strength no longer produce the movements which they
did; _d_) the time-interval between the application of the electric
stimulus to the cortex and the resultant movement is what it would
be if the cortex acted physiologically and not merely physically in
transmitting the irritation. It is namely a well-known fact that when a
nerve-current has to pass through the spinal cord to excite a muscle by
reflex action, the time is longer than if it passes directly down the
motor nerve: the cells of the cord take a certain time to discharge.
Similarly, when a stimulus is applied directly to the cortex the muscle
contracts two or three hundredths of a second later than it does when
the place on the cortex is cut away and the electrodes are applied to
the white fibres below.[10]
(2) _Cortical Ablations._ When the cortical spot which is found to
produce a movement of the fore-leg, in a dog, is excised (see spot 5
in Fig. 5), the leg in question becomes peculiarly affected. At first
it seems paralyzed. Soon, however, it is used with the other legs, but
badly. The animal does not bear his weight on it, allows it to rest on
its dorsal surface, stands with it crossing the other leg, does not
remove it if it hangs over the edge of a table, can no longer 'give the
paw' at word of command if able to do so before the operation, does
not use it for scratching the ground, or holding a bone as formerly,
lets it slip out when running on a smooth surface or when shaking
himself, etc., etc. Sensibility of all kinds seems diminished as well
as motility, but of this I shall speak later on. Moreover the dog tends
in voluntary movements to swerve towards the side of the brain-lesion
instead of going straight forward. All these symptoms gradually
decrease, so that even with a very severe brain-lesion the dog may be
outwardly indistinguishable from a well dog after eight or ten weeks.
Still, a slight chloroformization will reproduce the disturbances, even
then. There is a certain appearance of ataxic in-coordination in the
movements--the dog lifts his fore-feet high and brings them down with
more strength than usual, and yet the trouble is not ordinary lack of
co-ordination. Neither is there paralysis. The strength of whatever
movements are made is as great as ever--dogs with extensive destruction
of the motor zone can jump as high and bite as hard as ever they did,
but they seem _less easily moved_ to do _anything_ with the affected
parts. Dr. Loeb, who has studied the motor disturbances of dogs more
carefully than any one, conceives of them _en masse_ as effects of an
increased inertia in all the processes of innervation towards the side
opposed to the lesion. All such movements require an unwonted effort
for their execution; and when only the normally usual effort is made
they fall behind in effectiveness.[11]
[Illustration: FIG. 5.--Left Hemisphere of Dog's Brain, after Ferrier.
_A_, the fissure of Sylvius. _B_, the crucial sulcus. _O_, the
olfactory bulb. _I, II, III, IV,_ indicate the first, second, third,
and fourth external convolutions respectively. (1), (4), and (5) are on
the _sigmoid_ gyrus.]
[Illustration: FIG. 6.--Left Hemisphere of Monkey's Brain. Outer
Surface.]
Even when the entire motor zone of a dog is removed, there is no
permanent paralysis of any part, but only this curious sort of relative
inertia when the two sides of the body are compared; and this itself
becomes hardly noticeable after a number of weeks have elapsed. Prof.
Goltz has described a dog whose entire left hemisphere was destroyed,
and who retained only a slight motor inertia on the right half of
the body. In particular he could use his right paw for holding a
bone whilst gnawing it, or for reaching after a piece of meat. Had
he been taught to give his paw Before the operations, it would have
been curious to see whether that faculty also came back. His tactile
sensibility was permanently diminished on the right side.[12] In
_monkeys_ a genuine paralysis follows upon ablations of the cortex
in the motor region. This paralysis affects parts of the body which
vary with the brain-parts removed. The monkey's opposite arm or leg
hangs flaccid, or at most takes a small part in associated movements.
When the entire region is removed there is a genuine and permanent
hemiplegia in which the arm is more affected than the leg; and this
is followed months later by contracture of the muscles, as in man
after inveterate hemiplegia.[13] According to Schaefer and Horsley, the
trunk-muscles also become paralyzed after destruction of the _marginal_
convolution on _both_ sides (see Fig. 7). These differences between
dogs and monkeys show the danger of drawing general conclusions from
experiments done on any one sort of animal. I subjoin the figures
given by the last-named authors of the motor regions in the monkey's
brain.[14]
[Illustration: FIG. 7.--Left Hemisphere of Monkey's Brain. Mesial
Surface.]
_In man_ we are necessarily reduced to the observation _post-mortem_ of
cortical ablations produced by accident or disease (tumor, hemorrhage,
softening, etc.). What results during life from such conditions is
either localized spasm, or palsy of certain muscles of the opposite
side. The cortical regions which invariably produce these results are
homologous with those which we have just been studying in the dog,
cat, ape, etc. Figs. 8 and 9 show the result of 169 cases carefully
studied by Exner. The parts shaded are regions where lesions produced
_no_ motor disturbance. Those left white were, on the contrary, never
injured without motor disturbances of some sort. Where the injury to
the cortical substance is profound in man, the paralysis is permanent
and is succeeded by muscular rigidity in the paralyzed parts, just as
it may be in the monkey.
[Illustration: FIG. 8.--Right Hemisphere of Human Brain. Lateral
Surface.]
[Illustration: FIG. 9.--Right Hemisphere of Human Brain. Mesial
Surface.]
(3) _Descending degenerations_ show the intimate connection of the
rolandic regions of the cortex with the motor tracts of the cord. When,
either in man or in the lower animals, these regions are destroyed, a
peculiar degenerative change known as secondary sclerosis is found to
extend downwards through the white fibrous substance of the brain in
a perfectly definite manner, affecting certain distinct strands which
pass through the inner capsule, crura, and pons, into the anterior
pyramids of the medulla oblongata, and from thence (partly crossing
to the other side) downwards into the anterior (direct) and lateral
(crossed) columns of the spinal cord.
(4) _Anatomical proof_ of the continuity of the rolandic regions with
these motor columns of the cord is also clearly given. Flechsig's
'Pyramidenbahn' forms an uninterrupted strand (distinctly traceable in
human embryos, before its fibres have acquired their white 'medullary
sheath') passing upwards from the pyramids of the medulla, and
traversing the internal capsule and corona radiata to the convolutions
in question (Fig. 10). None of the inferior gray matter of the brain
seems to have any connection with this important fibrous strand. It
passes directly from the cortex to the motor arrangements in the cord,
depending for its proper nutrition (as the facts of degeneration show)
on the influence of the cortical cells, just as motor nerves depend for
their nutrition on that of the cells of the spinal cord. Electrical
stimulation of this motor strand in any accessible part of its course
has been shown in dogs to produce movements analogous to those which
excitement of the cortical surface calls forth.
[Illustration: FIG. 10.--Schematic Transverse Section of Brain showing
Motor Strand.--After Edinger.]
One of the most instructive proofs of motor localization in the
cortex is that furnished by the disease now called aphemia, or _motor
Aphasia_. Motor aphasia is neither loss of voice nor paralysis of the
tongue or lips. The patient's voice is as strong as ever, and all
the innervations of his hypoglossal and facial nerves, except those
necessary for speaking, may go on perfectly well. He can laugh and
cry, and even sing; but he either is unable to utter any words at
all; or a few meaningless stock phrases form his only speech; or else
he speaks incoherently and confusedly, mispronouncing, misplacing,
and misusing his words in various degrees. Sometimes his speech is
a mere broth of unintelligible syllables. In cases of pure motor
aphasia the patient recognizes his mistakes and suffers acutely from
them. Now whenever a patient dies in such a condition as this, and an
examination of his brain is permitted, it is found that the lowest
frontal gyrus (see Fig. 11) is the seat of injury. Broca first noticed
this fact in 1861, and since then the gyrus has gone by the name of
Broca's convolution. The injury in right-handed people is found on the
left hemisphere, and in left-handed people on the right hemisphere.
Most people, in fact, are left-brained, that is, all their delicate
and specialized movements are handed over to the charge of the left
hemisphere. The ordinary right-handedness for such movements is only
a consequence of that fact, a consequence which shows outwardly on
account of that extensive decussation of the fibres whereby most of
those from the left hemisphere pass to the right half of the body only.
But the left-brainedness might exist in equal measure and not show
outwardly. This would happen wherever organs on _both_ sides of the
body could be governed by the left hemisphere; and just such a case
seems offered by the vocal organs, in that highly delicate and special
motor service which we call speech. Either hemisphere _can_ innervate
them bilaterally, just as either seems able to innervate bilaterally
the muscles of the trunk, ribs, and diaphragm. Of the special movements
of speech, however, it would appear (from the facts of aphasia) that
the left hemisphere in most persons habitually takes exclusive charge.
With that hemisphere thrown out of gear, speech is undone; even though
the opposite hemisphere still be there for the performance of less
specialized acts, such as the various movements required in eating.
[Illustration: FIG. 11.--Schematic Profile of Left Hemisphere, with
the parts shaded whose destruction causes motor ('Broca') and sensory
('Wernicke') Aphasia.]
It will be noticed that Broca's region is homologous with the parts
ascertained to produce movements of the lips, tongue, and larynx when
excited by electric currents in apes (cf. Fig. 6). The evidence is
therefore as complete as it well can be that the motor incitations to
these organs leave the brain by the lower frontal region.
Victims of motor aphasia generally have other disorders. One which
interests us in this connection has been called _agraphia_: they have
lost the power to _write_. They can read writing and understand it;
but either cannot use the pen at all or make egregious mistakes with
it. The seat of the lesion here is less well determined, owing to an
insufficient number of good cases to conclude from.[15] There is no
doubt, however, that it is (in right-handed people) on the left side,
and little doubt that it consists of elements of the hand-and-arm
region specialized for that service, The symptom may exist when there
is little or no disability in the hand for other uses. If it does not
get well, the patient usually educates his right hemisphere, i.e.
learns to write with his left hand. In other cases of which we shall
say more a few pages later on, the patient can write both spontaneously
and at dictation, but cannot _read_ even what he has himself written!
All these phenomena are now quite clearly explained by separate
brain-centres for the various feelings and movements and tracts for
associating these together. But their minute discussion belongs to
medicine rather than to general psychology, and I can only use them
here to illustrate the principles of motor localization.[16] Under the
heads of sight and hearing I shall have a little more to say.
The different lines of proof which I have taken up establish
conclusively the proposition that _all the motor impulses which leave
the cortex pass out_, in healthy animals, _from the convolutions about
the fissure of Rolando_.
When, however, it comes to defining precisely what is involved in
a motor impulse leaving the cortex, things grow more obscure. Does
the impulse start independently from the convolutions in question,
or does it start elsewhere and merely flow through? And to what
particular phase of psychic activity does the activity of these
centres correspond? Opinions and authorities here divide; but it will
be better, before entering into these deeper aspects of the problem,
to cast a glance at the facts which have been made out concerning the
relations of the cortex to sight, hearing, and smell.
_Sight._
Ferrier was the first in the field here. He found, when the _angular_
convolution (that lying between the 'intra parietal' and 'external
occipital' fissures, and bending round the top of the fissure of
Sylvius, in Fig. 6) was excited in the monkey, that movements of
the eyes and head as if for vision occurred; and that when it was
extirpated, what he supposed to be total and permanent blindness of
the opposite eye followed. Munk almost immediately declared total and
permanent blindness to follow from destruction of the _occipital lobe_
in monkeys as well as dogs, and said that the angular gyrus had nothing
to do with sight, but was only the centre for tactile sensibility
of the eyeball. Hunk's absolute tone about his observations and his
theoretic arrogance have led to his ruin as an authority. But he did
two things of permanent value. He was the first to distinguish in these
vivisections between sensorial and _psychic_ blindness, and to describe
the phenomenon of _restitution_ of the visual function after its first
impairment by an operation; and the first to notice the _hemiopic_
character of the visual disturbances which result when only one
hemisphere is injured. Sensorial blindness is absolute insensibility
to light; psychic blindness is inability to recognize the _meaning_ of
the optical impressions, as when we see a page of Chinese print but
it suggests nothing to us. A hemiopic disturbance of vision is one in
which neither retina is affected in its totality, but in which, for
example, the left portion of _each_ retina is blind, so that the animal
sees nothing situated in space towards its right. Later observations
have corroborated this hemiopic character of all the disturbances of
sight from injury to a single hemisphere in the higher animals; and the
question whether an animal's apparent blindness is sensorial or only
psychic has, since Munk's first publications, been the most urgent one
to answer, in all observations relative to the function of sight.
Goltz almost simultaneously with Ferrier and Munk reported experiments
which led him to deny that the visual function was essentially bound
up with any one localized portion of the hemispheres. Other divergent
results soon came in from many quarters, so that, without going into
the history of the matter any more, I may report the existing state of
the case as follows:[17]
In _fishes, frogs_, and _lizards_ vision persists when the hemispheres
are entirely removed. This is admitted for frogs and fishes even by
Munk, who denies it for birds.
All of Munk's _birds_ seemed totally blind (blind sensorially) after
removal of the hemispheres by his operation. The following of a candle
by the head and winking at a threatened blow, which are ordinarily held
to prove the retention of crude optical sensations by the lower centres
in supposed hemisphereless pigeons, are by Munk ascribed to vestiges
of the visual sphere of the cortex left behind by the imperfection of
the operation. But Schrader, who operated after Munk and with every
apparent guarantee of completeness, found that all his pigeons saw
after two or three weeks had elapsed, and the inhibitions resulting
from the wound had passed away. They invariably avoided even the
slightest obstacles, flew very regularly towards certain perches, etc.,
differing _toto cœlo_ in these respects with certain simply _blinded_
pigeons who were kept with them for comparison. They did not pick up
food strewn on the ground, however. Schrader found that they would do
this if even a small part of the frontal region of the hemispheres
was left, and ascribes their non-self-feeding when deprived of their
occipital cerebrum not to a visual, but to a motor, defect, a sort of
alimentary aphasia.[18]
In presence of such discord as that between Munk and his opponents
one must carefully note how differently significant is _loss_, from
_preservation_, of a function after an operation on the brain. The
_loss_ of the function does not necessarily show that it _is_ dependent
on the part cut out; but its _preservation_ does show that it is
_not_ dependent: and this is true though the loss should be observed
ninety-nine times and the preservation only once in a hundred similar
excisions. That birds and mammals _can_ be blinded by cortical ablation
is undoubted; the only question is, _must_ they be so? Only then can
the cortex be certainly called the 'seat of sight.' The blindness may
always be due to one of those remote effects of the wound on distant
parts, inhibitions, extensions of inflammation,--interferences, in
a word,--upon which Brown-Séquard and Goltz have rightly insisted,
and the importance of which becomes more manifest every day. Such
effects are transient; whereas the _symptoms of deprivation_
(_Ausfallserscheinungen_, as Goltz calls them) which come from the
actual loss of the cut-out region must from the nature of the case
be permanent. Blindness in the pigeons, _so far as it passes away_,
cannot possibly be charged to their seat of vision being lost, but only
to some influence which temporarily depresses the activity of that
seat. The same is true _mutatis mutandis_ of all the other effects
of operations, and as we pass to mammals we shall see still more the
importance of the remark.
_In rabbits_ loss of the entire cortex seems compatible with the
preservation of enough sight to guide the poor animals' movements,
and enable them to avoid obstacles. Christiani's observations and
discussions seem conclusively to have established this, although Munk
found that all _his_ animals were made totally blind.[19]
_In dogs_ also Munk found absolute stone-blindness after ablation
of the occipital lobes. He went farther and mapped out determinate
portions of the cortex thereupon, which he considered correlated with
definite segments of the two retinæ, so that destruction of given
portions of the cortex produces blindness of the retinal centre, top,
bottom, or right or left side, of the same or opposite eye. There
seems little doubt that this definite correlation is mythological.
Other observers, Hitzig, Goltz, Luciani, Loeb, Exner, etc., find,
whatever part of the cortex may be ablated on one side, that there
usually results a _hemiopic_ disturbance of _both_ eyes, slight and
transient when the anterior lobes are the parts attacked, grave when an
occipital lobe is the seat of injury, and lasting in proportion to the
latter's extent. According to Loeb, the defect is a dimness of vision
('hemiamblyopia') in which (however severe) the centres remain the
best seeing portions of the retina, just as they are in normal dogs.
The lateral or temporal part of each retina seems to be in exclusive
connection with the cortex of its own side. The centre and nasal part
of each seems, on the contrary, to be connected with the cortex of
the opposite hemispheres. Loeb, who takes broader views than any one,
conceives the hemiamblyopia as he conceives the motor disturbances,
namely, as the expression of an increased inertia in the whole optical
machinery, of which the result is to make the animal respond with
greater effort to impressions coming from the half of space opposed to
the side of the lesion. If a dog has right hemiamblyopia, say, and two
pieces of meat are hung before him at once, he invariably turns first
to the one on his left. But if the lesion be a slight one, _shaking_
slightly the piece of meat on his right (this makes of it a stronger
stimulus) makes him seize upon it first. If only one piece of meat be
offered, he takes it, on whichever side it be.
[Illustration: FIGS. 12 and 13. The Dog's visual centre according to
Munk, the entire striated region, _A, A_, being the exclusive seat of
vision, and the dark central circle, _A^1_, being correlated with the
retinal centre of the opposite eye.]
When both occipital lobes are extensively destroyed total blindness
may result. Munk maps out his 'Sehsphäre' definitely, and says that
blindness _must_ result when the entire shaded part, marked _A, A,_ in
Figs. 12 and 13, is involved in the lesion. Discrepant reports of other
observations he explains as due to incomplete ablation. Luciani, Goltz,
and Lannegrace, however, contend that they have made complete bilateral
extirpations of Munk's Sehsphäre more than once, and found a sort of
crude indiscriminating sight of objects to return in a few weeks.[20]
The question whether a dog is blind or not is harder to solve than
would at first appear; for simply blinded dogs, in places to which they
are accustomed, show little of their loss and avoid all obstacles;
whilst dogs whose occipital lobes are gone may run against things
frequently and yet see notwithstanding. The best proof that they may
see is that which Goltz's dogs furnished: they carefully avoided, as it
seemed, strips of sunshine or paper on the floor, as if they were solid
obstacles. This no really blind dog would do. Luciani tested his dogs
when hungry (a condition which sharpens their attention) by strewing
pieces of meat and pieces of cork before them. If they went straight
at them, they _saw_; and if they chose the meat and left the cork,
they _saw discriminatingly_. The quarrel is very acrimonious; indeed
the subject of localization of functions in the brain seems to have a
peculiar effect on the temper of those who cultivate it experimentally.
The amount of preserved vision which Goltz and Luciani report seems
hardly to be worth considering, on the one hand; and on the other, Munk
admits in his penultimate paper that out of 85 dogs he only 'succeeded'
4 times in his operation of producing complete blindness by complete
extirpation of his 'Sehsphäre.'[21] The safe conclusion for _us_ is
that Luciani's diagram, Fig. 14, represents something like the truth.
The occipital lobes are far more important for vision than any other
part of the cortex, so that their complete destruction makes the animal
almost blind. As for the crude sensibility to light which _may_ then
remain, nothing exact is known either about its nature or its seat.
[Illustration: FIG. 14.--Distribution of the Visual Function in the
Cortex, according to Luciani.]
_In the monkey_, doctors also disagree. The truth seems, however, to be
that the _occipital lobes_ in this animal also are the part connected
most intimately with the visual function. The function would seem to
go on when very small portions of them are left, for Ferrier found no
'appreciable impairment' of it after almost complete destruction of
them on both sides. On the other hand, he found complete and permanent
blindness to ensue when they and the _angular gyri_ in addition were
destroyed on both sides. Munk, as well as Brown and Schaefer, found no
disturbance of sight from destroying the _angular gyri_ alone, although
Ferrier found blindness to ensue. This blindness was probably due to
inhibitions exerted _in distans_, or to cutting of the white optical
fibres passing under the angular gyri on their way to the occipital
lobes. Brown and Schaefer got complete and permanent blindness in
one monkey from total destruction of both occipital lobes. Luciani
and Seppili, performing this operation on two monkeys, found that
the animals were only mentally, not sensorially, blind. After some
weeks they saw their food, but could not distinguish by sight between
figs and pieces of cork. Luciani and Seppili seem, however, not to
have extirpated the entire lobes. When one lobe only is injured the
affection of sight is hemiopic in monkeys: in this all observers agree.
On the whole, then, Munk's original location of vision in the occipital
lobes is confirmed by the later evidence.[22]
_In man_ we have more exact results, since we are not driven to
interpret the vision from the outward conduct. On the other hand,
however, we cannot vivisect, but must wait for pathological lesions
to turn up. The pathologists who have discussed these (the literature
is tedious _ad libitum_) conclude that the occipital lobes are the
indispensable part for vision in man. Hemiopic disturbance in both eyes
comes from lesion of either one of them, and total blindness, sensorial
as well as psychic, from destruction of both.
Hemiopia may also result from lesion in other parts, especially the
neighboring angular and supra-marginal gyri, and it may accompany
extensive injury in the motor region of the cortex. In these cases
it seems probable that it is due to an _actio in distans_, probably
to the interruption of fibres proceeding from the occipital lobe.
There seem to be a few cases on record where there was injury to the
occipital lobes without visual defect. Ferrier has collected as many
as possible to prove his localization in the angular gyrus.[23] A
strict application of logical principles would make one of these cases
outweigh one hundred contrary ones. And yet, remembering how imperfect
observations may be, and how individual brains may vary, it would
certainly be rash for their sake to throw away the enormous amount
of positive evidence for the occipital lobes. Individual variability
is always a _possible_ explanation of an anomalous case. There is no
more prominent anatomical fact than that of the 'decussation of the
pyramids,' nor any more usual pathological fact than its consequence,
that left-handed hemorrhages into the motor region produce right-handed
paralyses. And yet the decussation is variable in amount, and seems
sometimes to be absent altogether.[24] If, in such a case as this last,
the left brain were to become the seat of apoplexy, the left and not
the right half of the body would be the one to suffer paralysis.
The _schema_ below [Fig. 15], copied from Dr. Seguin, expresses, on
the whole, the probable truth about the regions concerned in vision.
Not the entire occipital lobes, but the so-called cunei, and the
first convolutions, are the cortical parts most intimately concerned.
Nothnagel agrees with Seguin in this limitation of the essential
tracts.[25]
[Illustration: FIG. 15.--Scheme of the mechanism of vision, after
Seguin. The _cuneus_ convolution (_Cu_) of the right occipital lobe is
supposed to be injured, and all the parts which lead to it are darkly
shaded to show that they fail to exert their function. _F. O._ are the
intra-hemispheric optical fibres. _P. O. C._ is the region of the lower
optic centres (corpora geniculata and quadrigemina). _T. O. D._ is the
right optic tract; _C_, the chiasma; _F. L. D._ are the fibres going
to the lateral or temporal half _T_ of the right retina; and _F. C. S._
are those going to the central or nasal half of the left retina. _O.
D._ is the right, and _O. S._ the left eyeball. The rightward half of
each is therefore blind: in other words, the right nasal field, _R. N.
F._, and the left temporal field _L. T. F._, have become invisible to
the subject with the lesion at _Cu_.]
* * * * *
A most interesting effect of cortical disorder is _mental blindness_.
This consists not so much in insensibility to optical impressions, as
in _inability to understand them_. Psychologically it is interpretable
as _loss of associations_ between optical sensations and what they
signify; and any interruption of the paths between the optic centres
and the centres for other ideas ought to bring it about. Thus, printed
letters of the alphabet, or words, signify certain sounds and certain
articulatory movements. If the connection between the articulating or
auditory centres, on the one hand, and the visual centres on the other,
be ruptured we ought _a priori_ to expect that the sight of words would
fail to awaken the idea of their sound, or the movement for pronouncing
them. We ought, in short, to have _alexia_, or inability to read:
and this is just what we do have in many cases of extensive injury
about the fronto-temporal regions, as a complication of _aphasic_
disease. Nothnagel suggests that whilst the _cuneus_ is the seat of
optical _sensations_, the other parts of the occipital lobe may be the
field of optical _memories and ideas_, from the loss of which mental
blindness should ensue. In fact, all the medical authors speak of
mental blindness as if it must consist in the loss of visual images
from the memory. It seems to me, however, that this is a psychological
misapprehension. A man whose power of visual imagination has decayed
(no unusual phenomenon in its lighter grades) is not mentally blind
in the least, for he recognizes perfectly all that he sees. On the
other hand, he _may_ be mentally blind, with his optical imagination
well preserved; as in the interesting case published by Wilbrand in
1887.[26] In the still more interesting case of mental blindness
recently published by Lissauer,[27] though the patient made the most
ludicrous mistakes, calling for instance a clothes-brush a pair of
spectacles, an umbrella a plant with flowers, an apple a portrait of
a lady, etc. etc., he seemed, according to the reporter, to have his
mental images fairly well preserved. It is in fact the momentary loss
of our _non_-optical images which makes us mentally blind, just as it
is that of our _non_-auditory images which makes us mentally deaf. I
am mentally deaf if, _hearing_ a bell, I can't recall how it _looks_;
and mentally blind if, _seeing_ it, I can't recall its _sound or its
name_. As a matter of fact, I should have to be not merely mentally
blind, but stone-blind, if all my visual images were lost. For although
I am blind to the right half of the field of view if my left occipital
region is injured, and to the left half if my right region is injured,
such hemianopsia does not deprive me of visual _images_, experience
seeming to show that the unaffected hemisphere is always sufficient
for production of these. To abolish them entirely I should have to be
deprived of both occipital lobes, and that would deprive me not only
of my inward images of sight, but of my sight altogether.[28] Recent
pathological annals seem to offer a few such cases.[29] Meanwhile there
are a number of cases of mental blindness, especially for written
language, coupled with hemianopsia, usually of the rightward field of
view. These are all explicable by the breaking down, through disease,
of the _connecting tracts_ between the occipital lobes and other parts
of the brain, especially those which go to the centres for speech in
the frontal and temporal regions of the left hemisphere. They are to
be classed among disturbances of _conduction_ or of _association_;
and nowhere can I find any fact which should force us to believe that
optical images need[30] be lost in mental blindness, or that the
cerebral centres for such images are locally distinct from those for
direct sensations from the eyes.[31]
Where an object fails to be recognized by sight, it often happens
that the patient will recognize and name it as soon as he touches it
with his hand. This shows in an interesting way how numerous the
associative paths are which all end by running out of the brain through
the channel of speech. The hand-path is open, though the eye-path be
closed. When mental blindness is most complete, neither sight, touch,
nor sound avails to steer the patient, and a sort of dementia which
has been called _asymbolia_ or _apraxia_ is the result. The commonest
articles are not understood. The patient will put his breeches on one
shoulder and his hat upon the other, will bite into the soap and lay
his shoes on the table, or take his food into his hand and throw it
down again, not knowing what to do with it, etc. Such disorder can only
come from extensive brain-injury.[32]
The _method of degeneration_ corroborates the other evidence localizing
the tracts of vision. In young animals one gets secondary degeneration
of the occipital regions from destroying an eyeball, and, _vice versâ_,
degeneration of the optic nerves from destroying the occipital regions.
The corpora geniculata, thalami, and subcortical fibres leading to the
occipital lobes are also found atrophied in these cases. The phenomena
are not uniform, but are indisputable;[33] so that, taking all lines of
evidence together, the special connection of vision with the occipital
lobes is perfectly made out. It should be added, that the occipital
lobes have frequently been found shrunken in cases of inveterate
blindness in man.
_Hearing._
Hearing is hardly as definitely localized as sight. _In the dog_,
Luciani's diagram will show the regions which directly or indirectly
affect it for the worse when injured. As with sight, one-sided lesions
produce symptoms on both sides. The mixture of black dots and gray dots
in the diagram is meant to represent this mixture of 'crossed' and
'uncrossed' connections, though of course no topographical exactitude
is aimed at. Of all the region, the temporal lobe is the most important
part; yet permanent absolute deafness did not result in a dog of
Luciani's, even from bilateral destruction of both temporal lobes in
their entirety.[34]
[Illustration: FIG. 16.--Luciani's Hearing Region.]
_In the monkey_, Ferrier and Yeo once found permanent deafness to
follow destruction of the upper temporal convolution (the one just
below the fissure of Sylvius in Fig. 6) on both sides. Brown and
Schaefer found, on the contrary, that in several monkeys this operation
failed to noticeably affect the hearing. In one animal, indeed, both
entire temporal lobes were destroyed. After a week or two of depression
of the mental faculties this beast recovered and became one of the
brightest monkeys possible, domineering over all his mates, and
admitted by all who saw him to have all his senses, including hearing,
'perfectly acute.'[35] Terrible recriminations have, as usual, ensued
between the investigators, Ferrier denying that Brown and Schaefer's
ablations were complete,[36] Schaefer that Ferrier's monkey was really
deaf.[37] In this unsatisfactory condition the subject must be left,
although there seems no reason to doubt that Brown and Schaefer's
observation is the more important of the two.
_In man_ the temporal lobe is unquestionably the seat of the hearing
function, and the superior convolution adjacent to the sylvian fissure
is its most important part. The phenomena of aphasia show this. We
studied motor aphasia a few pages back; we must now consider _sensory
aphasia_. Our knowledge of this disease has had three stages: we may
talk of the period of Broca, the period of Wernicke, and the period
of Charcot. What Broca's discovery was we have seen. Wernicke was the
first to discriminate those cases in which the patient can _not even
understand_ speech from those in which he can understand, only not
talk; and to ascribe the former condition to lesion of the temporal
lobe.[38] The condition in question is _word-deafness_, and the disease
is _auditory aphasia_. The latest statistical survey of the subject is
that by Dr. Allen Starr.[39] In the seven cases of _pure_ word-deafness
which he has collected, cases in which the patient could read, talk,
and write, but not understand what was said to him, the lesion was
limited to the first and second temporal convolutions in their
posterior two thirds. The lesion (in right-handed, i.e. left-brained,
persons) is always on the left side, like the lesion in motor aphasia.
Crude hearing would not be abolished, even were the left centre for it
utterly destroyed; the right centre would still provide for that. But
the _linguistic use_ of hearing appears bound up with the integrity of
the left centre more or less exclusively. Here it must be that words
heard enter into association with the things which they represent, on
the one hand, and with the movements necessary for pronouncing them, on
the other. In a large majority of Dr. Starr's fifty cases, the power
either to name objects or to talk coherently was impaired. This shows
that in most of us (as Wernicke said) speech must go on from auditory
cues; that is, it must be that our ideas do not innervate our motor
centres directly, but only after first arousing the mental sound of
the words. This is the immediate stimulus to articulation; and where
the possibility of this is abolished by the destruction of its usual
channel in the left temporal lobe, the articulation must suffer. In
the few cases in which the channel is abolished with no bad effect on
speech we must suppose an idiosyncrasy. The patient must innervate
his speech-organs either from the corresponding portion of the other
hemisphere or directly from the centres of ideation, those, namely,
of vision, touch, etc., without leaning on the auditory region. It
is the minuter analysis of the facts in the light of such individual
differences as these which constitutes Charcot's contribution towards
clearing up the subject.
Every nameable thing, act, or relation has numerous properties,
qualities, or aspects. In our minds the properties of each thing,
together with its name, form an associated group. If different parts
of the brain are severally concerned with the several properties, and
a farther part with the hearing, and still another with the uttering,
of the name, there must inevitably be brought about (through the law
of association which we shall later study) such a dynamic connection
amongst all these brain-parts that the activity of any one of them will
be likely to awaken the activity of all the rest. When we are talking
as we think, the _ultimate_ process is that of utterance. If the
brain-part for _that_ be injured, speech is impossible or disorderly,
even though all the other brain-parts be intact: and this is just the
condition of things which, on page 37, we found to be brought about
by limited lesion of the left inferior frontal convolution. But back
of that last act various orders of succession are possible in the
associations of a talking man's ideas. The more usual order seems
to be from the tactile, visual, or other properties of the things
thought-about to the sound of their names, and then to the latter's
utterance. But if in a certain individual the thought of the _look_ of
an object or of the _look_ of its printed name be the process which
habitually precedes articulation, then the loss of the _hearing_ centre
will _pro tanto_ not affect that individual's speech. He will be
mentally deaf, i.e. his _understanding_ of speech will suffer, but he
will not be aphasic. In this way it is possible to explain the seven
cases of _pure_ word-deafness which figure in Dr. Starr's table.
If this order of association be ingrained and habitual in that
individual, injury to his _visual_ centres will make him not only
word-blind, but aphasic as well. His speech will become confused in
consequence of an occipital lesion. Naunyn, consequently, plotting
out on a diagram of the hemisphere the 71 irreproachably reported
cases of aphasia which he was able to collect, finds that the lesions
concentrate themselves in three places: first, on Broca's centre;
second, on Wernicke's; third, on the supra-marginal and angular gyri
under which those fibres pass which connect the visual centres with
the rest of the brain[40] (see Fig. 17). With this result Dr. Starr's
analysis of purely sensory cases agrees.
[Illustration: FIG. 17.]
In a later chapter we shall again return to these differences in
the effectiveness of the sensory spheres in different individuals.
Meanwhile few things show more beautifully than the history of our
knowledge of aphasia how the sagacity and patience of many banded
workers are in time certain to analyze the darkest confusion into an
orderly display.[41] There is no 'centre of Speech' in the brain any
more than there is a faculty of Speech in the mind. The entire brain,
more or less, is at work in a man who uses language. The subjoined
diagram, from Boss, shows the four parts most critically concerned,
and, in the light of our text, needs no farther explanation (see Fig.
18).
[Illustration: FIG. 18.]
_Smell._
Everything conspires to point to the median descending part of the
temporal lobes as being the organs of smell. Even Ferrier and Munk
agree on the hippocampal gyrus, though Ferrier restricts olfaction, as
Munk does not, to the lobule or uncinate process of the convolution,
reserving the rest of it for touch. Anatomy and pathology also point to
the hippocampal gyrus; but as the matter is less interesting from the
point of view of human psychology than were sight and hearing, I will
say no more, but simply add Luciani and Seppili's diagram of the dog's
smell-centre.[42] Of
_Taste_
we know little that is definite. What little there is points to the
lower temporal regions again. Consult Ferrier as below.
[Illustration: FIG. 19.--Luciani's Olfactory Region in the Dog.]
_Touch._
Interesting problems arise with regard to the seat of tactile and
muscular sensibility. Hitzig, whose experiments on _dogs' brains_
fifteen years ago opened the entire subject which we are discussing,
ascribed the disorders of motility observed after ablations of the
motor region to a loss of what he called muscular consciousness.
The animals do not notice eccentric positions of their limbs, will
stand with their legs crossed, with the affected paw resting on its
back or hanging over a table's edge, etc.; and do not resist our
bending and stretching of it as they resist with the unaffected paw.
Goltz, Munk, Schiff, Herzen, and others promptly ascertained an equal
defect of cutaneous sensibility to pain, touch, and cold. The paw
is not withdrawn when pinched, remains standing in cold water, etc.
Ferrier meanwhile denied that there was any true anæsthesia produced
by ablations in the motor zone, and explains the appearance of it as
an effect of the sluggish motor responses of the affected side.[43]
Munk[44] and Schiff[45], on the contrary, conceive of the 'motor
zone' as essentially sensory, and in different ways explain the motor
disorders as secondary results of the anæsthesia which is always there,
Munk calls the motor zone the Fühlsphäre of the animal's limbs, etc.,
and makes it coördinate with the Sehsphäre, the Hörsphäre, etc., the
entire cortex being, according to him, nothing but a projection-surface
for sensations, with no exclusively or essentially motor part. Such a
view would be important if true, through its bearings on the psychology
of volition. What is the truth? As regards the fact of cutaneous
anæsthesia from motor-zone ablations, all other observers are against
Ferrier, so that he is probably wrong in denying it. On the other hand,
Munk and Schiff are wrong in making the motor symptoms _depend_ on
the anæsthesia, for in certain rare cases they have been observed to
exist not only without insensibility, but with actual hyperæsthesia of
the parts.[46] The motor and sensory symptoms seem, therefore, to be
independent variables.
_In monkeys_ the latest experiments are those of Horsley and
Schaefer,[47] whose results Ferrier accepts. They find that excision
of the hippocampal convolution produces transient insensibility of
the opposite side of the body, and that permanent insensibility is
produced by destruction of its continuation upwards above the corpus
callosum, the so-called _gyrus fornicatus_ (the part just below
the 'calloso-marginal fissure' in Fig. 7). The insensibility is at
its maximum when the entire tract comprising both convolutions is
destroyed. Ferrier says that the sensibility of monkeys is 'entirely
unaffected' by ablations of the motor zone,[48] and Horsley and
Schaefer consider it by no means necessarily abolished.[49] Luciani
found it diminished in his three experiments on apes.[50]
[Illustration: FIG. 20.--Luciani's Tactile Region in the Dog.]
_In man_ we have the fact that one-sided paralysis from disease of the
opposite motor zone may or may not be accompanied with anæsthesia of
the parts. Luciani, who believes that the motor zone is also sensory,
tries to minimize the value of this evidence by pointing to the
insufficiency with which patients are examined. He himself believes
that in dogs the tactile sphere extends backwards and forwards of the
directly excitable region, into the frontal and parietal lobes (see
Fig. 20). Nothnagel considers that pathological evidence points in the
same direction;[51] and Dr. Mills, carefully reviewing the evidence,
adds the gyri fornicatus and hippocampi to the cutaneo-muscular
region in man.[52] If one compare Luciani's diagrams together (Figs.
14, 16, 19, 20) one will see that the entire parietal region of the
dog's skull is common to the four senses of sight, hearing, smell,
and touch, including muscular feeling. The corresponding region in
the human brain (upper parietal and supra-marginal gyri--see Fig. 17)
seems to be a somewhat similar place of conflux. Optical aphasias and
motor and tactile disturbances all result from its injury, especially
when that is on the left side.[53] The lower we go in the animal scale
the less differentiated the functions of the several brain-parts seem
to be.[54] It may be that the region in question still represents
in ourselves something like this primitive condition, and that the
surrounding parts, in adapting themselves more and more to specialized
and narrow functions, have left it as a sort of _carrefour_ through
which they send currents and converse. That it should be connected
with musculo-cutaneous feeling is, however, no reason why the motor
zone proper should not be so connected too. And the cases of paralysis
from the motor zone with no accompanying anæsthesia may be explicable
without denying all sensory function to that region. For, as my
colleague Dr. James Putnam informs me, sensibility is always harder to
kill than motility, even where we know for a certainty that the lesion
affects tracts that are both sensory and motor. Persons whose hand is
paralyzed in its movements from compression of arm-nerves during sleep,
still feel with their fingers; and they may still feel in their feet
when their legs are paralyzed by bruising of the spinal cord. In a
similar way, the motor cortex might be sensitive as well as motor, and
yet by this greater subtlety (or whatever the peculiarity may be) in
the sensory currents, the sensibility might survive an amount of injury
there by which the motility was destroyed. Nothnagel considers that
there are grounds for supposing the _muscular_ sense to be exclusively
connected with the parietal lobe and not with the motor zone. "Disease
of this lobe gives pure ataxy without palsy, and of the motor zone
pure palsy without loss of muscular sense."[55] He fails, however,
to convince more competent critics than the present writer,[56] so I
conclude with them that as yet we have no decisive grounds for locating
muscular and cutaneous feeling apart. Much still remains to be learned
about the relations between musculo-cutaneous sensibility and the
cortex, but one thing is certain: that neither the occipital, the
forward frontal, nor the temporal lobes seem to have anything essential
to do with it in man. It is knit up with the performances of the
_motor zone and of the convolutions backwards and midwards of them_.
The reader must remember this conclusion when we come to the chapter on
the Will.
* * * * *
I must add a word about the connection of aphasia with the tactile
sense. On p. 40 I spoke of those cases in which the patient can write
but not read his own writing. He cannot read by his eyes; but he can
read by the feeling in his fingers, if he retrace the letters in the
air. It is convenient for such a patient to have a pen in hand whilst
reading in this way, in order to make the usual feeling of writing more
complete.[57] In such a case we must suppose that the path between the
optical and the graphic centres remains open, whilst that between the
optical and the auditory and articulatory centres is closed. Only thus
can we understand how the look of the writing should fail to suggest
the sound of the words to the patient's mind, whilst it still suggests
the proper movements of graphic imitation. These movements in their
turn must of course be felt, and the feeling of them must be associated
with the centres for hearing and pronouncing the words. The injury in
cases like this where very special combinations fail, whilst others go
on as usual, must always be supposed to be of the nature of increased
resistance to the passage of certain currents of association. If any of
the _elements_ of mental function were destroyed the incapacity would
necessarily be much more formidable. A patient who can both read and
write with his fingers most likely uses an identical 'graphic' centre,
at once sensory and motor, for both operations.
* * * * *
I have now given, as far as the nature of this book will allow, a
complete account of the present state of the localization-question.
In its main outlines it stands firm, though much has still to be
discovered. The anterior frontal lobes, for example, so far as is yet
known, have no definite functions. Goltz finds that dogs bereft of them
both are incessantly in motion, and excitable by every small stimulus.
They are irascible and amative in an extraordinary degree, and their
sides grow bare with perpetual reflex scratching; but they show no
_local_ troubles of either motion or sensibility. In monkeys not even
this lack of inhibitory ability is shown, and neither stimulation nor
excision of the prefrontal lobes produces any symptoms whatever. One
monkey of Horsley and Schaefer's was as tame, and did certain tricks as
well, after as before the operation.[58] It is probable that we have
about reached the limits of what can be learned about brain-functions
from vivisecting inferior animals, and that we must hereafter look more
exclusively to human pathology for light. The existence of separate
speech and writing centres in the left hemisphere in man; the fact
that palsy from cortical injury is so much more complete and enduring
in man and the monkey than in dogs; and the farther fact that it seems
more difficult to get complete sensorial blindness from cortical
ablations in the lower animals than in man, all show that functions get
more specially localized as evolution goes on. In birds localization
seems hardly to exist, and in rodents it is much less conspicuous than
in carnivora. Even for man, however, Munk's way of mapping out the
cortex into absolute areas within which only one movement or sensation
is represented is surely false. The truth seems to be rather that,
although there is a correspondence of certain regions of the brain to
certain regions of the body, yet the several _parts_ within each bodily
region are represented throughout the _whole_ of the corresponding
brain-region like pepper and salt sprinkled from the same caster. This,
however, does not prevent each 'part' from having its _focus_ at one
spot within the brain-region. The various brain-regions merge into each
other in the same mixed way. As Mr. Horsley says: "There are border
centres, and the area of representation of the face merges into that
for the representation of the upper limb. If there was a focal lesion
at that point, you would have the movements of these two parts starting
together."[59] The accompanying figure from Paneth shows just how the
matter stands in the dog.[60]
[Illustration: FIG. 21.--Dog's motor centres, right hemisphere,
according to Paneth.--The points of the motor region are correlated as
follows with muscles: the _loops_ with the _orbicularis palpebrarum_;
the _plain crosses_ with the _flexor_, the _crosses inscribed in
circles_ with the _extensor, digitorum communis_ of the fore-paw;
the _plain circles_ with the _abductor pollicis longus_; the _double
crosses_ with the _extensor communis_ of the hind-limb.]