The Principles of Psychology, Volume 1 (of 2)James, William
Philosophy
The Principles of Psychology, Volume 1 (of 2)
James, William
Psychology
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.
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