speech mechanism works from violent organic discharges altogether
without control. The senile old man talks nonsense--so-called
gibberish--thinking he is discoursing properly.
In the main cases of Aphasia of distinct sensory and motor types
psychological analysis is now so adequate and the anatomical
localization so far advanced that the physicians have sufficient basis
for their diagnosis, and make inferences looking toward treatment.
Many cases of tumour, of clot on the brain, of local pressure from the
skull, and of haemorrhage or stopping up of the blood vessels in a
limited area, have been cured through the indications given by the
particular forms and degrees of aphasia shown by the patients. The
skull is opened at the place indicated by the defect of speech, the
lesion found where the diagnosis suggested, and the cause removed.
This account of Localization will suggest to the reader the truth that
there is no science of Phrenology. No progress has been made in
localizing the intelligence; and the view is now very general that the
whole brain, with all its interchange of impulses from part to part,
is involved in thinking. As for locating particular emotions and
qualities of temperament, it is quite absurd. Furthermore, the
irregularities of the skull do not indicate local brain differences.
It is thought that the relative weight of the brain may be an
indication of intellectual endowment, especially when the brain weight
is compared with the weight of the rest of the body, and that culture
in particular lines increases the surface of the cortex by deepening
and multiplying the convolutions. But these statements can not be
applied off-hand to individuals, as the practise of phrenology would
require.
_Defects of Memory--Amnesia._--The cases given just above, where the
failure of speech was seen to be due to the loss of certain memories
of words, illustrate also a series of mental defects, which are
classed together as Amnesias. Any failure in memory, except the normal
lapses which we call forgetfulness, is included under this term. Just
as the loss of word memories occasions inability to speak, so that of
other sorts of memories occasions other functional disturbances. A
patient may forget objects, and so not know how to use his penknife or
to put on his shoes. He may forget events, and so give false witness
as to the past.
One may forget himself also, and so have, in some degree, a different
character,
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