Semin Neurol 2002; 22(4): 335-348
DOI: 10.1055/s-2002-36755
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Finding Language in the Matter of the Brain: Origins of the Clinical Aphasia Examination

Heidi L. Roth
  • Assistant Professor of Neurology, Department of Neurology, University of North Carolina at Chapel Hill, North Carolina; Neurology Service, Veterans Affairs Medical Center, and Department of Neurology, University of Florida, Gainesville, Florida
Further Information

Publication History

Publication Date:
22 January 2003 (online)

ABSTRACT

The origins of the aphasia examination can be traced back to the 19th century when physicians and scientists began to understand how higher mental functions such as language could be localized in the brain. Paul Broca, Carl Wernicke, and Hughlings Jackson developed different models of brain function, and each contributed important insights to the study of aphasia. Broca's contributions were influenced by the fundamental question of whether higher mental function could be localized in the brain at all; Wernicke's contributions were influenced by an attempt to unite more mechanistic and physiological principles to a model of higher brain functions; and Jackson's contributions were influenced by British association psychology. In addition to reviewing the origins of the aphasia examination, this article reviews the historical context in which these contributors worked, the factors that affected the reception of their views, and the manner in which their views have affected the aphasia examination and understanding of aphasia today.

REFERENCES

  • 1 Spalding J J. Spalding an Sulzer. In: Gnothi seauton oder Magazin zur Erfahrungseelenkunde 1783;1:117-121; quoted in Hagner, 1997
  • 2 Breastead J H. The Edwin Smith Surgical Papyrus.  Chicago: University of Chicago Press 1930
  • 3 Neuberger M. The Historical Development of Experimental Brain and Spinal Cord Physiology before Flourens. Clark E, trans. Baltimore: John Hopkins University Press (original work Die Historische Entwicklung, published 1897)
  • 4 Gall F J, Spruzheim J. Anatomie et physiologie du systeme nerveux en general et du cerveau en particulier. Paris: F. Schoell; 1810-1819
  • 5 Gall F J, Spurzheim J C. On the Functions of the Brain and Each of Its Parts: With Observations on the Possibility of Determining the Instincts, Propensities, and Talents, or the Moral and Intellectual Dispositions of Men and Animals, by the Configuration of the Brain and Head. Lewis Jr. W, trans. Boston: Marsh, Capen, and Lyon; 1835 (original work, Sur le Fonctions du Cerveau, published 1822-1825)
  • 6 Flourens J PM. Phrenology Examined. Meigs CL, trans. Philadelphia: Hogan and Thompson; 1846 (Original work published 1845)
  • 7 Flourens J PM. Recherches Expérimentales sur les Propriétés et les Fonctions du Système Nerveux dans les Animaux Vertébrés. Paris: Crevot; 1824, Paris: Ballière, 2nd ed; 1842
  • 8 Bouillaud J B. Recherches cliniques propre à démontrer que le sens du langage articulé et le principe coordinateur des mouvements de la parole résident dans le lobules antérieur du cerveau.  Bulletin de L'Adademie Royale de Medicine . 1848;  XIII 699-816
  • 9 Broca P. Notes on the faculty of articulated language, followed by an observation of aphemia. In: Eling P, ed. Reader in the History of Aphasia Amsterdam/Philadelphia: John Benjamins Publishing Company; 1994 (original work published 1861)
  • 10 Broca P. Remarques sur le siège de la faculté de langage articulé, suivie d'une observation d'aphémie (perte de la parole).  Bulletins de la Société Anatomique . 1861;  6 330-357
  • 11 Broca P. Complete atrophy of the insular lobe and of the third convolution of the frontal lobe with preservation of the intelligence and the faculty of articulated language. In: Eling P, ed. Reader in the History of Aphasia Amsterdam/ Philadelphia: John Benjamins Publishing Company; 1994 (original work published 1863)
  • 12 Broca P. Remarks on the seat of the faculty of articulate language followed by an observation of aphemia. In: von Bonin G, trans Some Papers on the Cerebral Cortex. Springfield, MA: Thomas; 1960;136-149 (original work published 1861)
  • 13 Broca P. Atrophie complète du lobule de l'insular et de la troisième circonvolution du lobe frontale avec conservation de l'intelligence et de la faculté du langage articulé. Observation par Dr.  Parrot. Bulletins de la Société d'Anthropologie . 1863;  8 393-399
  • 14 Eling P. Paul Broca. In: Eling P, ed. Reader in the History of Aphasia Amsterdam/Philadelphia: John Benjamins Publishing Company; 1994
  • 15 Harrington A. Medicine, Mind, and the Double Brain.  Princeton: Princeton University Press; 1987
  • 16 Wernicke C. The aphasia symptom complex: a psychological study on an anatomical basis. In: Eggert G, ed., trans Wernicke's Works on Aphasia. The Hague: Mouton; 1977
  • 17 Lichtheim L. On aphasia.  Brain . 1885;  7 433-484
  • 18 Meynert T. Psychiatry. Sachs B, trans. New York: Putnam; 1885 (original work published 1884)
  • 19 Meynert T. Ein Fall von Sprachstoerung.  Meidzinischer Jahrbuecher . 1866;  12 152-189
  • 20 Fritsch G, Hitzig E. On the electrical excitability of the cerebrum. In: Von Bonin G, trans The Cerebral Cortex. Springfield: Thomas; 1960 (original work, Ueber die Elektrische Erregbarkeit des Grosshirns, published 1870)
  • 21 Hagner M. Homo Cerebralis.  Der Wandel von Seelenorgan zum Gehirn. Berlin: Berlin Verlag; 1997
  • 22 Taylor E, ed. Selected Writings of John Hughlings Jackson. London: Hodder and Stoughton; 1931.  Reprint New York: Basic Books; 1958
  • 23 Jackson J H. On affectations of speech from disease of the brain.  Brain 1878-. 1879;  1 304-330
  • 24 Jackson J H. On affectations of speech from disease of the brain.  Brain 1879-. 1880;  2 203-356
  • 25 Jackson J H. On affectations of speech from disease of the brain. In: Taylor EJ, ed. Selected Writings of John Hughlings Jackson London: Hodder and Stoughton; 1931 Reprint New York: Basic Books 1958
  • 26 Young R. Mind, Brain, and Adaptation in the Nineteenth Century.  Oxford: Oxford University Press 1970
  • 27 Freud S. On Aphasia: A Critical Study. Stengel E, trans. London: Imago; 1953 (original work published 1891)
  • 28 Head H. Aphasia and Kindred Disorders of Speech.  2 vols. Cambridge, UK: Cambridge University Press 1926
  • 29 Dell G S, Schwartz M F, Martin N, Saffran E M, Gagnon D A. Lexical access in aphasic and non-aphasic speakers.  Psychological Review . 1997;  104 801-838
  • 30 Buckingham H W. Freud's continuity thesis.  Brain and Language . 1999;  61 76-92
    >