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Critique of Psychological Approaches to Brain Damage

Published online by Cambridge University Press:  08 February 2018

Victor Meyer*
Affiliation:
Guy's-Maudsley Neurosurgical Unit

Extract

This paper will make an attempt to examine critically the major psychological approaches to the problem of brain damage and to point out why such a vast number of psychological studies of neurological patients have on the whole proved to be disappointing. Up to the present time most of the findings are equivocal, inconsistent, and very often contradictory; no acceptable theory of brain functioning and organization has emerged from them and the diagnostic tests in this field show too high a degree of misclassification to be sensitive enough for clinical use. Finally, an attempt will be made to outline a more fruitful approach to brain damage.

Type
Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1957 

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References

1. Anderson, A. L., “The effect of laterality localization of focal brain lesions on the Wechsler-Bellevue subtests”, J. clin. Psychol., 1951, 7, 149153.Google Scholar
2. Bailey, P., “Discussion on the temporal lobe in Symposium on the temporal lobe”, Chicago neurol. Soc., Arch. Neurol. Psychiat., 1955, 74, 568569.Google Scholar
3. Battersby, W. S., “The regional gradient of cortical flicker frequency after frontal or occipital injury”, J. exp. Psychol., 1951, 42, 5968.Google ScholarPubMed
4. Battersby, W. S., Bender, M. B., and Teuber, H. L., “Effects of total light flux on cortical flicker frequency after frontal lobe lesion”, J. exp. Psychol., 1951, 42, 135142.CrossRefGoogle ScholarPubMed
5. Battersby, W. S., Teuber, H. L., and Bender, M. B., “Problem solving behaviour in men with frontal or occipital brain injuries”, J. Psychol., 1953, 35, 329351.CrossRefGoogle Scholar
6. Battersby, W. S., Krieger, H. P., and Bender, M. B., “Visual and Tactile discriminative learning in patients with cerebral tumours”, Amer. J. Psychol., 1955, 6b8, 562574.CrossRefGoogle Scholar
7. Bauer, R., and Becka, D., “Intellect after Cerebro-Vascular Accident”, J. nerv. ment. Dis., 1954, 120, 379384.CrossRefGoogle ScholarPubMed
8. Bender, M. B., and Teuber, H. L., “Disturbances in visual perception following cerebral lesions”, J. Psychol., 1949, 28, 223233.CrossRefGoogle ScholarPubMed
9. Benton, A. L., “A visual retention test for clinical use”, Arch. Neurol Psychiat., 1945, 54, 212216.CrossRefGoogle ScholarPubMed
10. Birch, H. G., and Lee, Joan, “Cortical inhibition in expressive aphasia”, Arch. Neurol. Psychiat., 1955, 74, 514517.CrossRefGoogle ScholarPubMed
11. Boring, E. G., A history of experimental psychology, 1950. New York: Appleton-Century-Crofts.Google Scholar
12. Boyd, H. F., “A provisional quantitative scoring with preliminary norms for the Goldstein-Scheerer Cube Test”, J. clin. Psychol., 1949, 5, 148153.3.0.CO;2-K>CrossRefGoogle ScholarPubMed
13. Broca, P., “Remarque sur le siége de la faculté du langue articulé, suvies d'une Observation d'aphémie”, Bull. soc. anat. 2 me ser., 186, 6, 330357.Google Scholar
14. Brown, I., “Abstract and concrete behaviour of dysphasic patients and normal subjects”, J. Speech Hearing Dis., 1955, 20, 3542.Google ScholarPubMed
15. Conrad, K., “New problems of Aphasia”, Brain, 1954, 77, 491509.Google ScholarPubMed
16. Crome, L., “A morphological critique of temporal lobectomy”, Lancet, 1955, i, 882884.CrossRefGoogle Scholar
17. Dandy, W. E., “Physiological studies following extirpation of the right cerebral hemisphere in man”, Bull. Johns Hopkins Hosp., 1933, 53, 3151.Google Scholar
18. Elithorn, A., “A preliminary report on a perceptual maze test sensitive to brain damage”, J. Neurol. Neurosurg. Psychiat., 1955, 18, 287292.CrossRefGoogle ScholarPubMed
19. Eysenck, H. J., Dimensions of personality, 1952. London: Routledge & Kegan Paul.Google Scholar
20. Idem , The scientific study of personality, 1952. London: Routledge & Kegan Paul.Google Scholar
21. Idem , “Psychiatric diagnosis as a psychological and statistical problem”, Psychol Rep., 1955, 1, 317.CrossRefGoogle Scholar
22. Idem , “A dynamic theory of anxiety and hysteria”, J. Ment. Sci, 1955, 101, 2851.CrossRefGoogle Scholar
23. Flourens, M. J. P., Recherche expérimentales sur les propriétés et les functions du Systéme nerveux dans les animaux vertébrés, 1824. Paris: Crevot.Google Scholar
24. Fulton, J. F., Howell's textbook of physiology, 1946. Philadelphia and London: W. B. Saunders & Co.Google Scholar
25. Gall, F. J., “Cerveau”, Dictionnaire des Sciences Médicale. Google Scholar
26. Gerstmann, J., “Syndrome of finger agnosia, disorientation for right and left, agraphia and acalculia”, Arch. Neurol Psychiat., 1940, 44, 398408.Google Scholar
27. Gilbert, Jeanne, “Mental efficiency in senescence”, Arch. Psychol., No. 188, 1935.Google Scholar
28. Goldstein, K., and Scheerer, M., “Abstract and concrete behaviour. An experimental study with special tests”, Psychol. Monogr., 1941, 53, No. 2. (Whole No. 239.) Google Scholar
29. GOODGLASS, H., and Quadfasel, F. A., “Language laterality in left-handed aphasics”, Brain, 1954, 77, 521548.Google ScholarPubMed
30. Halstead, W. C., Brain and intelligence. A quantitative study of the frontal lobes, 1947. Chicago: University of Chicago Press.Google Scholar
31. Idem , “Some fronto-temporal lobe relationships in Symposium on the temporal lobe”, Chicago Neurol. Soc., Arch. Neurol. Psychiat., 1955, 74, 567.Google Scholar
32. Head, H., Aphasia and kindred disorders of speech, 1926. London: Macmillan.Google Scholar
33. Hebb, D. O., “Intelligence in man after large removals of cerebral tissue; report on four left frontal lobe cases”, J. gen. Psychol., 1939, 21, 1387.Google Scholar
34. Idem , “Human intelligence after removal of cerebral tissue from the right frontal lobe”, J. gen. Psychol., 1941, 25, 257265.CrossRefGoogle Scholar
35. Idem , “Man's frontal lobes. A critical review”, Arch. Neurol. Psychiat., 1945, 54, 1024.CrossRefGoogle Scholar
36. Idem , The organization of behaviour. A neuropsychological theory, 1949. New York: Wiley.Google Scholar
37. Heilbrun, A. B., “Psychological test performance as a function of lateral localization of cerebral lesion”, J. comp. physiol. Psychol., 1956, 49, 1014.CrossRefGoogle ScholarPubMed
38. Henschen, S. E., Kleinische und anatomische Beiträge zur Pathologie des Gehirns, 1920–1922, 57. Stockholm: Nordiska Bokhandeln.Google Scholar
39. Hill, D., and Watterson, D., “Electroencephalographic studies of psychopathic personalities”, J. Neurol. and Psychiat., 1942, 5, 4765.CrossRefGoogle ScholarPubMed
40. Hunt, J. McV., and Cofer, C. N., “Psychological deficit”, pp. 9711032 in Hunt, McV.: Personality and behaviour disorder, 1944. New York: Roland.Google Scholar
41. Karl, V. A., and Elvidge, A. R., “Four years' experience with prefrontal lobotomy”, Amer. J. Psychiat., 1955, 112, 375381.CrossRefGoogle Scholar
42. Keschner, M., Bender, M. B., and Strauss, T., “Mental symptoms of the temporal lobe”, Arch. Neurol. and Psychiat., Chicago, 1936, 35, 572596.CrossRefGoogle Scholar
43. Klebanoff, S., Singer, J. L., and Wilenski, H., “Psychological consequences of brain lesions and ablations”, Psychol. Bull., 1954, 51, 141.CrossRefGoogle ScholarPubMed
44. Kleist, K., Gehirnpathologie vornehmlich auf grund der Kriegserfahrungen. Reprinted from Handbuch der arztlichen Erfahrungen in Weltkriege, 1922–1934, 4, 3431394, 1934. Leipzig: J. A. Barth.Google Scholar
45. Kolodny, A., “The symptomatology of tumours of the temporal lobe”, Brain, 1928, 51, 385417.CrossRefGoogle Scholar
46. Kreuger, E. G., Price, P. A., and Teuber, H. L., “Tactile extinction in parietal lobe neoplasm”, J. Psychol., 1954, 38, 191202.CrossRefGoogle Scholar
47. Lashley, K. S., Brain mechanism and intelligence, 1929. Chicago: University of Chicago Press.Google Scholar
48. Idem , “Basic neural mechanisms in behaviour”, Psychol. Rev., 1930, 37, 124.CrossRefGoogle Scholar
49. Idem , “Integrative functions of the cerebral cortex”, Psychol. Rev., 1933, 13, 142.Google Scholar
50. Le Beau, J., and Petrie, Asenath, The psychological effects of selective frontal surgery including cingulectomy. Proc. 5th Int. Congr. Neurol. (Lisbon), 1953, 4, 392. (Abstract.) Google Scholar
51. Lindsley, D. B., “Physiological psychology”, Annual Rev. Psychol., 1956, 7, 323348.CrossRefGoogle ScholarPubMed
52. McFie, J., Piercy, M. F., and Zangwill, O. L., “Visual-spatial agnosia associated with lesions of the right cerebral hemisphere”, Brain, 1950, 73, 167189.Google ScholarPubMed
53. McFie, J., and Piercy, M. F., “The relation of laterality of lesion to performance on Weigl's Sorting Test”, J. Ment. Sci., 1952, 98, 299305.CrossRefGoogle ScholarPubMed
54. Idem , “Intellectual impairment with localized cerebral lesions”, Brain, 1952, 75, 292311.CrossRefGoogle Scholar
55. Meyer, V., “Learning changes following temporal lobectomy”, Abstract of papers read at Manchester Conference, Bull. Brit. Psychol. Soc., 1956, 29, Inset 21.Google Scholar
56. Idem, and Yates, A. J., “Intellectual changes following temporal lobectomy for psychomotor epilepsy”, J. Neurol. Neurosurg. Psychiat., 1955, 18, 4452.Google Scholar
57. Meyers, R., “The relationship between thinking and language. An experimental approach using dysphasic patients”, Trans. Amer. Neurol. Ass., 1947, 6569.Google Scholar
58. Milner, Barbara, “Psychological functions of temporal lobe”, Psychol. Bull., 1954, 51, 4652.CrossRefGoogle Scholar
59. Morgan, C. T., Physiological Psychology, 1943. New York: McGraw-Hill.Google Scholar
60. Morrell, F., Roberts, L., and Jasper, H., “Effects of focal epileptic lesions and their ablations upon conditional electrical responses of the brain in the monkey”, Electroencephal. clin. Neurophysiol., 1956, 8, 207236.CrossRefGoogle Scholar
61. Nielsen, J. M., Agnosia, Apraxia, Aphasia, 1946. New York: Paul B. Hoeber.Google Scholar
62. Idem, and Raney, R. B., “Recovery from aphasia studied in cases of lobectomy”, Arch. Neurol. Psychiat., Chicago, 1939, 42, 189200.Google Scholar
63. Osgood, C. E., Method and theory in experimental psychology, 1953. New York: Oxford University Press.Google Scholar
64. Pampiglione, G., and Falconer, M. A., “Some observations upon stimulation of the hippocampus in man”, Paper read at EEG Society, London, May, 1956.Google Scholar
65. Pampiglione, G., and Kerridge, J., “EEG abnormalities from the temporal lobe studied with sphenoidal electrodes”, J. Neurol. Neurosurg. Psychiat., 1956. In press.CrossRefGoogle Scholar
66. Pavlov, I. P., Conditioned reflexes, 1927. (Translated by Anrep, G. V.) London: Oxford University Press.Google Scholar
67. Payne, R. W., “The role of the clinical psychologist at the Institute of Psychiatry”, Rev. Psychol, appl., 1953, 3, 150160.Google Scholar
68. Idem , “L'utilite du test de Rorschach en psychologie clinique”, Rev. Psychol. appl., 1955, 5, 255264.Google Scholar
69. Pearson, G. H. J., and Alpers, B. F., “Aphasia: study of normal control cases”, Arch. Neurol. Psychiat., 1928, 19, 281295.CrossRefGoogle Scholar
70. Penfield, W., and Evans, J., “The frontal lobe in man: a clinical study of maximum removals”, Brain, 1935, 58, 115133.CrossRefGoogle Scholar
71. Penfield, W., and Rassmussen, T., The cerebral cortex of man: A clinical study of localization of function, 1950. New York: Macmillan.Google Scholar
72. Penfield, W., and Jasper, H., Epilepsy and the functional anatomy of the human brain, 1954. London: J. A. Churchill.Google Scholar
73. Petrie, Asenath, Personality and the frontal lobes, 1952. London: Routledge & Kegan Paul.Google Scholar
74. Idem , “A comparison of the psychological effects of different types of operations on the frontal lobes”, J. Ment. Sci., 1952, 98, 326329.CrossRefGoogle Scholar
75. Idem , “Effects on personality of excision in different regions of the brain”, Proc. 14th Int. Congr. Psychol., 1954. Montreal. (Abstract.) Google Scholar
76. Reese, W., Doss, R., and Gantt, W. H., “Autonomic responses in differential diagnosis of organic and psychogenic psychoses”, Arch. Neurol. Psychiat., 1953, 70, 778793.CrossRefGoogle ScholarPubMed
77. Rothschild, D., Senile psychoses and psychoses with cerebral arteriosclerosis, in Kaplan, D. J., “Mental disorders in later life”. 1945, pp. 233279. Stanford University Press.Google Scholar
78. Rylander, G., Personality changes after operations of the frontal lobes, 1939. London: Oxford University Press.Google Scholar
79. Idem , “Mental changes after excision of cerebral tissue. A clinical study of 16 cases of resections in the parietal, temporal and occipital lobes”, Acta Psychiat. Neurol., 1943, Suppl. 25.Google Scholar
80. Schuell, Hildred, “Auditory impairment in aphasia: significance and retraining techniques”, J. Speech Hearing Dis., 1953, 18, 1421.CrossRefGoogle ScholarPubMed
81. Idem , “Clinical observations on aphasia”, Neurol., Minneapolis, 1954, 4, 179189.CrossRefGoogle Scholar
82. Idem , Carroll, Virginia, and Street, Barbara Stansell, “Clinical treatment of aphasia”, J. Speech Hearing Dis., 1955, 20, 4353.Google Scholar
83. Semmes, Josephine, Weinstein, S., Ghent, Lila, and Teuber, H. L., “Performance on complex tactual tasks after brain injury in man: Analyses by locus of lesion”, Amer. J. Psychol., 1954, 67, 220240.Google ScholarPubMed
84. Idem , “Spatial orientation in man after cerebral injury: Analyses by locus of lesion”, J. Psychol., 1955, 39, 227244.CrossRefGoogle Scholar
85. Seppilli, G., “Affections of the temporal lobes”, Alienist and Neurologist, 1893, 14, 163171.Google Scholar
86. Shapiro, M. B., “An experimental approach to diagnostic psychological testing”, J. Ment. Sci., 1951, 97, 748764.Google ScholarPubMed
87. Idem , “Experimental studies of a perceptual anomaly. I. Initial experiments”, ibid, 1951, 97, 90110.Google Scholar
88. Idem , “Experimental studies of a perceptual anomaly. II. Confirmatory and explanatory experiments”, ibid, 1952, 98, 605617.Google Scholar
89. Idem , “Experimental studies of a perceptual anomaly. III. The testing of an explanatory theory”, ibid, 1953, 99, 394409.Google Scholar
90. Idem , “An experimental investigation of the Block Design Rotation Effect. An analysis of psychological effect of brain damage”, Brit. J. Med. Psychol., 1954, 27, 8488.CrossRefGoogle Scholar
91. Idem and Nelson, E. H., “An investigation of an abnormality of cognitive function in a cooperative young psychotic: An example of the application of experimental method to the single case”, J. clin. Psychol., 1955, 11, 344351.Google Scholar
92. Skinner, B. F., The behaviour of organisms: An experimental analysis, 1938. New York: D. Appleton-Century.Google Scholar
93. Spearman, C., The abilities of man, 1932. London: Macmillan.Google Scholar
94. Symmes, D., “Multi-sensory timing ability in persons with lesions of the temporal lobe, in Symposium on the temporal lobe”, Chicago Neurol. Soc., Arch. Neurol. Psychiat., 1955, 74, 567.Google Scholar
95. Teuber, H. L., Battersby, W. S., and Bender, M. B., “Performance of complex visual tasks after cerebral injury”, J. nerv. ment. Dis., 1951, 114, 413429.Google Scholar
96. Teuber, H. L., and Mishkin, M., “Judgment of visual and postural vertical after brain injury”, J. Psychol., 1954, 38, 161175.CrossRefGoogle Scholar
97. Teuber, H. L., and Weinstein, S., “Performance on a form board task after penetrating brain injury”, J. Psychol., 1954, 38, 177190.CrossRefGoogle Scholar
98. Thurstone, L. L., and Thurstone, T. G., “Factorial studies of intelligence”, Psychometric Monogrs., 1941, No. 2. University of Chicago Press.Google Scholar
99. Vernon, P. E., The structure of human abilities, 1950. London: Methuen.Google Scholar
100. Von Monakow, C., Die Lokalisation im Grosshirns und der Abbau der Funktion durch kortikale Herde, 1914. Weisbaden: J. F. Bergmann.Google Scholar
101. Wechsler, D., The measurement of adult intelligence, 1944. Baltimore: Williams & Wilkins.Google Scholar
102. Weisenburg, T., and McBride, Katherine, Aphasia: A clinical and psychological study, 1935. New York: Commonwealth Fund.Google Scholar
103. Weisenburg, T., Roe, A., and McBride, Katherine, Adult intelligence: A psychological study of test performance, 1936. New York: Commonwealth Fund.Google Scholar
104. Williams, D., “The significance of abnormal electroencephalogram”, J. Neurol. Psychiat., 1941, 4, 257267.CrossRefGoogle ScholarPubMed
105. Yates, A. J., “Validity of some psychological tests of brain damage”, Psychol. Bull., 1954, 51, 359379.CrossRefGoogle ScholarPubMed
106. Zangwill, O. L., “Some qualitative observations on verbal memory in cases of cerebral lesion”, Brit. J. Psychol., 1946, 37, 818.Google ScholarPubMed
107. Idem , “Agraphia due to a left parietal glioma in a left handed man”, Brain, 1954, 77, 510520.CrossRefGoogle Scholar
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