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Dynamic Factors in Aphasia

Published online by Cambridge University Press:  08 February 2018

R. Klein*
Affiliation:
Bristol Mental Hospitals

Extract

The close relation of aphasia to lesions of particular brain areas may be responsible for the fact that factors other than lingual in their effects upon aphasic reactions have long been neglected. Pierre Marie (1906) came to the conclusion that in true aphasia the defect in language is regularly accompanied by a general intellectual defect. This opinion found little recognition; his statement was too general, and was not found to be in agreement with clinical experience. Head (1926) made a more elaborate attempt to break with the traditional ideas when he introduced the conception of symbolic expression and formulation, and viewed the clinical pictures of aphasia which came under his observation from a more general angle. Goldstein (1924, 1926), in applying the Gestalt conception to aphasic disorders, brought the brain function as a whole into the picture. He found the basis of aphasie disorders in the inability of figure-background formation and categorical behaviour. Such extra-lingual factors have consequently been considered in the analysis of particular cases by several authors (Woerkom, 1925, 1931), Bowman and Gruenbaum (1925), Klein (1929, 1931, 1932). Demonstrated on two aphasic patients, they are also the subject of this paper.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1949 

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References

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