Aphasia, Apraxia and the Evolution of the Language-Ready Brain

Total Page:16

File Type:pdf, Size:1020Kb

Aphasia, Apraxia and the Evolution of the Language-Ready Brain APHASIOLOGY, 2006, 20 (9/10/11), 1125–1155 Aphasia, apraxia and the evolution of the language-ready brain Michael A. Arbib University of Southern California, Los Angeles, CA, USA Background: The Mirror System Hypothesis offers the mirror system for grasping (i.e., neural mechanisms active for both execution and observation of grasping) as a neural ‘‘missing link’’ between the brains of our non-human ancestors of 20 million years ago and the modern human language-ready brain, stressing the importance of manual gesture in the evolution of mechanisms supporting language. Aims: To assess the view that neural mechanisms for both praxis and language share an evolutionary relationship to the ancestral mirror system for grasping. Main Contribution: The praxis system receives a new analysis based on the attempt to link human praxis to computational models of execution and observation of grasping in the macaque as well as the analysis of parallels between language and praxis. Conclusions: The conceptual analysis presented here may prove insightful for clinicians seeking to relate and differentiate aphasia and apraxia. Since humans can learn language and monkeys and chimpanzees cannot, we seek brain regions that are homologous across these species (i.e., there is evidence for a shared ancestry) so that we may infer from analysis of both their similarities and differences what might have been the brain architecture of our common ancestor, and what may have changed along our varied evolutionary paths. The present discussion is rooted in the homology between human Broca’s area, traditionally thought of as a speech area, and premotor area F5 of the macaque brain (Rizzolatti & Arbib, 1998). But first some definitions: Address correspondence to: Michael A. Arbib, Computer Science Department, Neuroscience Program, and USC Brain Project, University of Southern California, Los Angeles, CA 90089-2520, USA. E-mail: [email protected]; web page: http://www-hbp.usc.edu/). This work was supported in part by NIH under grant 1 P20 RR020700-01 to the USC/UT Center for the Interdisciplinary Study of Neuroplasticity and Stroke Rehabilitation (ISNSR). In addition to thanking John Marshall, David Caplan, and Giacomo Rizzolatti for their early stimulus to my research on computational neurolinguistics and then the mirror system hypothesis, I want particularly to thank Anna Barrett, Anne Foundas, and Kenneth Heilman for the critique of the hypothesis that laid down the gauntlet that the present article picks up, and Chris Code, Laurel Buxbaum, Scott Frey, Rafaella Rumiati, and Angela Sirigu for guiding me through a number of relevant intricacies of the literature on apraxia and aphasia. # 2006 Psychology Press Ltd http://www.psypress.com/aphasiology DOI: 10.1080/02687030600741683 1126 ARBIB 1. A mirror neuron for an action x is a neuron that is active in the brain of an animal both when that animal executes an action of type x and when it observes another animal execute an action of type x. 2. However, this does not imply that such a neuron of itself encodes action x; for example, the neuron might encode a feature of action x (whether of the movement performed during action x, or the goal to which x is directed, or both) and thus be part of a population code for x or some other process associated with x. 3. A mirror system for a class X of actions is a region of the brain that, compared with other situations, becomes more active both when actions from class X are observed and when actions from class X are executed. Neurophysiological studies have shown mirror neurons for a wide range of actions in the macaque monkey, and brain-imaging experiments have demonstrated a mirror system for grasping in the human, but we have no single neuron studies proving the reasonable hypothesis that the human mirror system for grasping contains mirror neurons for specific grasps. More specifically, area F5 (the fifth region in a numbering for areas of the macaque frontal lobe) in ventral premotor cortex contains, among other neurons, a set of neurons that fire when the monkey executes a specific manual action (e.g., one neuron might fire when the monkey performs a precision pinch, another might fire when the monkey executes a power grasp). A subset of these neurons, the so-called mirror neurons, also discharge when the monkey observes meaningful hand movements made by the experimenter which are similar to those whose execution is associated with the firing of the neuron (Rizzolatti, Fadiga, Gallese, & Fogassi, 1996). By contrast, the canonical neurons are those belonging to the complementary, anatomically segregated subset of grasp-related F5 neurons that fire when the monkey performs a specific action but not when it observes a similar action. We further stress that mirror neurons for grasping have also been found in parietal areas of the macaque brain. Moreover, brain-imaging studies demonstrate that there are mirror systems for grasping (i.e., regions active for both observation and execution of grasping) in Broca’s area and parietal cortex. (For more information on the anatomy and neurophysiology, see Rizzolatti, Luppino, & Matelli, 1998; and Rizzolatti, Fogassi & Gallese, 2001). These findings are the basis for: N The Mirror System Hypothesis (MSH): The parity requirement for language in humans—that what counts for the ‘‘communicator’’ [e.g., speaker] must count approximately the same for the ‘‘communicatee’’ [e.g. hearer]—is met because Broca’s area evolved atop the mirror system for grasping with its capacity to generate and recognise a set of actions. Here, hand and face gestures may be used as well as, or instead of, vocal gestures for communication (Arbib & Rizzolatti, 1997; Rizzolatti & Arbib, 1998). When we explore the relation between praxis and communication, we will ask whether the same mirror neurons—accepting the hypothesis of (3)—are involved in both functions. Whether the answer is yes or no, it will be worth stressing that we must go ‘‘beyond the mirror’’—it is not mirror neurons alone that serve the various functions that interest us, but rather the larger systems (whose delimitation is a challenging task for present and future research) of which they form part. Although this article is not based on the work of John Marshall, its roots can in part be traced back to his influence and generosity. One morning in 1976, shortly EVOLUTION OF THE LANGUAGE-READY BRAIN 1127 after my family and I arrived in Edinburgh for a year’s sabbatical, there came a ring at the doorbell and there on the doorstep stood John Marshall, arriving unheralded to welcome us to Edinburgh. The friendship and conversations of the following year contributed to a rekindled interest in neurolinguistics that laid the basis for the paper by Arbib and Caplan (1979) and the two subsequent workshops at the University of Massachusetts at Amherst that eventually led to the book edited by Arbib, Caplan, and Marshall (1982); related efforts yielded the book by Arbib, Conklin, and Hill (1987). After that, my work on language entered a dormant stage but my work on brain mechanisms for the visual control of action proceeded apace, yielding among other things a partnership with Marc Jeannerod, Giacomo Rizzolatti, and Hideo Sakata (see Jeannerod, Arbib, Rizzolatti, & Sakata, 1995, for one result) that spanned the discovery of macaque mirror neurons in Parma and the linkage to Broca’s area that provided the foundation for MSH. Arbib (2005a) gives a comprehensive review of the current state of MSH, stressing that the formulation offered above is just a starting point for more detailed analysis. That review is accompanied by numerous commentaries and the author’s response. Of particular concern here is the commentary by Barrett, Foundas, and Heilman (2005) who discuss functional and structural evidence supporting differential localisation of the neuronal modules controlling limb praxis, speech and language, and emotional communication. They argue that such data rule against MSH. This paper will advance the debate, seeking to refute elements of their critique while conceding that definitive arguments in favour of MSH are still not available. EVOLUTIONARY PARCELLATION OF THE BRAIN As background for what follows, it will be useful to recall some key ideas from comparative neurobiology on the evolutionary parcellation of the brain. Butler and Hodos (1996) show that the course of brain evolution among vertebrates has been determined in great part by (a) formation of multiple new nuclei through elaboration or duplication; (b) regionally specific increases in cell proliferation in different parts of the brain; and (c) gain of some new connections and loss of some established connections. Increases in the overall size of mammalian neocortex are paralleled by increases in the number of its functional subdivisions and the complexity of the internal organisation of the subdivisions, although the differences between primates and other mammals, and between humans and other primates, appear to involve specific changes in circuitry beyond those related to the general sequelae of increase in brain size (Striedter, 2004, Chapter 9). Kaas (1993) and Krubitzer (1998) offer a detailed perspective on the evolution of cerebral cortex. The neocortex in mammals is divided into many functional subunits, each with a distinct variation on cortical cellular architecture and a unique pattern of connections. New cortical fields might be created by novel combinations of inputs, yielding new functions through varied processing of the patterns of activity in the inputs. Modules could then form within a field that are specialised for a given novel process (with these modules dispersed across the brain region to sample diverse parts of the input manifold). These modules might be of various column-like, band-like, or dot-like shapes, or even form layers or sublayers. Examples include the ocular dominance bands that subdivide primary visual cortex of some monkeys, cytochrome oxidase blob and interblob regions of primary cortex of primates, and 1128 ARBIB the irregular bands of cortex related to slowly adapting and rapidly adapting cutaneous receptors in SI of monkeys.
Recommended publications
  • 'Peanut Butter' Test Can Help Diagnose Alzheimer's Disease 9 October 2013
    Researchers find that 'peanut butter' test can help diagnose Alzheimer's disease 9 October 2013 (Medical Xpress)—A dollop of peanut butter and a and held the ruler next to the open nostril while the ruler can be used to confirm a diagnosis of early patient breathed normally. The clinician then moved stage Alzheimer's disease, University of Florida the peanut butter up the ruler one centimeter at a Health researchers have found. time during the patient's exhale until the person could detect an odor. The distance was recorded Jennifer Stamps, a graduate student in the UF and the procedure repeated on the other nostril McKnight Brain Institute Center for Smell and after a 90-second delay. Taste, and her colleagues reported the findings of a small pilot study in the Journal of the The clinicians running the test did not know the Neurological Sciences. patients' diagnoses, which were not usually confirmed until weeks after the initial clinical testing. Stamps came up with the idea of using peanut butter to test for smell sensitivity while she was The scientists found that patients in the early working with Dr. Kenneth Heilman, the James E. stages of Alzheimer's disease had a dramatic Rooks distinguished professor of neurology and difference in detecting odor between the left and health psychology in the UF College of Medicine's right nostril—the left nostril was impaired and did not department of neurology. detect the smell until it was an average of 10 centimeters closer to the nose than the right nostril She noticed while shadowing in Heilman's clinic had made the detection in patients with Alzheimer's that patients were not tested for their sense of disease.
    [Show full text]
  • Atlanta Dist Career
    INS Distinguished Career Award Atlanta Alexandre Castro-Caldas Alexandre Castro-Caldas has had a prolific scientific career, and has made important contributions in several areas of investigation in the areas of Behavioral Neurology and Neuropsychology including Parkinson ’s Disease, illiteracy, and the effects of dental amalgam. He has published nearly 200 papers and book chapters. He has had a major leadership role within INS as well as other national and international organizations. Dr. Castro-Caldas was a member of the INS Board of Governors from 1984-1986; organizer of the 1983 meeting in Lisbon and the 1993 mid-year meeting in Madeira, and was elected president of INS from 2001-2002. Dr. Castro-Caldas has also been highly influential in the field of Behavioral Neurology in Portugal and internationally. He has held positions of leadership in numerous organizations including: Director of the Institute of Health Sciences of Portuguese Catholic University; President of the College of Neurology (Ordem dos Médicos) (1994-97); Member of the International Committee of the International Neuropsychiatric Association; Member of Advisory Board of Portuguese Society of Cognitive Sciences; Advisory Board member The European Graduate School of Child Neuropsychology; President of the Portuguese Society of Neurology (1989-92); board member of the Portuguese Association of Psychology; Board member of the International Association for the Study of Traumatic Brain Injury; and the advisory board for the European Association of Neuropharmacology. Martha Denckla Gerald Goldstein Kenneth Heilman In 1938, parents Samuel and Rosalind Heilman and big brother Fred, welcomed baby boy Kenneth Martin Heilman at what is now Maimonides Hospital.
    [Show full text]
  • Apraxia: the Neuropsychology of Action
    Apraxia: The Neuropsychology of Action edited by Leslie j. Gonzalez Rothi and Kenneth M. Heilman Department of Veterans Affairs Medical Center and Department of Neurology, University of Florida, Ca inesville, FL 32610, USA 'P ~~~~~~~;?c9XP Press LONDON AND NEW YORK First published 1997 by Psychology Press Published 2014 by Psychology Press 27 Church Road, Hove, East Sussex, BN3 2FA and by Psychology Press 711 Third Avenue, New York, NY 10017 Psychology Press is an imprint ofthe Taylor & Francis Group, an informa business © 1997 by Psychology Press Ltd All rights reserved. No part ofthis book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library ISBN 978-0-86377-743-1 (pbk) ISBN 978-0-863-77743-1 (hbk) ISSN 0967-9944 Coverdesign by Joyce Chester TypesetinTimes by Gilbert Composing Services, Leighton Buzzard, Bedfordshire Publisher's Note The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original may be apparent. Contents Chapter I. Introduction to Limb Apraxia 1 Leslie J. Gonzalez Rothi and Kenneth M. Heilman Chapter 2. Limb Apraxia: A Look Back 7 Kenneth M.
    [Show full text]
  • Visuospatial Influences on Emotional Perception: Effects of Spatial Location on Ratings of Emotional Valence
    VISUOSPATIAL INFLUENCES ON EMOTIONAL PERCEPTION: EFFECTS OF SPATIAL LOCATION ON RATINGS OF EMOTIONAL VALENCE By DANA MARIE SZELES A DISSERTATION PRESENTED TO THE GRADUATE SCHOOL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY UNIVERSITY OF FLORIDA 2015 © 2015 Dana Marie Szeles To my parents, Rose and Rick Szeles ACKNOWLEDGMENTS First, I want to thank my dissertation chair and mentor, Dr. Tim Conway for his wise leadership, dedicated support, and constant direction throughout my graduate career – both in research and in my development as a professional, clinical neuropsychologist. Likewise, I want to thank my research advisor, Dr. Kenneth Heilman for his guidance during the development of this project, compassionate life advice, and unfailing faith in my scientific endeavors and career pursuits. I am thankful to Dr. Michael Robinson, whose statistical knowledge helped strengthen and validate the methodological approaches applied herein. I want to thank Liliana Salazar, Scott Norberg, and Damon Lamb – members of Dr. Heilman’s Center for Neuropsychological Studies – for directly assisting in recruitment and administration of the Vertical Neglect project that supported data collection for this study as well as the Department of Veteran’s Affairs for funding this important investigation. I am grateful to the entire lab for their insight throughout the evolution of my dissertation and their suggestions regarding both my study design and analyses. Most notably within the lab, I would like to recognize Dr. Kenneth Heilman, Dr. John Williamson, Dr. Adam Falchook, Dr. Keith White, Dr. Ira Fischler, Dr. Leah Acosta, Dr. Joanne Byars, Dr.
    [Show full text]
  • The Neuropsychology of Attention
    The Neuropsychology of Attention Ronald A. Cohen The Neuropsychology of Attention Second Edition Ronald A. Cohen, PhD, ABPP, ABCN Professor Departments of Neurology, Psychiatry and Aging Director, Center for Cognitive Aging and Memory University of Florida College of Medicine Gainesville , FL , USA Adjunct Professor Department of Psychiatry and Human Behavior Warren Alpert School of Medicine Brown University Providence , RI , USA ISBN 978-0-387-72638-0 ISBN 978-0-387-72639-7 (eBook) DOI 10.1007/978-0-387-72639-7 Springer New York Heidelberg Dordrecht London Library of Congress Control Number: 2013941376 © Springer Science+Business Media New York 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center.
    [Show full text]
  • The 20 Jean-Louis Signoret Neuropsychology Prize of the Fondation Ipsen Is Awarded to Prof. Patricia K. Kuhl (University of Wash
    Press release The 20th Jean-Louis Signoret Neuropsychology Prize of the Fondation Ipsen is awarded to Prof. Patricia K. Kuhl (University of Washington, Seattle, USA) Paris (France), 2 December 2011 – The international jury under the presidency of Prof. Albert Galaburda (Harvard Medical School, Boston, USA) awarded on November 29th, 2011 the 20th Jean- Louis Signoret Neuropsychology Prize of the Fondation Ipsen (20.000€) to Prof. Prof. Patricia K. Kuhl (University of Washington, Seattle, USA) for her work that played a major role in the understanding of language acquisition and the neural bases of language. Infants are born with innate abilities to easily identify every sound of every language, however, by the end of the first year of life, infants show a perceptual narrowing of their language skills. Their ability to discern differences in the sounds that make up words in the world’s languages shrinks. Nonnative sounds are no longer differentiated. This developmental transition is caused by two interacting factors: the child’s computational skills and their social brains. Computational skills allow rapid statistical learning and social interaction is necessary for this computational learning process to occur. Neuroimaging using Magnetoencephalography (MEG) may help explain the neuroplasticity of the child’s mind versus the more expert (but less open) mind of the adult, and account for the “critical period” for language. She also studied the early development of the brain of bilingual children. By 10 to 12 months bilingual infants do not show the perceptual narrowing of the monolingual children. This is another piece of evidence that experiences shape the brain.
    [Show full text]
  • Dissynchronization Syndromes in Animals and Man: What Would Nor- Man Geschwind Say in the 21Stcentury?
    Global Scientific Journal of Neurology and Neurophysiology Global Scientific Library Commentary Dissynchronization Syndromes in Animals and Man: What would Nor- man Geschwind say in the 21stcentury? Robert Watson* Professor Emeritus of Neurology, University of Florida College of Medicine, USA Perhaps the most remarkable feature of the human brain is its therefore wholly chronological. In order to present a comprehensive ability to process an infinite number of unique “events” to produce an view, and having regard to differences of a general nature, I have infinite number of possible unique behavioral outcomes, and do this classified them in the three following chronological groups: (1) regions almost instantly. No wiring diagram can account for the complexity, of early development (primordial zones); (2) regions of intermediate variety and especially the speed of these processes, nor of the capacity development (intermediate zones); regions of late development to learn and remember. The concept of neural networks arose to clarify (terminal zones).” the needed qualities, including parallel and distributed computation If one overlays the zones of Flechsig onto the technicolor voxels and plasticity, but there has not been a reasonable proposal for how of Sepulcre the similarity between the three zones of Flechsig and the these networks communicate, and how they communicate in a almost initial (unimodal), intermediate (multimodal) and terminal (cortical instantaneous fashion. hubs) of Sepulcre et al., [1] is striking. The discovery of neural networks is changing how we think about Even before Fleichsig, such luminaries as Karl Wernicke, Paul brain organization. Research revealing the location and function Broca, Hugo Liepman, Joseph Dejerine and others localized the higher of networks has increased exponentially during the past 25 years.
    [Show full text]
  • CONFERENCE November 4 - 7, 2015 JW Marriot Austin, Texas
    35th annual CONFERENCE November 4 - 7, 2015 JW Marriot Austin, Texas #NAN #NANAustin @NANneuropsych Assessments Tablet-based administration, scoring and reporting YOU Expanding test library includes: Depend On Visit HelloQ.com/home for a free trial! Psychologists around the world trust Pearson’s assessments to help them make informed decisions in their ongoing efforts to improve lives. Our innovative assessments are research-based and proven to be valid and reliable. Plus, Pearson’s Q-interactive® and Q-global® can help you transform test administration and reporting in your practice. Web-based administration, scoring, and reporting These convenient, easy-to-use digital systems allow you to Expanding test library includes: improve your workflow while better serving clients. For more information, please stop by to see us at our booth. Coming 2016 or visit PearsonClinical.com/NANConvention. 800.627.7271 PearsonClinical.com Copyright © 2015 Pearson Education, Inc. or its affiliate(s). All rights reserved. Always Learning, BASC, KTEA, NEPSY, WMS, WISC-IV, Q-global, Q-interactive, Pearson, design for Psi, and PsychCorp are trademarks, in the U.S. and/or other countries, of Pearson Education, Inc. or its affiliate(s). MCMI and Millon are registered trademarks of DICANDRIEN, INC. The following are registered trademarks of the Regents of the University of Minnesota: MMPI, MMPI-2-RF, Minnesota Multiphasic Personality Inventory, and Minnesota Multiphasic Personality Inventory-2-Restructured Form. The following are unregistered, common law trademarks of the University of Minnesota: MMPI-A, Minnesota Multiphasic Personality Inventory-Adolescent, MMPI-A-RF, Minnesota Multiphasic Personality Inventory-Adolescent-Restructured Form, MMPI-2, Minnesota Multiphasic Personality Inventory-2, and The Minnesota Report.
    [Show full text]
  • Edith Kaplan (1924–2009)
    OBITUARY Edith Kaplan (1924–2009) guage disorders in two separate fields of clinical practice: speech pathology and neuropsychology. Many scholars view the time that Edith worked at the Boston VA, from 1956 to 1985, as the golden years of neuro- psychology. There was an uncanny coming together of brilliant minds from the fields of neuropsychology, behavioral neurology, cognitive science, and speech pathology, all working together on “7D,” the famous neurology ward on the 7th floor of the Boston VA. In addition to Kaplan and Goodglass, the multidisciplinary team included Norman Geschwind, Frank Benson, Nelson But- ters, Laird Cermak, Howard Gardner, Kenneth Heilman, Michael Alexander, Nancy Helm-Estabrooks, Margaret Naeser, Marlene Oscar-Berman, Donald Stuss, and Edgar Zurif. The convergence of these brilliant clinician–scientists, integrating their unique con- tributions in the service of a common goal, led to some of the most important early discoveries in the study of mind–brain relationships. An example of the exciting breakthroughs that were occur- ring on 7D at that time is illustrated by what happened after Edith, with her legendary clinical acumen, first discovered the patient who could perform practic (symbolic) movements (e.g., pretend to flip a coin, write meaningful words, type meaningful words) with his right hand but not with his left hand, all the while showing normal motor skills in his left hand. Following several months of intense scrutiny, testing, and retesting by Edith, this Edith Kaplan, widely regarded as the mother of clinical case continued to baffle the entire neurology and neuropsychol- neuropsychology, passed away on September 3, 2009, at ogy staff at the Boston VA until one day the chairman of the the age of 85.
    [Show full text]
  • Kenneth M. Heilman, MD, FAAN
    Interview with Kenneth M. Heilman, MD American Academy of Neurology Oral History Project November 4, 2013 (c) 2013 by the American Academy of Neurology All rights reserved. No part of this work may be reproduced or transmitted by any means, electronic or mechanical, including photocopy and recording or by any information storage and retrieval system, without permission in writing from the American Academy of Neurology American Academy of Neurology Oral History Project Interview with Kenneth M. Heilman, MD Interviewed by Heidi L. Roth, MD with Barbara W. Sommer, BWS Associates Interviewed in Doctor Heilman’s Office and in the Library of the Department of Neurology, University of Florida Medical Center, Gainesville, Florida Interviewed on November 4, 2013 Kenneth M, Heilman -KH Heidi L. Roth - HR Barbara W. Sommer - BWS BWS: Today is November 4, 2013, and we are interviewing Doctor Kenneth Heilman for the American Academy of Neurology [AAN] Oral History Project at the University of Florida Medical Center. Doctor Heilman is the James E. Rooks, Jr. Distinguished Professor of Neurology and Health Psychology Program Director and [former] Chief of Neurology at the Northwestern Florida/South Georgia Veterans Affairs Medical Center, and he is director for the Center for Neuropsychological Studies and Behavior Neurology Dementia Post- Doctoral Program at the University of Florida College of Medicine, which has trained more than seventy post-doctoral fellows. He is director of the Cognitive and Memory Disorder Clinic and the University of Florida Alzheimer’s Disease Center, Director of the Memory Disorders Clinic at the University of Florida/Shands, which is one of the memory disorder clinics supported by the University of Florida Department of Elder Affairs, and founder of the Society of Behavioral and Cognitive Neurology.
    [Show full text]
  • Norman Geschwind (1926–1984)
    J Neurol (2013) 260:3197–3198 DOI 10.1007/s00415-013-6871-9 PIONEERS IN NEUROLOGY Norman Geschwind (1926–1984) Stefano Sandrone Received: 19 December 2012 / Revised: 1 February 2013 / Accepted: 7 February 2013 / Published online: 3 March 2013 Ó Springer-Verlag Berlin Heidelberg 2013 Despite difficulties, Hannah sent Norman and his brother Irving to the Hebrew Institute of Borough Park, where he never mastered Hebrew [2]. His later years at the Boy’s High School in Brooklyn were instead recognized as the most profound educational experience of his life [2]. He loved literature and Latin, was attracted by mathematics and nicknamed the ‘head’ [4]. Geschwind had the credits to enroll in Columbia College and City College, but his Latin teacher convinced him to enter Harvard University on a Pulitzer Scholarship [2]. During his first two years in Boston, Geschwind’s interests turned towards medicine, but his application to Harvard Medical School was turned down. In 1944 he was drafted, and after serving for 2 years he returned to Harvard University, where he completed his Bachelor of Arts Degree, magna cum laude [10]. Geschwind then began to study anthropology and psychology, partly through amazement by the ability of soldiers in battle to forget their own safety and attack when they were asked to [4]. His interest in psychology soon resulted in a fascination with psychiatry, and he applied again, this time successfully, to Harvard Medical School. Previously, he believed that anat- omy and physiology were irrelevant to the study of human Norman Geschwind (1926–1984) was born in New York behaviour, but now he had changed his mind, thanks to the City on 8 January, 1926, where his parents, Hannah and neuroanatomical classes of Marcus Singer, who introduced Morris, had arrived from Polish Galicia 20 years before [4].
    [Show full text]
  • Descartes' Error: Emotion, Reason, and the Human Brain I Antonio R
    M 0 r -I I [.- %-j = P n Or rIR F motionmotion, T e ci s'o n, 0a n c FD t,e e ]auma|numan rain I-iA A i A A AI r- I NXI I I I IXI I I I LII I I I I II IL I III ! I-% lvi | I t -J I tI "Antonio Damasio's astonishing book takes us on a scientific journey into the brain that reveals the invisible world within us as if it were visible to our sight. You will never again look at yourself or at another without wondering what goes on behind the eyes that so meet." -Jonas Salk, biologist "An ambitious and meticulous foray into the nature of being." -Boston Globe "Tap-dancing on the edge between philosophy and science, Damasio cogently rejects simplistic divisions between mind and body." -Philadelphia InqUirer (Notable Book of the Year) "Damasio is to be congratulated for presenting us with a clear view of how reason and emotions interact to produce our decisions,our beliefs,our plans for action ... He has made a superb contribution to this ongoing and exciting endeavor by recognizing the links between the body and mind, emotion and reason." -Natural History "Better than a novel. Descartes' Errorconstitutes a true event that revolutionizes our understanding of the most precious of our organs." -Figaro Magazine "Here, at last, is an attempt by one of the world's foremost neurologiSts to synthesize what is known about the workings of the human brain. It bases its arguments on a profound knowledge of the brain rather than on a wish to redesign it as an engineer might.
    [Show full text]