Page:Principles of Psychology (1890) v1.djvu/72

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PSYCHOLOGY.

ing way how numerous the associative paths are which all end by running out of the brain through the channel of speech. The hand-path is open, though the eye-path be closed. When mental blindness is most complete, neither sight, touch, nor sound avails to steer the patient, and a sort of dementia which has been called asymbolia or apraxia is the result. The commonest articles are not understood. The patient will put his breeches on one shoulder and his hat upon the other, will bite into the soap and lay his shoes on the table, or take his food into his hand and throw it down again, not knowing what to do with it, etc. Such disorder can only come from extensive brain-injury.[1]

The method of degeneration corroborates the other evidence localizing the tracts of vision. In young animals one gets secondary degeneration of the occipital regions from destroying an eyeball, and, vice versa, degeneration of the optic nerves from destroying the occipital regions. The corpora geniculata, thalami, and subcortical fibres leading to the occipital lobes are also found atrophied in these cases. The phenomena are not uniform, but are indisputable;[2] so that, taking all lines of evidence together, the special connection of vision with the occipital lobes is perfectly made out. It should be added that the occipital lobes have frequently been found shrunken in cases of inveterate blindness in man.


Hearing.

Hearing is hardly as definitely localized as sight. In the dog, Luciani's diagram will show the regions which directly or indirectly affect it for the worse when injured. As with sight, one-sided lesions produce symptoms on both sides. The mixture of black dots and gray dots in the diagram is meant to represent this mixture of 'crossed' and 'uncrossed' connections, though of course no topographical exactitude is aimed at. Of all the region, the temporal lobe is the most important part; yet permanent absolute deafness did not


  1. For a case see Wernicke's Lehrb. d. Gebirnkrankheiten, vol. II. p. 554 (1881).
  2. The latest account of them is the paper 'Über die optiscben Centren u. Bahnen' by von Monakow in the Archiv für Psychiatrie, vol. XX. p. 714.