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which in turn excite others, until at last a motor discharge downwards of some sort occurs. When this is once clearly grasped there remains little ground for keeping up that old controversy about the motor zone, as to whether it is in reality motor or sensitive. The whole cortex, inasmuch as currents run through it, is both. All the currents probably have feelings going with them, and sooner or later bring movements about. In one aspect, then, every centre is afferent, in another efferent, even the motor cells of the spinal cord having these two aspects inseparably conjoined. Marique,* and Exner and Paneth + have shown that by cutting round a 'motor'.centre and so separating it from the influence of the rest of the cortex, the same disorders are produced as by cutting it out, so that really it is only the mouth of the funnel, as it were, through which the stream of innervation, starting from elsewhere, pours; consciousness accompanying the stream, and being mainly of things seen if the stream is strongest occipitally, of things heard if it is strongest temporally, of things felt, etc., if the stream occupies most intensely the 'motor zone.' It seems to me that some broad and vague formulation like this is as much as we can safely venture on in the present state of science; and in subsequent chapters I expect to give confirmatory reasons for my view.

MAN'S CONSCIOUSNESS LIMITED TO THE HEMISPHERES.

But is the consciousness which accompanies the activity of the cortex the only consciousness that man has? or are his lower centres conscious as well?

This is a difficult question to decide, how difficult one only learns when one discovers that the cortex-consciousness itself of certain objects can be seemingly annihilated in any good hypnotic subject by a bare wave of his operacommon to talk of an 'ideational centre' as of something distinct from the aggregate of other centres. Fortunately this custom is already on the * Rech. Exp. sur le Fonctionnement des Centres Psycho-moteurs (BrusBels, 1885).

wane.

Pflüger's Archiv, vol. 44, p. 544.

I ought to add, however, that François-Franck (Fonctions Motrices, p. 370) got, in two dogs and a cat, a different result from this sort of 'cir cumvallation.'

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tor's hand, and yet be proved by circumstantial evidence to exist all the while in a split-off condition, quite as 'ejective to the rest of the subject's mind as that mind is to the mind of the bystanders.† The lower centres themselves may conceivably all the while have a split-off consciousness of their own, similarly ejective to the cortex-consciousness; but whether they have it or not can never be known from merely introspective evidence. Meanwhile the fact that occipital destruction in man may cause a blindness which is apparently absolute (no feeling remaining either of light or dark over one half of the field of view), would lead us to suppose that if our lower optical centres, the corpora quadrigemina, and thalami, do have any consciousness, it is at all events a consciousness which does not mix with that which accompanies the cortical activities, and which has nothing to do with our personal Self. In lower animals this may not be so much the case. The traces of sight found (supra, p. 46) in dogs and monkeys whose occipital lobes were entirely destroyed, may possibly have been due to the fact that the lower centres of these animals saw, and that what they saw was not ejective but objective to the remaining cortex, i.e. it formed part of one and the same inner world with the things which that cortex perceived. It may be, however, that the phenomena were due to the fact that in these animals the cortical'centres' for vision reach outside of the occipital zone, and that destruction of the latter fails to remove them as completely as in man. This, as we know, is the opinion of the experimenters themselves. For practical purposes, nevertheless, and limiting the meaning of the word consciousness to the personal self of the individual, we can pretty confidently answer the question prefixed to this paragraph by saying that the cortex is the sole organ of consciousness in man. If there * For this word, see T. K. Clifford's Lectures and Essays (1879), vol. II. p. 72.

+ See below, Chapter VIII.

Cf. Ferrier's Functions, pp. 120, 147, 414. See also Vulpian: Leçons sur la Physiol. du Syst. Nerveux, p. 548; Luciani u. Seppili, op. cit. pp. 404–5; H. Maudsley: Physiology of Mind (1876), pp. 138 ff., 197 ff., and 241 ff. In G. H. Lewes's Physical Basis of Mind, Problem IV: 'The Reflex Theory,' a very full history of the question is given.

be any consciousness pertaining to the lower centres, it is a consciousness of which the self knows nothing.

THE RESTITUTION OF FUNCTION.

Another problem, not so metaphysical, remains. The most general and striking fact connected with cortical injury is that of the restoration of function. Functions lost at first are after a few days or weeks restored. How are we to understand this restitution?

Two theories are in the field:

1) Restitution is due to the vicarious action either of the rest of the cortex or of centres lower down, acquiring functions which until then they had not performed;

2) It is due to the remaining centres (whether cortical or 'lower') resuming functions which they had always had, but of which the wound had temporarily inhibited the exercise. This is the view of which Goltz and BrownSéquard are the most distinguished defenders.

Inhibition is a vera causa, of that there can be no doubt. The pneumogastric nerve inhibits the heart, the splanchnic inhibits the intestinal movements, and the superior laryngeal those of inspiration. The nerve-irritations which may inhibit the contraction of arterioles are innumerable, and reflex actions are often repressed by the simultaneous excitement of other sensory nerves. For all such facts the reader must consult the treatises on physiology. What concerns us here is the inhibition exerted by different parts of ne nerve-centres, when irritated, on the activity of distant parts. The flaccidity of a frog from 'shock,' for a minute or so after his medulla oblongata is cut, is an inhibition from the seat of injury which quickly passes away.

What is known as 'surgical shock' (unconsciousness, pallor, dilatation of splanchnic blood-vessels, and general syncope and collapse) in the human subject is an inhibition which lasts a longer time. Goltz, Freusberg, and others, cutting the spinal cord in dogs, proved that there were functions inhibited still longer by the wound, but which reestablished themselves ultimately if the animal was kept alive. The lumbar region of the cord was thus found to contain independent vaso-motor centres, centres for erec

tion, for control of the sphincters, etc., which could be excited to activity by tactile stimuli and as readily reinhibited by others simultaneously applied.* We may therefore plausibly suppose that the rapid reappearance of motility, vision, etc., after their first disappearance in consequence of a cortical mutilation, is due to the passing off of inhibitions exerted by the irritated surface of the wound. The only question is whether all restorations of function must be explained in this one simple way, or whether some part of them may not be owing to the formation of entirely new paths in the remaining centres, by which they become 'educated' to duties which they did not originally possess. In favor of an indefinite extension of the inhibition theory facts may be cited such as the following: In dogs whose disturbances due to cortical lesion have disappeared, they may in consequence of some inner or outer accident reappear in all their intensity for 24 hours or so and then disappear again. † In a dog made half blind by an operation, and then shut up in the dark, vision comes back just as quickly as in other similar dogs whose sight is exercised systematically every day. A dog which has learned to beg before the operation recommences this practice quite spontaneously a week after a double-sided ablation of the motor zone.§ Occasionally, in a pigeon (or even, it is said, in a dog) we see the disturbances less marked immediately after the operation than they are half an hour later. This would be impossible were they due to the subtraction of the organs which normally carried them on. Moreover the entire drift of recent physiological and pathological speculation is towards enthroning inhibition as an ever-present and indispensable condition of orderly activity. We shall see how great is its importance, in the chapter on the Will. Mr. Charles Mercier considers that no muscular contraction, once begun, would ever stop without it, short of exhaustion

* Goltz: Pflüger's Archiv, vol. 8, p. 460; Freusberg: ibid. vol. 10, p. 174 + Goltz: Verrichtungen des Grosshirne, p. 78.

Loeb Pflüger's Archiv, vol. 39, p. 276.

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of the system;* and Brown-Séquard has for years been accumulating examples to show how far its influence extends. † Under these circumstances it seems as if error might more probably lie in curtailing its sphere too much than in stretching it too far as an explanation of the phenomena following cortical lesion. +

On the other hand, if we admit no re-education of centres, we not only fly in the face of an a priori probability, but we find ourselves compelled by facts to suppose an almost incredible number of functions natively lodged in the centres below the thalami or even in those below the corpora quadrigemina. I will consider the a priori objection after first taking a look at the facts which I have in mind. They confront us the moment we ask ourselves just which are the parts which perform the functions abolished by an operation after sufficient time has elapsed for restoration to occur?

The first observers thought that they must be the corresponding parts of the opposite or intact hemisphere. But as long ago as 1875 Carville and Duret tested this by cutting out the fore-leg-centre on one side, in a dog, and then, after waiting till restitution had occurred, cutting it out on the opposite side as well. Goltz and others have done the same thing.§ If the opposite side were really the seat of the restored function, the original palsy should have appeared again and been permanent. But it did not appear at all; there appeared only a palsy of the hitherto unaffected side. The next supposition is that the parts surrounding the cut-out region learn vicariously to perform its duties. But here, again, experiment seems to upset the hypothesis, so far as the motor zone goes at least; for we may wait till motility has returned in the affected limb, and then both irritate the

* The Nervous System and the Mind (1888), chaps. III, VI; also in Brain, vol. xi. p. 361.

+ Brown-Séquard has given a résumé of his opinions in the Archives de Physiologie for Oct. 1889, 5me. Série, vol. 1. p. 751.

Goltz first applied the inhibition theory to the brain in his 'Verrichtungen des Grosshirns,' p. 39 ff. On the general philosophy of Inhibition the reader may consult Brunton's Pharmakology and Therapeutics,' p. 154 ff., and also 'Nature,' vol. 27, p. 419 ff.

§ E.g. Herzen, Herman u. Schwalbe's Jahres-bericht for 1886, Physiol Abth. p. 38. (Experiments on new-born puppies.,

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