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Association Cortex
68 Chapter 2 Biology and Behavior disembodied, like a ghost. On one occasion, for example, she became annoyed at a visitor for tapping her fingers on a tabletop. But it was Christina’s fingers, not the visitor’s, that were tapping. Her body was acting on its own, doing things she did not know about. ■ What was the researcher’s question? Christina could not walk or use her hands and arms. Why was a seemingly normal, healthy young woman falling and dropping things? ■ How did the researcher answer the question? A psychiatrist at the hospital thought that Christina was suffering from conversion disorder, a condition in which psychological problems cause physical disabilities (see the chapter on psychological disorders). Unconvinced, Sacks conducted a careful case study of Christina. ■ What did the researcher find? It turned out that the psychiatrist was wrong. Sacks’s examinations and tests revealed that Christina had lost all sensory feedback about her joints, muscle tone, and the position of her limbs. Christina had suffered a breakdown, or degeneration, of the sensory neurons that normally bring kinesthetic information to her brain. In other words, there was a biological reason that Christina could not walk or control her hands and arms. ■ What do the results mean? In his analysis of this case, Sacks noted that the sense we have of our bodies is provided partly through our experience of seeing but also partly through proprioception (sensing the self). Christina herself put it this way: “Proprioception is like the eyes of the body, the way the body sees itself. And if it goes, it’s like the body’s blind.” With great effort and determination, Christina was eventually able to regain some of her ability to move about. If she looked intently at her arms and legs, she could coordinate their movement somewhat. She was able to leave the hospital and resume many of her normal activities, but Christina never recovered her sense of self. She still feels like a stranger in her own body. ■ What do we still need to know? Notice that Christina’s case study did not confirm any hypotheses about kinesthesia in the way an experiment might. It did, however, focus attention on what it feels like to have lost this sense. It also highlighted a rare condition that, though almost unknown when Sacks reported it, has been observed more often in recent years, especially among people taking large doses of vitamin B6, also known as pyridoxine (Sacks, 1985). These large doses—or even smaller doses taken over a long period of time—can damage sensory neurons (Dordain & Deffond, 1994). How and why vitamin B6 does such damage still needs to be determined. Are there other causes of this kinesthetic disorder? What treatments might best combat it? These questions remain to be answered by the research of psychologists and other scientists who continue to unravel the mysteries of behavior and mental processes. Association Cortex association cortex The parts of the cerebral cortex that integrate sensory and motor information and perform complex cognitive tasks. Parts of the cortex that do not directly receive specific sensory information or control specific movements are referred to as association cortex. The term association describes these areas well, because they receive input from more than one sense or input that combines sensory and motor information. For instance, these areas associate words with images. Association cortex appears in all lobes of the brain and forms a large part of the cerebral cortex in humans. For this reason, damage to association areas can create serious problems in a wide range of mental abilities. The Central Nervous System: Making Sense of the World LINKAGES Where are the brain’s language centers? (a link to Thought, Language, and Intelligence) doing 2 learn by LANGUAGE AREAS OF THE BRAIN Have you ever tried to write notes while you were talking to someone? Like this teacher, you can probably write and talk at the same time, because each of these language functions uses different areas of association cortex. However, stop reading for a moment, and try writing one word with your left hand and a different word with your right hand. If you had trouble, it is partly because you asked the same language area of your brain to do two things at once. 69 Consider language. Language information comes from the auditory cortex for spoken language or from the visual cortex for written language. Areas of the motor cortex produce speech. Putting it all together in the complex activity known as language involves activity in association cortex. In the 1860s, a French surgeon named Paul Broca described the effects of damage to association cortex in the frontal lobe near motor areas that control face muscles. This part of the cortex is on the left side of the brain and is called Broca’s area (see Figure 2.10). Damage to Broca’s area disrupts speech organization, a condition called Broca’s aphasia. Victims have difficulty speaking, often making errors in grammar. Each word comes out slowly. Other language problems result from damage to a portion of association cortex described in the 1870s by a Polish neurologist named Carl Wernicke (pronounced “VER-nick-ee”). Figure 2.10 shows that, like Broca’s area, Wernicke’s area is on the left side of the brain, but it is in the temporal lobe, near the area of the sensory cortex that receives information from the ears. Wernicke’s area also receives input from the visual cortex and is involved in the interpretation of both speech and written words. Damage to Wernicke’s area produces complicated symptoms. It can leave patients with the ability to speak but disrupts the ability to understand the meaning of words or to speak understandably. Case studies illustrate the different effects of damage to each area (Lapointe, 1990). In response to the request “Tell me what you do with a cigarette,” a person with Wernicke’s aphasia replied, “This is a segment of a pegment. Soap a cigarette.” This speech was fluent but without meaning. In response to the same request, a person with Broca’s aphasia replied, “Uh . . . uh . . . cigarette [pause] smoke it.” This speech was meaningful, but halting and awkwardly phrased. Surprisingly, when a person with Broca’s aphasia sings, the words come easily and correctly. Apparently, words set to music are handled by one part of the brain and spoken words by another (Jeffries, Fritz, & Braun, 2003). Some speech therapists take advantage of this fact through “melodic intonation” therapy, which helps Broca’s aphasia patients to gain fluency by speaking in a “singsong” manner (Lapointe, 1990). It appears that written language and spoken language require the use of different areas of association cortex. So does language involving specific parts of speech (Shapiro, Moo, & Caramazza, 2006). For example, two women—H.W. and S.J.D—each had a stroke in 1985, causing damage to different language-related parts of their association