Walter Moxon and His Thoughts About Language and the Brain

Walter Moxon wrote a well-timed paper in 1866 on aphemia with accompanying right sided hemiplegia. Like many other investigators of this apparent lopsidedness of the articulatory system for human speech, Moxon had to reconcile left hemisphere specialization for this function with the overriding law of symmetry, which for a large sector of the scientific community was a sine qua non of the anatomy and function of high level animal cognition. His reasoning was essentially that since the right dominant hand (and hence the left hemisphere) in some sense led overall bilateral limb movement patterns, that the right side of the tongue would lead whole tongue movement for articulation, the left side following in some mechanical sense. Thus, Moxon could link left hemisphere dominance for handedness as well as for speech. His theory was that “attention” was focused on the left hemisphere during limb movement development, under his assumption that the articulators were limbs as well as the arms and hands. The present paper will examine the professional life of Moxon and his 1866 paper, as well as the scant commentary that it has elicited in the literature on the history of left hemisphere dominance for the human articulatory function.     

Gustave Dax and his fight for recognition: an overlooked chapter in the early history of cerebral dominance

The year 1865 was revolutionary in neuroscience. In this year, three papers were published on the topic of cerebral dominance for speech. These papers were authored by Paul Broca, Marc Dax, and Gustave Dax, and they contributed to a priority debate that cannot be easily resolved. Gustave Dax claimed that his long dead father had written a memoir and presented it orally in Montpellier in 1836, thus making him the first person to write about cerebral dominance. He also claimed that he was the second person to write on the subject, the first to support his father's claims, and the first to try to localize the center for speech in just one part the left hemisphere, the middle (temporal) lobe. Paul Broca, however, was now getting much of the credit for these discoveries. To set the record straight, Gustave published several letters. This paper presents translations of Gustave's letters of 1866, 1875, and 1877, as well as the historical note written by Raymond Caizergues in 1879, and recreates the events that triggered the younger Dax's anger.     

Walter Moxon, MD, FCRP (1836-1886): the cerebro-vascular system and the syndrome of "congestion of the brain": an analysis of his 1881 Croonian Lectures

Walter Moxon, MD, FRCP lived, practiced medicine, taught and wrote in the mid- to late- nineteenth-century Victorian England, mostly at Guy's Hospital, London. He was widely informed in the "Art of Physic," writing on a range of issues from cerebral lateralization of articulate speech to angina pectoris. The present paper will trace briefly his contributions to the newly discovered asymmetry of articulate speech in the left frontal lobe (1866) and will in more detail trace and analyze his 1881 Croonian Lectures at the Royal College of Physicians on a medical shibboleth referred to as "congestion of the brain." In a series of ingenious and rhetorically creative arguments with imaginative tropes, demonstrations, evolutionary accounts of cognition and blood metabolism for human/biped cognition, and cogent citations from the medical literature of the day, Moxon skillfully instructs his medical audience against the misleading notion of cerebral "congestion" as an underlying pathology for cognitive, motor, and sensory deficits seen in the clinic. In so doing, he provides the medical community with an in-depth glimpse at the circulatory system, its flow dynamics, and how they serve to meet the cognitive, motor, and sensory demands of upright bipedal man.     

Reply to Flesher–Rick Rylance

Walter Moxon, MD, FRCP lived, practiced medicine, taught and wrote in the mid- to late- nineteenth-century Victorian England, mostly at Guy's Hospital, London. He was widely informed in the “Art of Physic,” writing on a range of issues from cerebral lateralization of articulate speech to angina pectoris. The present paper will trace briefly his contributions to the newly discovered asymmetry of articulate speech in the left frontal lobe (1866) and will in more detail trace and analyze his 1881 Croonian Lectures at the Royal College of Physicians on a medical shibboleth referred to as “congestion of the brain.” In a series of ingenious and rhetorically creative arguments with imaginative tropes, demonstrations, evolutionary accounts of cognition and blood metabolism for human/biped cognition, and cogent citations from the medical literature of the day, Moxon skillfully instructs his medical audience against the misleading notion of cerebral “congestion” as an underlying pathology for cognitive, motor, and sensory deficits seen in the clinic. In so doing, he provides the medical community with an in-depth glimpse at the circulatory system, its flow dynamics, and how they serve to meet the cognitive, motor, and sensory demands of upright bipedal man.     

A reappraisal of the controversy of Dax and Broca

Paul Broca is unanimously recognized as the founder of neuropsychology. Helis development of the scientific method to map mental functions onto brain topographpy has been enormously influential. Nevertheless, Dax's paper on the left hemisphere dominance for speech was written and published before Broca explicitely proposed the same theory. Probably, Broca was aware of the paper prior to 1865, but he never acknowledged Dax's original theoretical contribution. On the contrary, he always claimed to be the first to espouse the theory of left hemisphere dominance for language and never quoted Marc Dax (Broca, 1877 p 536), 'I do not like dealing with the questions of priority concerning myself. That is the reason why I did not mention the name of Dax in my paper'. In our opinion, the weight of evidence reported here suggests that the theory of the left hemisphere dominance for speech must be attributed equally to Dax and Broca, and henceforth should be called 'the theory of Dax-Broca'.     

Broca’s Aphemia: The Tortuous Story of a Nonaphasic Nonparalytic Disorder of Speech

Broca coined the neologism “aphemia” to describe a syndrome consisting of a loss of the ability to speak without impairment of language and paralysis of the faciolingual territories in actions unrelated to speech, such as protruding the tongue or pursing the lips. Upon examining the brains of patients with aphemia, Broca concluded that the minimum possible lesion responsible for aphemia localized to the posterior left inferior frontal gyrus and lower portion of the middle frontal gyrus. A review of Broca’s writings led us to conclude that (a) Broca localized speech, not language, to the left hemisphere, (b) Broca’s aphemia is a form of apraxia, (c) Broca’s aphemia is not, therefore, a terminological forerunner of aphasia, and (d) Broca was an outspoken equipotentialist concerning the cerebral localization of language. Broca’s claim about the role of the left hemisphere in the organization of speech places him as the legitimate forebear of the two most outstanding achievements of Liepmann’s work, namely, the concepts of apraxia and of a left hemisphere specialization for action.     

William Rutherford Sanders (1828–1881) and his neurologically fertile years (1865–1868)

ABSTRACT

William Rutherford Sanders (1828–1881) was an Edinburgh physician who occupied the Chair of Pathology at the University of Edinburgh from 1869 to 1881. All of his published output between 1865 and 1868 was concerned with neurology. In arguing that a patient did not have paralysis agitans, Sanders (1865) employed the term “Parkinson’s disease” for the first time in the English-language literature to distinguish between the disorder that Parkinson (1817) termed “paralysis agitans” and other types of shaking palsies. He contributed a major chapter on the same topic to Russell Reynolds’s A System of Medicine (1868). Sanders also investigated the innervation of the palate and facial muscles (1865), and in 1866 recorded the autopsy findings in two cases of aphasia. Here, for the first time in the English-language literature, he described findings that supported Broca’s location of the representation of speech to a particular area of the left cerebral hemisphere.     

Facts and Philosophy in Neurophysiology. The 200th Anniversary of Johannes Müller (1801–1858)

Johannes Müller was the founder of the first school of physiology in Germany. His anatomical, morphological and physiological research as well as his epistemological view of scientific medicine opened the way to a deeper understanding of the structure and the function of the organism. With important discoveries like the law of sense energy, the reflex movement and the definition of different organic stimuli, he enriched the knowledge of neuroanatomy, neurophysiology and sensory physiology and smoothed the way to an experimental physiology. All his famous students like Hermann von Helmholtz, Emil Du Bois-Reymond, Ernst Brücke, Jakob Henle, Robert Remak, Rudolf Virchow and Ernst Haeckel solved many crucial research problems, which Müller identified and pointed out to them as open questions, due to the insufficient methods of investigation. Müller's research method, epistemological view of biological sciences, and his open-minded personal style encouraged the development of new methods adapted to particular problems.     

The validity of Barlow's 1877 case of acquired childhood aphasia: case notes versus published reports

In 1877, Barlow described a ten-year-old boy with right hemiplegia and aphasia, quick recovery of language function, and subsequent left hemiplegia and aphasia, who was shown to have symmetrical left and right Broca's area lesions at autopsy. The report of this case motivated many writers in the second half of the nineteenth century to develop theories on localization, laterality, equipotentiality and development of specialization, recovery of function, and the role of the right hemisphere (see Finger et al., 2003, for review). This paper presents an analysis of the original archived case notes that have recently come to light. Examination reveals discrepancies in significant details of the history of the case and raises questions about the degree of impairment and recovery throughout his illness as reported in the published article. Consideration of these differences between the presentation of the case in the British Medical Journal publication and the documentation in the original patient records raises issues about the validity of this case as evidence for the many arguments it was to support that have persisted to the present.     

Monarchism,an Emerging Canadian Identity,and the 1866 British North American Trade Mission to the West Indies and Brazil

In 1865, the colonies of eastern British North America created a joint commission to investigate the possibility of reciprocal trade agreements with other parts of the Western hemisphere. In early 1866, the commissioners visited the West Indies and the Empire of Brazil, where they met officials and business leaders. No actual tariff agreements resulted from the commissioners’ travels, the main concrete result of the 1866 trade mission being the establishment of a direct steamship service between Canada and the West Indies. The study of contemporary discussions of the trade mission deepens our understanding of the history of relations between the British West Indies and British North America in the aftermath of emancipation and the end of the ‘Old Colonial System’. Moreover, these discussions reveal different elements of an emerging Canadian identity. Discourse of Britishness influenced the 1866 trade mission, but so did a sense of affinity linking Canada to the other monarchical territories in the Western hemisphere, such as the Empire of Brazil. For their part, some contemporaries in the West Indies welcomed the Canadian trade initiative because they wished for a counterweight to the growing influence of the United States in the region. The article also presents new information about British policy towards Latin America, particularly Mexico and Brazil, as well as British commercial diplomacy more generally. The article is based on materials in archives in the United Kingdom and Canada as well as a range of printed primary sources.     

Broca’s faculté du langage articulé: Language or Praxis?

De Oliveira-Souza, Moll, and Tovar-Moll (this issue) historically reevaluate that Paul Broca’s aphemia should be considered as a kind of apraxia rather than aphasia. I argue that such a claim is unwarranted, given the interpretation of the faculty of speech Broca derived from his predecessors, Jean-Baptiste Bouillaud and Franz Joseph Gall, and also with a view on the then generally held opinion that the terms aphémie and aphasie were synonyms. I will discuss evidence that patients such as Leborgne, producing only very few words or syllables, suffer from a global aphasia, affecting all modalities, despite Broca’s statement that Leborgne’s comprehension was intact. I also point to Broca’s claim that the faculty of speech, located in the left anterior hemisphere, is independent from hand preference because it is an intellectual and not a motor function, and to his statement that the cerebral convolutions are not motor organs. I finally contend that, in order to determine whether a given language problem should be labeled as aphasia or apraxia, it is crucial to first be clear on the components of old and new models of language production.     

JFK and the future of global leadership

On 10 June 1963 President John F. Kennedy gave a speech that changed the world. His commencement speech at American University helped to spur the signing of a world‐changing agreement between the Soviet Union and the United States—the Partial Nuclear Test Ban Treaty. This episode of peacemaking is remarkable for two reasons. First, it arguably helped to save the world, since the nuclear confrontation at that stage of the Cold War was not a ‘stable balance of terror’, as sometimes described, but rather a highly unstable situation that was prone to accidents, misjudgements and potential disasters. Second, this was an episode of statesmanship in which presidential leadership played a crucial role. Following the Cuban Missile Crisis, Kennedy understood that he bore sole responsibility on the US side to find a way back from the brink of nuclear war. He used the ‘peace speech’ to create a novel kind of peace diplomacy, and worked together with his counterpart, Soviet leader Nikita Khrushchev, to pull the superpowers back from this precarious brink.     

Directional bilateral asymmetry in human sacral morphology

Directional bilateral asymmetries in human gross skeletal morphology are largely attributable to differential mechanical loading from handedness during endochondral bone growth. While much has been done in the way of identifying directional asymmetries of the upper limb in relation to handedness, comparatively little research has focused on asymmetry in the lower body. The present paper analyses asymmetry in the human sacrum in a sample of 238 modern individuals. Measurements of right and left sides of the lateral and posterior breadths of the alae and the maximum height of the auricular surface were used. Asymmetry was calculated as: [(left side − right side) ÷ right side] * 100. Directional asymmetry was identified using a one‐sample t‐test against a hypothesized mean of zero. Significant directional asymmetry (P < 0.05) was found in all three dimensions. The pattern of asymmetry is consistent with models describing the influence of right‐handedness on the lower body, which predicts that left side dimensions will be larger. Copyright © 2002 John Wiley & Sons, Ltd.     

Facing the past: Walter Benjamin's antitheses1

This paper examines some of the work of Walter Benjamin in the philosophy of history. It suggests that his work, including the famous “Theses on the Philosophy of History” contains important insights of interest to those engaged in reflections on history. Benjamin was concerned to argue against what he saw as the distorting effect of certain views in the philosophy of history and a belief in progress which he saw as having damaging practical effects. In this he was quite right. However, the importance of his work lay primarily not in philosophy of history in an analytical sense of the term, but in the substantive sense, that is, the sense in which claims are made concerning the directionality of the historical process. Benjamin sought to show that in this sense of the term, it was important to avoid belief in the necessity of progress. However, I argue that he overstated his case in his determination to avoid a philosophy of history committed to belief in progress. His implicit claim that a merely negative philosophy of history is possible proves to be an illusion because (whether negative or positive), a philosophy of history makes presuppositions about the directionality of history (or its absence) which go beyond the empirical evidence.     

Ata's Speech at the Royal Kava Ceremony Installation of Tu‘i Kanokupolu Tupou V on 30 July 2008: A Response to the Tongan Democracy Movement

His Majesty King George Tupou V, who reigned as the king of Tonga from 2008 to 2012, inherited near-absolute political power from his predecessors, yet two days before his coronation he announced that he would relinquish that power and granted amendments to the Tongan constitution, thereby making Tonga democratic. Innovative additions to the conventional speech made by the chief Ata at his taumafa kava installation ceremony as the 23rd Tu‘i Kanokupolu, on 30 July 2008 in Nuku‘alofa, suggest that the speech was composed by, or at the behest of, Tupou V himself to express his view of the contemporary ideology of his dynasty. The speech consists of 92 lines of traditionally styled Tongan poetry that rehearse the origins, history and achievements of the Tu‘i Kanokupolu dynasty, frequently employing pre-existing phraseology. Twenty-five anomalies of rhyme indicate that the speech was composed on the basis of a pre-existing composition and redacted to remind Tongans of particular aspects of the past and present character of the Tu‘i Kanokupolu dynasty.     

Designing a brave new world: eugenics, politics, and fiction

Aldous Huxley composed Brave New World in the context of the Depression and the eugenics movement in Britain. Today his novel is best known as satirical and predictive, but an additional interpretation emerges from Huxley's nonfiction writings in which the liberal hurmanist expressed some surprising opinions about eugenics, citizenship, and meritocracy. He felt that his role as an artist and public intellectual was to formulate an evolving outlook on urgent social, scientific, and moral issues. His brave new world can therefore be understood as a serious design for social reform, as well as a commentary about the social uses of scientific knowledge.     

David Syme,Charles H. Pearson and the Democratic Ideal in Australia

This paper argues that the writings of David Syme and Charles H Pearson are important for understanding the history of the ideal of democracy in Australia. Although Syme did not write directly on democracy, his writings on political economy and political representation focused on issues relevant to democratic theory. His Outlines of an Industrial Science argued for the dominance of the social and the ethical over the economic and for the role of the state in enforcing that dominance. His Representative Government in England advocated the case for the delegate theory of democracy, in effect meant the particular interests of the majority. Pearson also argued the case for this version of majoritarian democracy. His National Life and Character concluded that it would lead to the suppression of individualism.