Sunday, October 19, 2014

Phineas Gage: Cognitive Function




     Cognitive processes define the ways in which people take in, store, transform, and manipulate information.  Although it is evident that these internal mental processes take place, researchers continue to seek the exact location that make up cognitive functioning.  In ancient times, cognition was thought to dwell in the heart, but science has shown that cognition is a function of the brain.  Ethically, the only human brains that can be used to study cognitive functioning are those that have sustain damage through injury or illness.  One of the most famous cases of brain damage was Phineas Gage, who in 1848 survived an explosion that sent a tamping iron through his left cheek bone and out the top of his head (Macmillian & Macmillian, 1999).  His story provided extensive research opportunities for doctors to study the role the brain plays in cognitive function and how the different areas of the brain support cognitive function.
The Role of the Brain in Cognitive Functions
     Gage lost a major part of his left frontal lobe when the tamping iron pierced his head.  Even with the extensive damage to Gage’s brain he was still able to maintain motor function and speech, as-well-as recall the incident (Macmillian & Macmillian, 1999).  It was not, however, until his physical recovery that people began to take note of the changes in his personality.  John Harlow, the physician that worked with Gage noted that he (once a hardworking, sensible man) became surly, aggressive, and profane; thus, suggesting that cognitive and behavioral changes take place within the frontal lobe (Damasio, Grabowski, Frank, Galaburda, & Damasio, 1994).  This was further confirmed when surgeons (e.g., Starr and McBurney) began noticing mental changes in patients with frontal lobe lesions.  Later, modified surgical procedures removing only tumorous tissues produced little to no behavioral abnormalities. Gage’s case encouraged further neurological research about the theory of localization of brain function and assisted in defining the different areas of the brain that stimulate the different cognitive functions.
How Brain Areas Support Cognitive Function
     Since Gage’s incident, continued brain research has identified four primary regions that support cognitive functioning: “the occipital, temporal, parietal, and frontal lobes” (Stevens, 2010, para. 1).  Just how these four primary regions support cognitive function varies with each lobe.  The occipital lobe supports visual processing, encoding, and information relay.  The temporal lobe processes recognition (face and place), recall, and storage (memory), as well as language comprehension and sound processing.  Although the parietal lobe assists in visual information, its primary responsibility is that of spatial processing, sensation, and perception integration.  The frontal lobe, as seen in Gage’s case, supports rational decision making (personal and social), the processing of emotion, and personality (Damasio, et. al., 1994).
In the two decades of Gage’s incident, recovery, and the manner in which he lived his life came a turning point for neurological researchers.  Gage was a living, breathing person with sustainable brain damage, his story stimulated additional studies regarding the localization of cognitive brain function.  As additional cases of brain lesions emerged, surgeon’s uncovered primary cognitive regions within the brain, supporting the theory that cognitive functions are localized to the brain.  Frontal, occipital, temporal, and parietal lobes each support different cognitive functions.  While this is true that each lobe may support different cognitive functions, together they produce the functioning human mind.



 

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