that¡¡the¡¡serum¡¡treatment¡¡will¡¡stand¡¡as¡¡the¡¡culminating¡¡achievement¡¡in¡¡therapeutics¡¡of¡¡our¡¡century¡£¡¡It¡¡is¡¡the¡¡logical¡¡outgrowth¡¡of¡¡those¡¡experimental¡¡studies¡¡with¡¡the¡¡microscope¡¡begun¡¡by¡¡our¡¡predecessors¡¡of¡¡the¡¡thirties£»¡¡and¡¡it¡¡represents¡¡the¡¡present¡¡culmination¡¡of¡¡the¡¡rigidly¡¡experimental¡¡method¡¡which¡¡has¡¡brought¡¡medicine¡¡from¡¡a¡¡level¡¡of¡¡fanciful¡¡empiricism¡¡to¡¡the¡¡plane¡¡of¡¡a¡¡rational¡¡experimental¡¡science¡£
IX¡£¡¡THE¡¡NEW¡¡SCIENCE¡¡OF¡¡EXPERIMENTAL¡¡PSYCHOLOGY
BRAIN¡¡AND¡¡MIND
A¡¡little¡¡over¡¡a¡¡hundred¡¡years¡¡ago¡¡a¡¡reform¡¡movement¡¡was¡¡afoot¡¡in¡¡the¡¡world¡¡in¡¡the¡¡interests¡¡of¡¡the¡¡insane¡£¡¡As¡¡was¡¡fitting£»¡¡the¡¡movement¡¡showed¡¡itself¡¡first¡¡in¡¡America£»¡¡where¡¡these¡¡unfortunates¡¡were¡¡humanely¡¡cared¡¡for¡¡at¡¡a¡¡time¡¡when¡¡their¡¡treatment¡¡elsewhere¡¡was¡¡worse¡¡than¡¡brutal£»¡¡but¡¡England¡¡and¡¡France¡¡quickly¡¡fell¡¡into¡¡line¡£¡¡¡¡The¡¡leader¡¡on¡¡this¡¡side¡¡of¡¡the¡¡water¡¡was¡¡the¡¡famous¡¡Philadelphian£»¡¡Dr¡£¡¡Benjamin¡¡Rush£»¡¡¡¨the¡¡Sydenham¡¡of¡¡America¡¨£»¡¡in¡¡England£»¡¡Dr¡£¡¡William¡¡Tuke¡¡inaugurated¡¡the¡¡movement£»¡¡and¡¡in¡¡France£»¡¡Dr¡£¡¡Philippe¡¡Pinel£»¡¡single¡handed£»¡¡led¡¡the¡¡way¡£¡¡Moved¡¡by¡¡a¡¡common¡¡spirit£»¡¡though¡¡acting¡¡quite¡¡independently£»¡¡these¡¡men¡¡raised¡¡a¡¡revolt¡¡against¡¡the¡¡traditional¡¡custom¡¡which£»¡¡spurning¡¡the¡¡insane¡¡as¡¡demon¡haunted¡¡outcasts£»¡¡had¡¡condemned¡¡these¡¡unfortunates¡¡to¡¡dungeons£»¡¡chains£»¡¡and¡¡the¡¡lash¡£¡¡Hitherto¡¡few¡¡people¡¡had¡¡thought¡¡it¡¡other¡¡than¡¡the¡¡natural¡¡course¡¡of¡¡events¡¡that¡¡the¡¡¡¨maniac¡¨¡¡should¡¡be¡¡thrust¡¡into¡¡a¡¡dungeon£»¡¡and¡¡perhaps¡¡chained¡¡to¡¡the¡¡wall¡¡with¡¡the¡¡aid¡¡of¡¡an¡¡iron¡¡band¡¡riveted¡¡permanently¡¡about¡¡his¡¡neck¡¡or¡¡waist¡£¡¡Many¡¡an¡¡unfortunate£»¡¡thus¡¡manacled£»¡¡was¡¡held¡¡to¡¡the¡¡narrow¡¡limits¡¡of¡¡his¡¡chain¡¡for¡¡years¡¡together¡¡in¡¡a¡¡cell¡¡to¡¡which¡¡full¡¡daylight¡¡never¡¡penetrated£»¡¡sometimesiron¡¡being¡¡expensivethe¡¡chain¡¡was¡¡so¡¡short¡¡that¡¡the¡¡wretched¡¡victim¡¡could¡¡not¡¡rise¡¡to¡¡the¡¡upright¡¡posture¡¡or¡¡even¡¡shift¡¡his¡¡position¡¡upon¡¡his¡¡squalid¡¡pallet¡¡of¡¡straw¡£
In¡¡America£»¡¡indeed£»¡¡there¡¡being¡¡no¡¡Middle¡¡Age¡¡precedents¡¡to¡¡crystallize¡¡into¡¡established¡¡customs£»¡¡the¡¡treatment¡¡accorded¡¡the¡¡insane¡¡had¡¡seldom¡¡or¡¡never¡¡sunk¡¡to¡¡this¡¡level¡£¡¡Partly¡¡for¡¡this¡¡reason£»¡¡perhaps£»¡¡the¡¡work¡¡of¡¡Dr¡£¡¡Rush¡¡at¡¡the¡¡Philadelphia¡¡Hospital£»¡¡in¡¡1784£»¡¡by¡¡means¡¡of¡¡which¡¡the¡¡insane¡¡came¡¡to¡¡be¡¡humanely¡¡treated£»¡¡even¡¡to¡¡the¡¡extent¡¡of¡¡banishing¡¡the¡¡lash£»¡¡has¡¡been¡¡but¡¡little¡¡noted£»¡¡while¡¡the¡¡work¡¡of¡¡the¡¡European¡¡leaders£»¡¡though¡¡belonging¡¡to¡¡later¡¡decades£»¡¡has¡¡been¡¡made¡¡famous¡£¡¡And¡¡perhaps¡¡this¡¡is¡¡not¡¡as¡¡unjust¡¡as¡¡it¡¡seems£»¡¡for¡¡the¡¡step¡¡which¡¡Rush¡¡took£»¡¡from¡¡relatively¡¡bad¡¡to¡¡good£»¡¡was¡¡a¡¡far¡¡easier¡¡one¡¡to¡¡take¡¡than¡¡the¡¡leap¡¡from¡¡atrocities¡¡to¡¡good¡¡treatment¡¡which¡¡the¡¡European¡¡reformers¡¡were¡¡obliged¡¡to¡¡compass¡£¡¡In¡¡Paris£»¡¡for¡¡example£»¡¡Pinel¡¡was¡¡obliged¡¡to¡¡ask¡¡permission¡¡of¡¡the¡¡authorities¡¡even¡¡to¡¡make¡¡the¡¡attempt¡¡at¡¡liberating¡¡the¡¡insane¡¡from¡¡their¡¡chains£»¡¡and£»¡¡notwithstanding¡¡his¡¡recognized¡¡position¡¡as¡¡a¡¡leader¡¡of¡¡science£»¡¡he¡¡gained¡¡but¡¡grudging¡¡assent£»¡¡and¡¡was¡¡regarded¡¡as¡¡being¡¡himself¡¡little¡¡better¡¡than¡¡a¡¡lunatic¡¡for¡¡making¡¡so¡¡manifestly¡¡unwise¡¡and¡¡hopeless¡¡an¡¡attempt¡£¡¡Once¡¡the¡¡attempt¡¡had¡¡been¡¡made£»¡¡however£»¡¡and¡¡carried¡¡to¡¡a¡¡successful¡¡issue£»¡¡the¡¡amelioration¡¡wrought¡¡in¡¡the¡¡condition¡¡of¡¡the¡¡insane¡¡was¡¡so¡¡patent¡¡that¡¡the¡¡fame¡¡of¡¡Pinel's¡¡work¡¡at¡¡the¡¡Bicetre¡¡and¡¡the¡¡Salpetriere¡¡went¡¡abroad¡¡apace¡£¡¡It¡¡required£»¡¡indeed£»¡¡many¡¡years¡¡to¡¡complete¡¡it¡¡in¡¡Paris£»¡¡and¡¡a¡¡lifetime¡¡of¡¡effort¡¡on¡¡the¡¡part¡¡of¡¡Pinel's¡¡pupil¡¡Esquirol¡¡and¡¡others¡¡to¡¡extend¡¡the¡¡reform¡¡to¡¡the¡¡provinces£»¡¡but¡¡the¡¡epochal¡¡turning¡point¡¡had¡¡been¡¡reached¡¡with¡¡Pinel's¡¡labors¡¡of¡¡the¡¡closing¡¡years¡¡of¡¡the¡¡eighteenth¡¡century¡£
The¡¡significance¡¡of¡¡this¡¡wise¡¡and¡¡humane¡¡reform£»¡¡in¡¡the¡¡present¡¡connection£»¡¡is¡¡the¡¡fact¡¡that¡¡these¡¡studies¡¡of¡¡the¡¡insane¡¡gave¡¡emphasis¡¡to¡¡the¡¡novel¡¡idea£»¡¡which¡¡by¡and¡by¡¡became¡¡accepted¡¡as¡¡beyond¡¡question£»¡¡that¡¡¡¨demoniacal¡¡possession¡¨¡¡is¡¡in¡¡reality¡¡no¡¡more¡¡than¡¡the¡¡outward¡¡expression¡¡of¡¡a¡¡diseased¡¡condition¡¡of¡¡the¡¡brain¡£¡¡This¡¡realization¡¡made¡¡it¡¡clear£»¡¡as¡¡never¡¡before£»¡¡how¡¡intimately¡¡the¡¡mind¡¡and¡¡the¡¡body¡¡are¡¡linked¡¡one¡¡to¡¡the¡¡other¡£¡¡¡¡And¡¡so¡¡it¡¡chanced¡¡that£»¡¡in¡¡striking¡¡the¡¡shackles¡¡from¡¡the¡¡insane£»¡¡Pinel¡¡and¡¡his¡¡confreres¡¡struck¡¡a¡¡blow¡¡also£»¡¡unwittingly£»¡¡at¡¡time¡honored¡¡philosophical¡¡traditions¡£¡¡The¡¡liberation¡¡of¡¡the¡¡insane¡¡from¡¡their¡¡dungeons¡¡was¡¡an¡¡augury¡¡of¡¡the¡¡liberation¡¡of¡¡psychology¡¡from¡¡the¡¡musty¡¡recesses¡¡of¡¡metaphysics¡£¡¡Hitherto¡¡psychology£»¡¡in¡¡so¡¡far¡¡as¡¡it¡¡existed¡¡at¡¡all£»¡¡was¡¡but¡¡the¡¡subjective¡¡study¡¡of¡¡individual¡¡minds£»¡¡in¡¡future¡¡it¡¡must¡¡become¡¡objective¡¡as¡¡well£»¡¡taking¡¡into¡¡account¡¡also¡¡the¡¡relations¡¡which¡¡the¡¡mind¡¡bears¡¡to¡¡the¡¡body£»¡¡and¡¡in¡¡particular¡¡to¡¡the¡¡brain¡¡and¡¡nervous¡¡system¡£
The¡¡necessity¡¡for¡¡this¡¡collocation¡¡was¡¡advocated¡¡quite¡¡as¡¡earnestly£»¡¡and¡¡even¡¡more¡¡directly£»¡¡by¡¡another¡¡worker¡¡of¡¡this¡¡period£»¡¡whose¡¡studies¡¡were¡¡allied¡¡to¡¡those¡¡of¡¡alienists£»¡¡and¡¡who£»¡¡even¡¡more¡¡actively¡¡than¡¡they£»¡¡focalized¡¡his¡¡attention¡¡upon¡¡the¡¡brain¡¡and¡¡its¡¡functions¡£¡¡This¡¡earliest¡¡of¡¡specialists¡¡in¡¡brain¡¡studies¡¡was¡¡a¡¡German¡¡by¡¡birth¡¡but¡¡Parisian¡¡by¡¡adoption£»¡¡Dr¡£¡¡Franz¡¡Joseph¡¡Gall£»¡¡originator¡¡of¡¡the¡¡since¡notorious¡¡system¡¡of¡¡phrenology¡£¡¡¡¡The¡¡merited¡¡disrepute¡¡into¡¡which¡¡this¡¡system¡¡has¡¡fallen¡¡through¡¡the¡¡exposition¡¡of¡¡peripatetic¡¡charlatans¡¡should¡¡not¡¡make¡¡us¡¡forget¡¡that¡¡Dr¡£¡¡Gall¡¡himself¡¡was¡¡apparently¡¡a¡¡highly¡¡educated¡¡physician£»¡¡a¡¡careful¡¡student¡¡of¡¡the¡¡brain¡¡and¡¡mind¡¡according¡¡to¡¡the¡¡best¡¡light¡¡of¡¡his¡¡time£»¡¡and£»¡¡withal£»¡¡an¡¡earnest¡¡and¡¡honest¡¡believer¡¡in¡¡the¡¡validity¡¡of¡¡the¡¡system¡¡he¡¡had¡¡originated¡£¡¡The¡¡system¡¡itself£»¡¡taken¡¡as¡¡a¡¡whole£»¡¡was¡¡hopelessly¡¡faulty£»¡¡yet¡¡it¡¡was¡¡not¡¡without¡¡its¡¡latent¡¡germ¡¡of¡¡truth£»¡¡as¡¡later¡¡studies¡¡were¡¡to¡¡show¡£¡¡How¡¡firmly¡¡its¡¡author¡¡himself¡¡believed¡¡in¡¡it¡¡is¡¡evidenced¡¡by¡¡the¡¡paper¡¡which¡¡he¡¡contributed¡¡to¡¡the¡¡French¡¡Academy¡¡of¡¡Sciences¡¡in¡¡1808¡£¡¡The¡¡paper¡¡itself¡¡was¡¡referred¡¡to¡¡a¡¡committee¡¡of¡¡which¡¡Pinel¡¡and¡¡Cuvier¡¡were¡¡members¡£¡¡¡¡The¡¡verdict¡¡of¡¡this¡¡committee¡¡was¡¡adverse£»¡¡and¡¡justly¡¡so£»¡¡yet¡¡the¡¡system¡¡condemned¡¡had¡¡at¡¡least¡¡one¡¡merit¡¡which¡¡its¡¡detractors¡¡failed¡¡to¡¡realize¡£¡¡¡¡It¡¡popularized¡¡the¡¡conception¡¡that¡¡the¡¡brain¡¡is¡¡the¡¡organ¡¡of¡¡mind¡£¡¡¡¡Moreover£»¡¡by¡¡its¡¡insistence¡¡it¡¡rallied¡¡about¡¡it¡¡a¡¡band¡¡of¡¡scientific¡¡supporters£»¡¡chief¡¡of¡¡whom¡¡was¡¡Dr¡£¡¡Kaspar¡¡Spurzlieim£»¡¡a¡¡man¡¡of¡¡no¡¡mean¡¡abilities£»¡¡who¡¡became¡¡the¡¡propagandist¡¡of¡¡phrenology¡¡in¡¡England¡¡and¡¡in¡¡America¡£¡¡¡¡Of¡¡course¡¡such¡¡advocacy¡¡and¡¡popularity¡¡stimulated¡¡opposition¡¡as¡¡well£»¡¡and¡¡out¡¡of¡¡the¡¡disputations¡¡thus¡¡arising¡¡there¡¡grew¡¡presently¡¡a¡¡general¡¡interest¡¡in¡¡the¡¡brain¡¡as¡¡the¡¡organ¡¡of¡¡mind£»¡¡quite¡¡aside¡¡from¡¡any¡¡preconceptions¡¡whatever¡¡as¡¡to¡¡the¡¡doctrines¡¡of¡¡Gall¡¡and¡¡Spurzheim¡£
Prominent¡¡among¡¡the¡¡unprejudiced¡¡class¡¡of¡¡workers¡¡who¡¡now¡¡appeared¡¡was¡¡the¡¡brilliant¡¡young¡¡Frenchman¡¡Louis¡¡Antoine¡¡Desmoulins£»¡¡who¡¡studied¡¡first¡¡under¡¡the¡¡tutorage¡¡of¡¡the¡¡famous¡¡Magendie£»¡¡and¡¡published¡¡jointly¡¡with¡¡him¡¡a¡¡classical¡¡work¡¡on¡¡the¡¡nervous¡¡system¡¡of¡¡vertebrates¡¡in¡¡1825¡£¡¡Desmoulins¡¡made¡¡at¡¡least¡¡one¡¡discovery¡¡of¡¡epochal¡¡importance¡£¡¡He¡¡observed¡¡that¡¡the¡¡brains¡¡of¡¡persons¡¡dying¡¡in¡¡old¡¡age¡¡were¡¡lighter¡¡than¡¡the¡¡average¡¡and¡¡gave¡¡visible¡¡evidence¡¡of¡¡atrophy£»¡¡and¡¡he¡¡reasoned¡¡that¡¡such¡¡decay¡¡is¡¡a¡¡normal¡¡accompaniment¡¡of¡¡senility¡£¡¡No¡¡one¡¡nowadays¡¡would¡¡question¡¡the¡¡accuracy¡¡of¡¡this¡¡observation£»¡¡but¡¡the¡¡scientific¡¡world¡¡was¡¡not¡¡quite¡¡ready¡¡for¡¡it¡¡in¡¡1825£»¡¡for¡¡when¡¡Desmoulins¡¡announced¡¡his¡¡discovery¡¡to¡¡the¡¡French¡¡Academy£»¡¡that¡¡august¡¡and¡¡somewhat¡¡patriarchal¡¡body¡¡was¡¡moved¡¡to¡¡quite¡¡unscientific¡¡wrath£»¡¡and¡¡forbade¡¡the¡¡young¡¡iconoclast¡¡the¡¡privilege¡¡of¡¡further¡¡hearings¡£¡¡From¡¡which¡¡it¡¡is¡¡evident¡¡that¡¡the¡¡partially¡¡liberated¡¡spirit¡¡of¡¡the¡¡new¡¡psychology¡¡had¡¡by¡¡no¡¡means¡¡freed¡¡itself¡¡altogether£»¡¡at¡¡the¡¡close¡¡of¡¡the¡¡first¡¡quarter¡¡of¡¡the¡¡nineteenth¡¡century£»¡¡from¡¡the¡¡metaphysical¡¡cobwebs¡¡of¡¡its¡¡long¡¡incarceration¡£
FUNCTIONS¡¡OF¡¡THE¡¡NERVES
While¡¡studies¡¡of¡¡the¡¡brain¡¡were¡¡thus¡¡being¡¡inaugurated£»¡¡the¡¡nervous¡¡system£»¡¡which¡¡is¡¡the¡¡channel¡¡of¡¡communication¡¡between¡¡the¡¡brain¡¡and¡¡the¡¡outside¡¡world£»¡¡was¡¡being¡¡interrogated¡¡with¡¡even¡¡more¡¡tangible¡¡results¡£¡¡¡¡The¡¡inaugural¡¡discovery¡¡was¡¡made¡¡in¡¡1811¡¡by¡¡Dr¡£¡¡£¨afterwards¡¡Sir¡¡Charles£©¡¡Bell£»£§1£§¡¡the¡¡famous¡¡English¡¡surgeon¡¡and¡¡experimental¡¡physiologist¡£¡¡It¡¡consisted¡¡of¡¡the¡¡observation¡¡that¡¡the¡¡anterior¡¡roots¡¡of¡¡the¡¡spinal¡¡nerves¡¡are¡¡given¡¡over¡¡to¡¡the¡¡function¡¡of¡¡conveying¡¡motor¡¡impulses¡¡from¡¡the¡¡brain¡¡outward£»¡¡whereas¡¡the¡¡posterior¡¡roots¡¡convey¡¡solely¡¡sensory¡¡impulses¡¡to¡¡the¡¡brain¡¡from¡¡without¡£¡¡Hitherto¡¡it¡¡had¡¡been¡¡supposed¡¡that¡¡all¡¡nerves¡¡have¡¡a¡¡similar¡¡function£»¡¡and¡¡the¡¡peculiar¡¡distribution¡¡of¡¡the¡¡spinal¡¡nerves¡¡had¡¡been¡¡an¡¡unsolved¡¡puzzle¡£
Bell's¡¡discovery¡¡was¡¡epochal£»¡¡but¡¡its¡¡full¡¡significance¡¡was¡¡not¡¡appreciated¡¡for¡¡a¡¡decade£»¡¡nor£»¡¡indeed£»¡¡was¡¡its¡¡validity¡¡at¡¡first¡¡admitted¡£¡¡¡¡In¡¡Paris£»¡¡in¡¡particular£»¡¡then¡¡the¡¡court¡¡of¡¡final¡¡appeal¡¡in¡¡all¡¡matters¡¡scientific£»¡¡the¡¡alleged¡¡discovery¡¡was¡¡looked¡¡at¡¡askance£»¡¡or¡¡quite¡¡ignored¡£¡¡¡¡But¡¡in¡¡1823¡¡the¡¡subject¡¡was¡¡taken¡¡up¡¡by¡¡the¡¡recognized¡¡leader¡¡of¡¡French¡¡physiologyFrancois¡¡Magendiein¡¡the¡¡course¡¡of¡¡his¡¡comprehensive¡¡experimental¡¡studies¡¡of¡¡the¡¡nervous¡¡system£»¡¡and¡¡Bell's¡¡conclusions¡¡were¡¡subjected¡¡to¡¡the¡¡most¡¡rigid¡¡experimental¡¡tests¡¡and¡¡found¡¡altogether¡¡valid¡£¡¡Bell¡¡himself£»¡¡meanwhile£»¡¡had¡¡turned¡¡his¡¡attention¡¡to¡¡the¡¡cranial¡¡nerves£»¡¡and¡¡had¡¡proved¡¡that¡¡these¡¡also¡¡are¡¡divisible¡¡into¡¡two¡¡setssensory¡¡and¡¡motor¡£¡¡¡¡Sometimes£»¡¡indeed£»¡¡the¡¡two¡¡sets¡¡of¡¡filaments¡¡are¡¡combined¡¡into¡¡one¡¡nerve¡¡cord£»¡¡but¡¡if¡¡traced¡¡to¡¡their¡¡origin¡¡these¡¡are¡¡found¡¡to¡¡arise¡¡from¡¡different¡¡brain¡¡centres¡£¡¡Thus¡¡it¡¡was¡¡clear¡¡that¡¡a¡¡hitherto¡¡unrecognized¡¡duality¡¡of¡¡function¡¡pertains¡¡to¡¡the¡¡entire¡¡extra¡cranial¡¡nervous¡¡system¡£¡¡Any¡¡impulse¡¡sent¡¡from¡¡the¡¡periphery¡¡to¡¡the¡¡brain¡¡must¡¡be¡¡conveyed¡¡along¡¡a¡¡perfectly¡¡definite¡¡channel£»¡¡the¡¡response¡¡from¡¡the¡¡brain£»¡¡sent¡¡out¡¡to¡¡the¡¡peripheral¡¡muscles£»¡¡must¡¡traverse¡¡an¡¡equally¡¡definite¡¡and¡¡altogether¡¡different¡¡course¡£¡¡¡¡If¡¡either¡¡channel¡¡is¡¡interruptedas¡¡by¡¡the¡¡section¡¡of¡¡its¡¡particular¡¡nerve¡¡tractthe¡¡corresponding¡¡message¡¡is¡¡denied¡¡transmission¡¡as¡¡effectually¡¡as¡¡an¡¡electric¡¡current¡¡is¡¡stopped¡¡by¡¡the¡¡section¡¡of¡¡the¡¡transmitting¡¡wire¡£
Experimenters¡¡everywhere¡¡soon¡¡confirmed¡¡the¡¡observations¡¡of¡¡Bell¡¡and¡¡Magendie£»¡¡and£»¡¡as¡¡always¡¡happens¡¡after¡¡a¡¡great¡¡discovery£»¡¡a¡¡fresh¡¡impulse¡¡was¡¡given¡¡to¡¡investigations¡¡in¡¡allied¡¡fields¡£¡¡¡¡Nevertheless£»¡¡a¡¡full¡¡decade¡¡elapsed¡¡before¡¡another¡¡discovery¡¡of¡¡comparable¡¡importance¡¡was¡¡made¡£¡¡Then¡¡Marshall¡¡Hall£»¡¡the¡¡most¡¡famous¡¡of¡¡English¡¡physicians¡¡of¡¡his¡¡day£»¡¡made¡¡his¡¡classical¡¡observations¡¡on¡¡the¡¡phenomena¡¡that¡¡henceforth¡¡were¡¡to¡¡be¡¡known¡¡as¡¡reflex¡¡action¡£¡¡¡¡In¡¡1832£»¡¡while¡¡experimenting¡¡one¡¡day¡¡with¡¡a¡¡decapitated¡¡newt£»¡¡he¡¡observed¡¡that¡¡the¡¡headless¡¡creature's¡¡limbs¡¡would¡¡contract¡¡in¡¡direct¡¡response¡¡to¡¡certain¡¡stim