DISTURBANCE OF GESTURE AND PANTOMIME IN APHASIA
DISTURBANCE OF GESTURE AND PANTOMIME IN APHASIA
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DOI：
10.1093/brain/86.4.703
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发表时间：
1963-01-01
期刊：
影响因子：
14.5
通讯作者：
KAPLAN, E
中科院分区：
文献类型：
--
作者：
GOODGLASS, H;KAPLAN, E
从19世纪中期开始，有关失语症的文献中就提到，失语症患者能够通过哑剧的方式来表明他们对某些无法用语言表达的事物的意识，例如，如何使用他们无法命名的物体。然而，在实践中，我们对这种哑剧的罕见性印象深刻，这种哑剧是可以理解的，而且它经常由无目的的挥手组成，这让检查者猜测和病人沮丧。本文对手势和哑语在失语症中的作用进行了实验研究。下面的简要历史回顾试图使有关问题成为焦点。1870年，Finkelnburg（由Liepmann引用，1905）引入了“符号”的概念，这是一种以任何方式表达或理解符号的能力的普遍障碍，包括模仿表达。类似地，杰克逊（1893）在”文字和其他符号“的背景下讨论了哑剧。后来的工作者，包括Brain（1961）、Critchley（1939）、Goldstein（1948），都把失语症患者手势和哑剧的改变作为失语症交流障碍的一部分，因此Finkelnburg关于中枢交流障碍的概念仍然隐含在将手势障碍作为失语症直接相关因素的讨论中。如果严格地解释这一观点，它就假定在表象或象征运动中存在缺陷，而运动本身没有共存的干扰。虽然将手势和哑剧的缺陷视为失语症中的沟通障碍，但许多作者也从完全不同的意义上讨论这些缺陷，在意念运动性失用症的背景下：一种运动特有的障碍。在观念动力学中
THE literature on aphasia from the middle 1800's includes references to the ability of aphasic patients to indicate, by means of pantomime, their awareness of certain things which they cannot verbalize, as for example, how to use an object which they cannot name. However, in practice, we were impressed with the rarity with which such pantomiming is comprehensible, and the frequency with which it consists of aimless waving which leaves the examiner guessing and the patient frustrated. The present paper deals with an experimental investigation of gesture and pantomime in aphasia. The brief historical review which follows attempts to bring into focus the relevant issues. In 1870 Finkelnburg (cited by Liepmann, 1905) introduced the concept of" asymbolia," a generalized disturbance in the capacity to express or comprehend symbols in any modality, including mimetic expression. Similarly, Jackson (1893) discussed pantomime in the context of" Words and Other Symbols." Subsequent workers including Brain (1961), Critchley (1939), Goldstein (1948) have treated the alterations in gesture and pantomime of aphasics as part of the aphasic communication disorder.Thus Finkelnburg's concept of a central communication disorder is still implied in discussions where gestural disturbance is treated as a direct correlate of aphasia. If this idea is interpreted rigorously, it postulates a defect in representational or symbolic movements without a coexisting disturbance of movement per se. While treating defects in gesture and pantomime as a communication disorder in aphasia, many writers also discuss these defects in a quite different sense, in the context of ideokinetic apraxia: a disorder specific to movement. In ideokinetic