By Judith L. Herman
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Additional info for Trauma and Recovery: The Aftermath of Violence--From Domestic Abuse to Political Terror
2) which is corrected, however, when repeated at the end of the examination. The error again reflected the influence of the perseveration: 1) lift the right arm—correct. 2) Close your eyes—lifts the right arm in front of the eyes. There is thus a disorder of comprehension although it is only relatively mild. The major impairment is an almost complete agraphia. In the course of time, and apparently as a result of the many examinations, the patient learns to write a few letters to dictation. Spontaneous writing remained totally abolished, also for her own name, for which she can write a German “M” (Martha) to dictation.
This was published as a monograph in 1874 when Wernicke was 26 years old. It was entitled “The Symptom Complex of Aphasia: A Psychological Study on an Anatomical Basis” (Wernicke, 1874, English translation in Cohen & Wartowfsky, 1966–1968). Broca (1861) had described a frontal centre for speech production. Wernicke referred to this as the centre b (M in Lichtheim) and he added a centre for speech comprehension, a (A in Lichtheim), in the first temporal convolution. An impairment of this centre gave rise to sensory (“Wernicke’s”) aphasia as opposed to motor (“Broca’s”) aphasia with an impairment of b.
Toe stretching reflex. Sensitivity weakness in the entire right body half in all qualities. Sensitivity for posture and touch nearly fully lost in the right hand, complete tactile paralysis of the right hand. No hemianopia. Isolated agraphia. A detailed report was constructed in the following weeks based on several examinations. With the exception of fluctuations in the patient’s general state of well-being and the consequent differences of fatigue, the condition remained unchanged…. Language impairment: Spontaneous speech: There is moderate anarthria corresponding best to the concept of syllable stumbling and most outspoken for difficult words.
Trauma and Recovery: The Aftermath of Violence--From Domestic Abuse to Political Terror by Judith L. Herman