Page:American Journal of Psychology Volume 21.djvu/560

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548
ROWE

save for the sight of one eye and the hearing of one ear." (Principles of Psy., Vol. I, p. 376.) It appears, however, from Striimpell's own account of the case quoted by James, that in "violent forced hyperextension of the joints, especially of the knees, there arose a dull vague feeling of strain, but this was seldom precisely localized." (Prin. of Psy., Vol. II, p. 489.) These poorly localized, kinaesthetic sensations seem, however, to have been of some service, for Striimpell tells us that with his eyes closed, the boy could readily raise his arm at command. Another anaesthetic case of Strumpell's is cited by James in which "The arm could not be moved at all [italics James's] unless the eyes were opened, however energetic the volition." (Prin. of Psy., Vol. II, p. 491.)

In "Ein Fall von aphasischen Symptomen, Hemianopsie, Amnesthetischer Farbenblindheit und Seelenlahmung, ( Archiv ur Psychiatric und Nervenkrankheiten, Vol. 25, 1893.) Bleuler describes a case of total anaesthesia on the right side. Of its effect upon movement he says: "If the patient does not see his right arm, he not only does not know where it is, but cannot innervate it at all. ' ' In summing up his observations upon these phenomena Bleuler says, "It is known that patients who are not at all aware of the effects of their muscular innervation are no longer in a position to make spontaneously purposive movements." He cites the case of Niemeyer and Spath whose patient, an "Anaesthetische Tabetiker," fell down while standing or sitting if he closed his eyes. He cites also the case of Ziemssen and Heyne, whose patient was entirely anaesthetic with the exception of his face and hearing, and who could not speak when his ears were stopped.

A. Pick describes a case (Ueber die Sogenannte 'Conscience Musculaire,' Zeit. fur Psy. und Phys. der Sinnes, Vol. 4> PP- X 75 ff-) i n which the patient (a young woman) presented 'eiue nahezu die ganze Korperoberflache einnehmende Anasthesie und Analgesic.' On the right side there was complete loss of both superficial and deep sensibility. In all experiments involving hand movements this patient sharply fixated her right hand, which was completely anaesthetic. This fact, Pick points out, does not agree with Binet's (apparently a priori] contention that, other things being equal, attention would be fixed by preference upon the sensible half of the body, because this is the only part which gives the muscular sensations during movement. Pick's patient was unable to hold the left arm horizontally extended and at the same time make the movements of playing the piano with the right. She could, however, hold the right hand extended and make such movements at the same time with the left with-