Four Neuropsychologists
Four Neuropsychologists
Four Neuropsychologists
1, 1994
Four Neuropsychologists 1
Arthur Benton 2
INTRODUCTION
IAdapted from a lecture at the 1987 meeting of the International Neuropsychological Society,
Washington, DC, to commemorate the 15th anniversary of the emergence of the society as
a major organization. The style of the original oral presentation has been retained.
2Department of Neurology, University of Iowa Hospitals, Iowa City, Iowa 52242.
31
1040-7308/94/0300-0031507.00/0 O 1994 Plenum PublishingCorporation
32 Benton
HENRY HECAEN
tance, and in due course, he was able to give up private practice and devote
almost full time to research, writing, and editing. As everyone knows, he
was the founder and editor of Neuropsychologia. His research program at-
tracted many students on both the predoctoral and postdoctoral levels, as
well as many visiting scientists. He directed at least a score of doctoral dis-
sertations. Among the neurologists who worked with him were Martin Al-
bert, Gilbert Assal, Jason Brown, Carlos Mendilaharsu, and Athanase
Tsavaras. Among the neuropsychologists who spent extended periods of time
in his unit were Harold Goodglass, Malcolm Piercy, and myself.
Head's concept in his own studies and had postulated the operation of
schemata in the processes of learning and remembering. Thus, to a degree,
Oldfield and Zangwill were also criticizing the formulations of their mentor.
But this was nothing new. As it happens, when, in his earlier experimental
work, Zangwill had concluded that Bartlett's formulations were less than
adequate, his mentor raised no objections. Later, Zangwill (1978) was to
write about Bartlett's "strong, yet gentle, personality and his exceptional
tolerance and modesty."
World War II transformed Zangwill into a clinical neuropsychologist.
Working in the Edinburgh Brain Injury Unit of the British military services,
he was called upon to evaluate hundreds of patients with traumatic brain
lesions. It was here that he made his first contributions to the field. Finding
that some patients with undoubted defects in learning and memory never-
theless performed adequately on the conventional digit span test, he de-
vised a supraspan test requiring the patients to learn a series of digits longer
than his span and found this test to be a more sensitive measure of short-
term learning (Zangwill, 1943). Thus, he originated the serial digit learning
procedure (supraspan) that was adopted by clinical investigators decades
later (cf. Drachman and Arbit, 1966; Hamsher et al., 1980).
A second, more basic, contribution was his demonstration of the close
association between visuospatial impairments and lesions in the posterior area
of the right hemisphere (Paterson and Zangwill, 1944), a study that proved
to be the precursor of a major program of clinical research undertaken after
the war. Still another study described and evaluated the application of the
Rey-Davis test of nonverbal learning in the assessment of brain-lesioned pa-
tients (Zangwill, 1946a). A final study dealt with verbal learning in some 200
patients with diseases or traumatic injury of the brain (Zangwili, 1946b). Once
again, he found digit span performance to be generally adequate in nonapha-
sic patients, including those with frank amnesic syndromes. In contrast, digit
span was impaired in apparently fully recovered aphasic patients. Confirming
the World War I results of the German neurologist, Max Isserlin, he found
defects in verbal learning to be extraordinarily frequent in nonaphasic pa-
tients and practically universal in those with a history of aphasic disorder.
The paper concluded with a discussion of the implications of the results for
both diagnostic evaluation and rehabilitation planning.
After the war, Zangwill went to Oxford as a lecturer and assistant
director of the Psychological Laboratory. In 1952, he was called to Cam-
bridge to succeed Bartlett as Professor of Psychology and Director of the
Psychological Laboratory. At the same time, he established an association
with the National Hospital for Nervous Disorders, Queen Square, where
he served as a visiting psychologist. Working at Queen Square and other
London hospitals, he initiated a series of studies of the cognitive defects
Four Neuropsychologists 37
associated with focal brain disease. In the 1950s and 1960s, the Zangwill
group, which included George Ettlinger, John McFie, Malcolm Piercy,
Elizabeth Warington, and Maria Wyke, generated a substantial body of in-
formation on the nature of the perceptual and cognitive consequences of
brain disease that significantly advanced the development of the emerging
field of clinical neuropsychology.
Of course, his research extended beyond the issue of the deficits as-
sociated with unilateral brain disease. A persisting interest was the role of
cerebral dominance and handedness in acquired aphasia and developmen-
tal learning disabilities. He was among the first investigators to show that
hemispheric specialization for speech in left-handers did not conform to
the then accepted rule of right hemisphere dominance. His 1960 mono-
graph, Cerebral Dominance and its Relation to Psychological Function, sum-
marized his own observations, as well as the pertinent literature in the area.
In it, he judiciously assessed the significance of left-handedness and incom-
plete hemispheric dominance as risk factors in developmental dyslexia. He
investigated the role of familial left-handedness in the production of
crossed aphasia in right-handed patients and from time to time presented
critical analyses of the question (cf. Zangwill, 1981).
Still another area of interest was reflected in his studies of the am-
nesic syndromes, which perhaps can be viewed as the clinical application
of his early experimental studies of memory processes. Finally, he was a
sensitive and astute student of the aphasic disorders. For example, a 1964
paper demonstrated that some severely aphasic Wernicke patients who
talked nonsense and whose understanding of oral speech was grossly de-
fective were nevertheless, capable of abstract reasoning as reflected in their
performances on the Raven Matrices. His superb scholarship was evident
in his trenchant analyses of famous controversial cases in the literature that
can still be read with profit (cf. Zangwill, 1967).
Oliver Zangwill was the founder of neuropsychology in Britain. His
students, and now their students, carry on his work.
HANS-LUKAS TEUBER
NORMAN GESCHWIND
Norman Geschwind was born in 1926 in New York. After taking the
M.D. degree at Harvard in 1951, he trained in neurology at the National
Hospital, Queen Square, and at the Boston City Hospital under Derek
Denny-Brown. He then spent two years in neurophysiological research at
MIT. In 1958 he joined the staff of the neurological service of the Boston
Veterans Administration Hospital. It was there that two older neurologists,
Fred Quadfasel, who was chief of the service at the hospital, and Paul Joss-
mann, who was on the staff of the VA Mental Hygiene Clinic in Boston,
introduced him to the concepts of the nature of aphasia and apraxia of
the German neurological school, as exemplified in the work of its dominant
representatives, Carl Wernicke and Hugo Liepmann. Geschwind whole-
heartedly accepted their formulations as basically valid and proceeded to
refine and modify them in the light of modern anatomical and psychological
40 Benton
A SUMMING UP
We have reviewed the life and careers of four of our fellow neurop-
sychologists. They were very different from each other in respect to per-
sonal traits. H6caen was direct, intense, and although unpretentious in
manner, full of fierce pride. Zangwill was sensitive, considerate, attentive
to the needs of others, and endowed with a keen sense of humor. Teuber
was dynamic, even somewhat flamboyant, quick-thinking, and paternalistic
toward his students and younger colleagues, somewhat in the manner of a
pre-war German professor. Geschwind was open, fun-loving, challenging,
and passionate in defense of his ideas.
Obviously, our colleagues had four quite different personalities. What
traits did they have in common? The first that comes to mind is their drive,
their stamina, and their prodigious productivity. They had immense energy
and worked very, very hard. This was quite evident for t-I6caen, Teuber,
and Geschwind, who were always on the move, who always had some
neuropsychological issue on their minds, and who invariably took home a
briefcase of material with them at the end of the day. On the other hand,
Zangwill was perhaps a bit of a dissimulator in this regard. Quiet and ap-
parently relaxed, he was always ready to talk about a variety of topics other
than neuropsychology, to take tea, or to show one the sights of Cambridge.
Yet there is no doubt that he spent many thousands of hours in the privacy
of his study reading, writing, and analyzing research results.
42 Benton
EPILOGUE
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