Agnosie Und Funktionswandel: Eine Hirnpathologische Studie
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Die Agnosie nimmt in der klassischen Hirnpathologie eine ganz bestimmte Stelhmg ein, die allein durch die prinzipielle Bedeutung dieser a. n sich seltenen StOrung verstandlich gemacht wird. Zusammen mit der Apraxie, der Aphasie und spezielleren Starungen wie Alexie, Akalkulie usw. bildet sie in der klassischen Lokalisationslehre eine eigentiimliche Zwischenschicht zwischen den, elementaren", sozusagen auf physiologischer Ebene liegenden Lahmungen, sensiblen und sen- sorischen Starungen, die an bestimmte, einigermaBen genau definierte anato- mische Substrate gekniipft sind, und zwischen den hachsten AuBerungen seelischer Tatigkeit, die sich jedenfalls bisher einer anatomischen und physiologischen Be- trachtungsweise weitgehend entziehen. Dabei gehart diese Zwischenschicht und mit ihr die Agnosie zweifellos in den Bereich der psychischen Leistungen, aber - und das macht ihre Bedeutung aus - diese Leistungen werden an umschrie- bener Stelle des Gehirns lokalisiert gedacht. Wenn diese Annahme richtig ware, so wiirde dies beweisen, daB psychische V organge in einzelne, isolierte Elemente zerlegbar, und diese elementaren psychischen Funktionen isoliert und im Gehirn lokalisiert werden kannen, das dann zu einem Konglomerat vieler Einzelorgane fiir diese verschiedenen seelischen Elementarfunktionen wiirde. Fiir diese Denk- richtung, die die klassische Hirnpathologie beherrscht vom ersten Versuch Galls iiber Meynerts Lehrbuch der Psychiatrie mit dem Untertitel "Klinik der Erkran- 121 kungen des Vorderhirns " bis zur Vollendung in der Hirnkarte Kleists101, ist die Agnosie in der Tat von unersetzlicher Wichtigkeit.
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