Reading: A Critique of Dualism by Patricia Churchland
A Critique of Dualism by Patricia Churchland
Churchland, Patricia Smith. On the Contrary: Critical Essays, 1987-1997. MIT Press, 1998.
Instructions:
Read the following essay. While reading, think about the answers to the questions in the boxes. Click on the tabs above for optional considerations.
Objectives:
- Explain the arguments for and against dualism.
- Analyze the arguments put forth by Churchland.
- Debate the ideas presented by Churchalnd.
- Demonstrate an understanding of mind body dualism.
- Communicate ideas in the video and reading to your classmates.
The dualistic approach to mind encompasses several quite different theories, but they are all agreed that the essential nature of conscious intelligence resides in something nonphysical, in something for ever beyond the scope of sciences like physics, neurophysiology, and computer science. Dualism is not the most widely held view in the current philosophical and scientific community, but it is the most common theory of mind in the public at large, it is deeply entrenched in most, of the world's popular religions, and it has been the dominant theory of mind for most of Western history. It is thus an appropriate place to begin our discussion.
Substance Dualism
The distinguishing claim of this view is that each mind is a distinct nonphysical thing, an individual "package" of nonphysical substance, a thing whose identity is independent of any physical body to which it may be temporarily "attached." Mental states and activities derive their special character, on this view, from their being states and activities of this unique, nonphysical substance.
This leaves us wanting to ask for more in the way of a positive characterization of the proposed mind stuff. It is a frequent complaint with the substance dualist's approach that his characterization of it is so far almost entirely negative. This need not be a fatal flaw, however, since we no doubt have much to learn about the underlying nature of mind, and perhaps the deficit here can eventually be made good. On this score, the philosopher Rene Descartes (1596-1650) has done as much as anyone to provide a positive account of the nature of the proposed mind-stuff, and his views are worthy of examination.
Descartes theorized that reality divides into two basic kinds of substance. The first is ordinary matter, and the essential feature of this kind of substance is that it is extended in space: any instance of it has length, breadth, height, and occupies a determinate position in space. Descartes did not attempt to play down the importance of this type of matter. On the contrary, he was one of the most imaginative physicists of his time, and he was an enthusiastic advocate of what was then called "the mechanical philosophy." But there was one isolated comer of reality he thought could not be accounted for in terms of the mechanics of matter: the conscious reason of Man. This was his motive for proposing a second and radically different kind of substance, a substance that has no spatial extension or spatial position whatever, a substance whose essential feature is the activity of thinking. This view is known as Cartesian dualism.
As Descartes saw it, the real you is not your material body, but rather a non-spatial thinking substance, an individual unit of mind-stuff quite distinct from your material body. This nonphysical mind is in systematic causal interaction with your body. The physical state of your body's sense organs, for example, causes visual/auditory/tactile experiences in your mind. And the desires and decisions of your nonpurely physical system could ever use language in a relevant way, or engage in mathematical reasoning, as any normal human can. Whether these are good rea sons, we shall discuss presently. Let us first notice a difficulty that even Descartes regarded as a problem. If "mind-stuff 'is so utterly different from "matter stuff ' in its nature-different to the point that it has no mass whatever, no shape whatever, and no position anywhere in space-then how is it possible for my mind to have any causal influence on my body at all? As Descartes' himself was aware (he was one of the first to formulate the law of the conservation of momentum), ordinary matter in space behaves according to rigid laws, and one cannot get bodily movement (= momentum) from nothing. How is this utterly insubstantial "thinking substance" to have any influence on ponderous matter? How can two such different things be in any sort of causal contact? Descartes proposed a very subtle material substance "animal spirits"-to convey the mind's influence to the body in general. But this does not provide us with a solution, since it leaves us with the same problem with which we started: how something ponderous and spatial (even "animal spirits") can interact with some thing entirely non-spatial.
In any case, the basic principle of division used by Descartes is no longer as plausible as it was in his day. It is now neither useful nor accurate to characterize ordinary matter as that-which-has-extension-in-space. Electrons, for example, are bits of matter, but our best current theories describe the electron as a point-particle with no extension whatever (it even lacks a determinate spatial position). And according to Einstein's theory of gravity, an entire star can achieve this same status, if it undergoes a complete gravitational collapse.
Comprehension Questions:
- What is substance (or Cartesian) dualism?
- According to Descartes, what is the real you?
A CRITIQUE OF DUALISM
Minds are commonly held to be inside the bodies they control: inside the head, on most views, in intimate contact with the brain. This view need not have the difficulties of Descartes'. The mind is right there in contact with the brain, and their interaction can perhaps be understood in terms of their exchanging energy of a form that our science has not yet recognized or understood. Ordinary matter, you may recall, is just a form or manifestation of energy. (You may think of a grain of sand as a great deal of energy condensed or frozen into a small package, according to Einstein's relation, E = mc 2.) Perhaps mind-stuff is a well-behaved form or manifestation of energy also, but a different form of it. It is thus possible that a dualism of this alternative sort be consistent with familiar laws concerning the conservation of momentum and energy. This is fortunate for dualism, since those particular laws are very well established indeed.
This view will appeal to many for the further reason that it at least holds out the possibility (though it certainly does not guarantee) that the mind might survive the death of the body. It does not guarantee the mind's survival because it remains possible that the peculiar form of energy here supposed to constitute a mind can be produced and sustained only in conjunction with the highly intricate form of matter we call the brain, and must disintegrate when the brain disintegrates. So the prospects for surviving death are quite unclear even on the assumption that popular dualism is true! But even if survival were a clear consequence of the theory, there is a pitfall to be avoided here. Its promise of survival might be a reason for wishing dualism to be true, but it does not constitute a reason for believing that it is true. For that, we would need independent empirical evidence that minds do indeed survive the permanent death of the body. Regrettably, and despite the exploitative blatherings of the supermarket tabloids (TOP DOCS PROVE LIFE AFTER DEATH!!!), we possess no such evidence.
ARGUMENTS FOR DUALISM
Here we shall examine some of the main considerations commonly offered in support of dualism. Criticism will be postponed for a moment so that we may appreciate the collective force of these supporting considerations.
A major source of dualistic convictions is the religious belief many of us bring to these issues. Each of the major religions is in its way a theory about the cause or purpose of the universe, and Man's place within it, and many of them are committed to the notion of an immortal soul-that is, to some form of substance dualism. Supposing that one is consistent, to consider disbelieving dualism is to consider disbelieving one's religious heritage, and some of us find that difficult to do. Call this the argument from religion.
A more universal consideration is the argument from introspection. The fact is, when you center your attention on the contents of your consciousness, you do not clearly apprehend a neural network pulsing with electrochemical activity: you apprehend a flux of thoughts, sensations, desires, and emotions. It seems that mental states and properties, as revealed in introspection, could hardly be more different from physical states and properties if they tried. The verdict of introspection, therefore, seems strongly on the side of some form of dualism-on the side of property dual ism, at a minimum.
A cluster of important considerations can be collected under the argument from irreducibility. Here one points to a variety of mental phenomena where it seems clear that no purely physical explanation could possibly account for what is going on. Descartes has already cited our ability to use language in a way that is relevant to our changing circumstances, and he was impressed also with our faculty of Reason, particularly as it is displayed in our capacity for mathematical reasoning. These abilities, he thought, must surely be beyond the capacity of any physical system. More recently, the introspectible qualities of our sensations (sensory "qualia"), and the meaningful content of our thoughts and beliefs, have also been cited as phenomena that will forever resist reduction to the physical. Consider, for example, seeing the color or smelling the fragrance of a rose. A physicist or chemist might know everything about the molecular structure of the rose, and of the human brain, argues the dualist, but that knowledge would not enable him to predict or anticipate the quality of these inexpressible experiences.
Finally, parapsychological phenomena are occasionally cited in favor of dualism. Telepathy (mind reading), precognition (seeing the future), telekinesis (thought control of material objects), and clairvoyance (knowledge of distant objects) are all awkward to explain within the normal confines of psychology and physics. If these phenomena are real, they might well be reflecting the super-physical nature that the dualist ascribes to the mind. Trivially they are mental phenomena, and if they are also forever beyond physical explanation, then at least some mental phenomena must be irreducibly nonphysical.
Collectively, these considerations may seem compelling. But there are serious criticisms of each, and we must examine them as well. Consider first the argument from religion. There is certainly nothing wrong in principle with appealing to a more general theory that bears on the case at issue, which is what the appeal to religion amounts to. But the appeal can only be as good as the scientific credentials of the religion(s) being appealed to, and here the appeals tend to fall down rather badly. In general, attempts to decide scientific questions by appeal to religious orthodoxy have a very sorry history. That the stars are other suns, that the earth is not the center of the universe, that diseases are caused by microorganisms, that the earth is billions of years old, that life is a physicochemical phenomenon; all of these crucial insights were strongly and sometimes viciously resisted, because the dominant religion of the time happened to think otherwise. Giordano Bruno was burned at the stake for urging the first view; Galileo was forced by threat of torture in the Vatican's basement to recant the second view; the firm belief that disease was a punishment visited by the Devil allowed public health practices that brought chronic plagues to most of the cities of Europe; and the age of the earth and the evolution of life were forced to fight an uphill battle against religious prejudice even in an age of supposed enlightenment.
History aside, the almost universal opinion that one's own religious convictions are the reasoned out come of a dispassionate evaluation of all of the major alternatives is almost demonstrably false for human ity in general. If that really were the genesis of most people's convictions, then one would expect the major faiths to be distributed more or less randomly or evenly over the globe. But in fact they show a very strong tendency to cluster: Christianity is centered in Europe and the Americas, Islam in Africa and the Middle East, Hinduism in India, and Buddhism in the Orient. Which illustrates what we all suspected anyway: that social forces are the primary determinants of religious belief for people in general. To decide scientific questions by appeal to religious orthodoxy would therefore be to put social forces in place of empirical evidence. For all of these reasons, professional scientists and philosophers concerned with the nature of mind generally do their best to keep religious appeals out of the discussion entirely.
The argument from introspection is a much more interesting argument, since it tries to appeal to the direct experience of everyman. But the argument is deeply suspect, in that it assumes that our faculty of inner observation or introspection reveals things as they really are in their innermost nature. This assumption is suspect because we already know that our other forms of observation-sight, hearing, touch, and so on-do no such thing. The red surface of an apple does not look like a matrix of molecules reflecting photons at certain critical wavelengths, but that is what it is. The sound of a flute does not sound like a sinusoidal compression wave train in the atmosphere, but that is what it is. .The warmth of the summer air does not feel like the mean kinetic energy of millions of tiny molecules, but that is what it is. If one's pains and hopes and beliefs do not introspectively seem like electrochemical states in a neural network, that may be only because our faculty of introspection, like our other senses, is not sufficiently penetrating to reveal such hidden details. Which is just what one would expect anyway. The argument from introspection is therefore entirely without force, unless we can somehow argue that the faculty of introspection is quite different from all other forms of observation.
The argument from irreducibility presents a more serious challenge, but here also its force is less than first impression suggests. Consider first our capacity for mathematical reasoning which so impressed Descartes. The last ten years have made available, to anyone with fifty dollars to spend, electronic calculators whose capacity for mathematical reasoning-the calculational part, at least-far surpasses that of any normal human. The fact is, in the centuries since Descartes' writings, philosophers, logicians, mathematicians, and computer scientists have managed to isolate the general principles of mathematical reasoning, and electronics engineers have created machines that compute in accord with those principles. The result is a hand-held object that would have astonished Descartes. This outcome is impressive not just because machines have proved capable of some of the capacities boasted by human reason, but because some of those achievements invade areas of human reason that past dualistic philosophers have held up as forever closed to mere physical devices.
Although debate on the matter remains open, Descartes' argument from language use is equally dubious. The notion of a computer language is by now a commonplace: consider BASIC, Pascal, FORTRAN, APL, LISP, and so on. Granted, these artificial "languages" are much simpler in structure and content than human natural language, but the differences may be differences only of degree, and not of kind. As well, the theoretical work of Noam Chomsky and the generative grammar approach to linguistics have done a great deal to explain the human capacity for language use in terms that invite simulation by computers. I do not mean to suggest that truly conversational computers are just around the comer. We have a great deal yet to learn, and fundamental problems yet to solve (mostly having to do with our capacity for inductive or theoretical reasoning). But progress here does nothing to support the claim that language use must be forever impossible for a purely physical system. On the contrary, such a claim now appears rather arbitrary and dogmatic. . . .
The next issue is also a live problem: How can we possibly hope to explain or to predict the intrinsic qualities of our sensations, or the meaningful content of our beliefs and desires, in purely physical terms?
This is a major challenge to the materialist (that is, someone who thinks that reality is entirely physical in nature). But as we shall see in later sections, active research programs are already under way on both problems, and positive suggestions are being explored. It is in fact not impossible to imagine how such explanations might go, though the materialist cannot yet pretend to have solved either problem. Until he does, the dualist will retain a bargaining chip here, but that is about all. What the dualists need in order to establish their case is the conclusion that a physical reduction is outright impossible, and that is a conclusion they have failed to establish. Rhetorical questions, like the one that opens this paragraph, do not constitute arguments. And it is equally difficult, note, to imagine how the relevant phenomena could be explained or predicted solely in terms of the substance dualist's nonphysical mind-stuff. The explanatory problem here is a major challenge to everybody, not just to the materialist. On this issue then, we have a rough standoff.
The final argument in support of dualism urged the existence of parapsychological phenomena such as telepathy and telekinesis, the point being that such mental phenomena are (a) real, and (b) beyond purely physical explanation. This argument is really another instance of the argument from irreducibility discussed above, and as before, it is not entirely clear that such phenomena, even if real, must forever escape a purely physical explanation. The materialist can already suggest a possible mechanism for telepathy, for example. On his view, thinking is an electrical activity within the brain. But according to electromagnetic theory, such changing motions of electric charges must pro duce electromagnetic waves radiating at the speed of light in all directions, waves that will contain information about the electrical activity that produced them. Such waves can subsequently have effects on the electrical activity of other brains, that is, on their thinking. Call this the "radio transmitter/receiver" theory of telepathy.
I do not for a moment suggest that this theory is true: the electromagnetic waves emitted by the brain are fantastically weak (billions of times weaker than the ever present background electromagnetic flux produced by commercial radio stations), and they are almost certain to be hopelessly jumbled together as well. This is one reason why, in the absence of systematic, compelling, and repeatable evidence for the existence of telepathy, one must doubt its possibility. But it is significant that the materialist has the theoretical resources to suggest a detailed possible explanation of telepathy, if it were real, which is more than any dualist has so far done. It is not at all clear, then, that the materialist must be at an explanatory disadvantage in these matters. Quite the reverse.
Upon critical examination, the arguments in support of dualism lose much of their force. But we are not yet done: there are arguments against dualism, and these also require examination.
Comprehension Questions:
- What are Churchland's four arguments in favor of dualism?
- What is materialism?
- What are qualia?
Arguments against Dualism
The first argument against dualism urged by the materialists appeals to the greater simplicity of their view. It is a principle of rational methodology that, if all else is equal, the simpler of two competing hypotheses should be preferred. This principle is sometimes called "Ockham's Razor"-after William of Ockham, the medieval philosopher who first enunciated it-and it can also be expressed as follows: "Do not multiply entities beyond what is strictly necessary to explain the phenomena." The materialist postulates only one kind of substance (physical matter), and one class of properties (physical properties), whereas the dualist postulates two kinds of matter and/or two classes of properties. And to no explanatory advantage, charges the materialist.
This is not yet a decisive point against dualism, since neither dualism nor materialism can yet explain all of the phenomena to be explained. But the objection does have some force, especially since there is no doubt at all that physical matter exists, while spiritual matter remains a tenuous hypothesis.
If this latter hypothesis brought us some definite explanatory advantage obtainable in no other way, then we would happily violate the demand for simplicity, and we would be right to do so. But it does not, claims the materialist. In fact, the advantage is just the other way around, he argues, and this brings us to the second objection to dualism: the relative explanatory impotence of dualism as compared to materialism.
Consider, very briefly, the explanatory resource already available to the neurosciences. We know that the brain exists and what it is made of. We know much of its microstructure: how the neurons are organized into systems and how distinct systems are connected to one another, to the motor nerves going out to the muscles, and to the sensory nerves coming in from the sense organs. We know much of their microchemistry: how the nerve cells fire tiny electrochemical pulses along their various fibers, and how they make other cells fire also, or cease firing. We know some of how such activity processes ·sensory information, selecting salient or subtle bits to be sent on to higher systems. And we know some of how such activity initiates' and coordinates bodily behavior. Thanks mainly to neurology (the branch of medicine concerned with brain pathology), we know a great deal about the correlations between damage to various parts of the human brain, and various behavioral and cognitive deficits from which the victims suffer. There are a great many isolated deficits-some gross, some subtle-that are familiar to neurologists (inability to speak, or to read, ,or to understand speech, or to recognize faces, or to add/subtract, or to move a certain limb, or to put information into long-term memory, and so on), and their appearance is closely tied to the occurrence of damage to very specific parts of the brain.
Nor are we limited to cataloguing traumas. The growth and development of the brain's microstructure is also something that neuroscience has explored, and such development appears to be the basis of various kinds of learning by the organism. Learning, that is, involves lasting chemical and physical changes in the brain. In sum, the neuroscientist can tell us a great deal about the brain, about its constitution and the physical laws that govern it; he can already explain much of our behavior in terms of the physical, chemical, and electrical properties of the brain; and he has the theoretical resources available to explain a good deal more as our explorations continue.
Compare now what the neuroscientist can tell us about the brain, and what he can do with that knowledge, with what the dualist can tell us about spiritual substance, and what he can do with those assumptions. Can the dualist tell us anything about the internal constitution of mind-stuff? Of the nonmaterial elements that make it up? Of, the laws that govern their behavior? Of the mind's structural connections with the body? Of the manner of its operations? Can he explain human capacities and pathologies in terms of its structures and its defects? The fact is, the dualist can do none of these things, because no detailed theory of mind-stuff has ever been formulated. Compared to the rich resources and explanatory successes of current materialism, dualism is less a theory of mind than it is an empty space waiting for a genuine theory of mind to be put in it.
Thus argues the materialist. But again, this is not a completely decisive-point against dualism. The dualist can admit that the brain plays a major role in the administration of both perception and behavior-on his view the brain is the mediator between the mind and the body-but he may attempt to argue that the materialist's current successes and future explanatory prospects concern only the meditative functions of the brain, not the central capacities of the nonphysical mind, capacities such as reason, emotion, and consciousness itself. On these latter topics, he may argue, both dualism and materialism currently draw a blank. But this reply is not a very good one. So far as the capacity for reasoning is concerned, machines already exist that execute in minutes sophisticated deductive and mathematical calculations that would take a human a lifetime to execute. And so far as the other two mental capacities are concerned, studies of such things as depression, motivation, attention, and sleep have revealed many interesting and- puzzling facts about the neurochemical and neuro-dynamical basis of both emotion and consciousness. The central capacities, no less than the peripheral, have been addressed with profit by various materialist research programs.
In any case, the (substance) dualist's attempt to draw a sharp distinction between the unique 'mental' capacities proper to the nonmaterial mind, and the merely meditative capacities of the brain, prompts an argument that comes close to being an outright refutation of (substance) dualism. If there really is a distinct entity in which reasoning, emotion, and consciousness take place, and if that entity is dependent on the brain for nothing more than sensory experiences as input and volitional executions as output, then one would expect reason, emotion, and consciousness to be relatively invulnerable to direct control or pathology by manipulation or damage to the brain. But in fact the exact opposite is true. Alcohol, narcotics, or senile degeneration of nerve tissue will impair, cripple, or even destroy one's capacity for rational thought. Psychiatry knows of hundreds of emotion-controlling chemicals (lithium, chlorpromazine, amphetamine, cocaine, and so on) that do their work when vectored into the brain. And the vulnerability of consciousness to the anesthetics, to caffeine, and to something as simple as a sharp blow to the head, shows its very close dependence on neural activity in the brain. All of this makes perfect sense if reason, emotion, and consciousness are activities of the brain itself. But it makes very little sense if they are activities of something else entirely.
What is the origin of a complex and sophisticated species such as ours? What, for that matter, is the origin of the dolphin, the mouse, or the housefly? Thanks to the fossil record, comparative anatomy, and the biochemistry of proteins and nucleic acids, there is no longer any significant doubt on this matter. Each existing species is a surviving type from a number of variations on an earlier type of organism; each earlier type is in tum a surviving type from a number of variations on a still earlier type of organism; and so on down the branches of the evolutionary tree until, some three billion years ago, we find a trunk of just one or a handful of very simple organisms. These organisms, like their more complex offspring, are just self-repairing, self-replicating, energy-driven molecular structures. (That evolutionary trunk has its own roots in an earlier era of purely chemical evolution, in which the molecular elements of life were themselves pieced together.) The mechanism of development that has structured this tree has two main elements: (1) the occasional blind variation in types of reproducing creatures, and (2) the selective survival of some of these types due to the relative reproductive advantage enjoyed by individuals of those types. Over periods of geological time, such a process can produce an enormous variety of organisms, some of them very complex indeed.
For purposes of our discussion, the important point about the standard evolutionary story is that the human species and all of its features are the wholly physical outcome of a purely physical process. Like all but the simplest of organisms, we have a nervous system. And for the same reason: a nervous system permits the discriminative guidance of behavior. But a nervous system is just an active matrix of cells, and a cell is just an active matrix of molecules. We are notable only in that our nervous system is more complex and powerful than those of our fellow creatures. Our inner nature differs from that of simpler creatures in degree, but not in kind.
If this is the correct account of our origins, then there seems neither need, nor room, to fit any non-physical substances or properties into our theoretical account of ourselves. We are creatures of matter. And we should learn to live with that fact.
Arguments like these have moved most (but not all) of the professional community to embrace some form of materialism. This has not produced much unanimity, however, since the differences between the several materialist positions are even wider than the differences that divide dualism.
Basic Questions (Optional)
This is an optional, non-graded, non-credit area. Explore the following for a better understanding of philosophy. Answers to these question can be found in the video and in the reading.
- True or False: Substance dualism maintains that the world is made of both physical stuff and mental stuff.
- True or False: Qualia are those introspectible qualities of our own sensations such as what it's like to smell a rose.
- True or False: According to a materialist, introspection is the best way to learn about human psychology.
- What is Ockham's razor?
Advanced Questions (Optional)
This is an optional, non-graded, non-credit area. Explore the following for a better understanding of philosophy.
- Can the mind be identified with an immaterial substance like the soul? Why or why not?
- Discuss two reasons why materialists think that dualism is implausible.
- Describe what happened to Phineas Gage (see Addition Considerations) and its relevance to the mind-body issue. Which position could use this account as ammunition? How so?
- List some typical properties of minds that differ from the properties of bodies. Does it seem as though these differences are enough to establish that the mind and the body are different things? Do you agree with any of Churchland's arguments for dualism? If so, what argument is most compelling and why?
- Do parapsychological phenomena (e.g., telepathy) provide sufficient reason for believing that the mind is an immaterial substance?
- List typical properties of minds that differ from properties of bodies. Does it seem as though these differences are sufficient to establish that the mind and the body are different things?
Additional Considerations (Optional)
This is an optional, non-graded, non-credit area. Explore the following for a better understanding of philosophy.
Why Brain Scientists Are Still Obsessed With The Curious Case Of Phineas Gage
By John Hamilton
It took an explosion and 13 pounds of iron to usher in the modern era of neuroscience.
In 1848, a 25-year-old railroad worker named Phineas Gage was blowing up rocks to clear the way for a new rail line in Cavendish, Vt. He would drill a hole, place an explosive charge, then pack in sand using a 13-pound metal bar known as a tamping iron.
But in this instance, the metal bar created a spark that touched off the charge. That, in turn, "drove this tamping iron up and out of the hole, through his left cheek, behind his eye socket, and out of the top of his head," says Jack Van Horn, an associate professor of neurology at the Keck School of Medicine at the University of Southern California.
Gage didn't die. But the tamping iron destroyed much of his brain's left frontal lobe, and Gage's once even-tempered personality changed dramatically.
"He is fitful, irreverent, indulging at times in the grossest profanity, which was not previously his custom," wrote John Martyn Harlow, the physician who treated Gage after the accident.
This sudden personality transformation is why Gage shows up in so many medical textbooks, says Malcolm Macmillan, an honorary professor at the Melbourne School of Psychological Sciences and the author of An Odd Kind of Fame: Stories of Phineas Gage.
"He was the first case where you could say fairly definitely that injury to the brain produced some kind of change in personality," Macmillan says.
And that was a big deal in the mid-1800s, when the brain's purpose and inner workings were largely a mystery. At the time, phrenologists were still assessing people's personalities by measuring bumps on their skull.
Gage's famous case would help establish brain science as a field, says Allan Ropper, a neurologist at Harvard Medical School and Brigham and Women's Hospital.
"If you talk about hard core neurology and the relationship between structural damage to the brain and particular changes in behavior, this is ground zero," Ropper says. It was an ideal case because "it's one region [of the brain], it's really obvious, and the changes in personality were stunning."
So, perhaps it's not surprising that every generation of brain scientists seems compelled to revisit Gage's case.
"Neuroscientists like to always go back and say, 'we're relating our work in the present day to these older famous cases which really defined the field,' " Van Horn says.
And it's not just researchers who keep coming back to Gage. Medical and psychology students still learn his story. And neurosurgeons and neurologists still sometimes reference Gage when assessing certain patients, Van Horn says.
"Every six months or so you'll see something like that, where somebody has been shot in the head with an arrow, or falls off a ladder and lands on a piece of rebar," Van Horn says. "So you do have these modern kind of Phineas Gage-like cases."
There is something about Gage that most people don't know, Macmillan says. "That personality change, which undoubtedly occurred, did not last much longer than about two to three years."
Gage went on to work as a long-distance stagecoach driver in Chile, a job that required considerable planning skills and focus, Macmillan says.
This chapter of Gage's life offers a powerful message for present day patients, he says. "Even in cases of massive brain damage and massive incapacity, rehabilitation is always possible."
Gage lived for a dozen years after his accident. But ultimately, the brain damage he'd sustained probably led to his death.
He died on May 21, 1860, of an epileptic seizure that was almost certainly related to his brain injury.
Gage's skull, and the tamping iron that passed through it, are on display at the Warren Anatomical Museum in Boston, Mass.
Hamilton, Jon. “Why Brain Scientists Are Still Obsessed With The Curious Case Of Phineas Gage.” NPR, NPR, 21 May 2017, www.npr.org/sections/health-shots
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