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If the patient is impaired on both tasks, these de cits are said to be associated with one another A similar situation arises if two patients (or groups) show equal task effects, as depicted in the left panel of Figure 122 The implications of this result for understanding the patient s de cit are ambiguous because it could mean that the two tasks both tap the same underlying ability, or it could mean that both are dependent on a third (unmeasured) ability earlier in the cognitive processing chain Thus, associations, although helpful, may sometimes lead to results that are dif cult to interpret (Shallice, 1988) If our patient (or group) fails Task A but performs well on Task B, or if the patient is signi cantly more impaired on Task A than on Task B, then a dissociation has occurred.

(6.32)

This may mean that the patient (or group) is impaired in some cognitive process tapped by Task A but not by Task B, which is potentially useful in our attempt to understand the nature of the measured de cit A similar situation arises when one group shows task effects, whereas the other does not, as depicted in the central panel of Figure 122 Such a dissociation may occur for reasons that are less interesting or informative, such as a difference between tasks in level of dif culty Thus, single dissociations are also limited in their usefulness The strongest evidence for a speci c relationship between a brain lesion and behavioral dysfunction exists when a double dissociation occurs (Teuber, 1955) Here, suppose we test at least two different patients (or groups) on at least two different tasks.

called his variant phrenology, a term that Gall never used (Clark & Jacyna, 1987, p 222) Phrenology attracted numerous adherents in both England and the United States, including in uential philosophers and physicians specializing in psychiatry Isaac Ray (1807 1881), an American physician and well-received writer on forensic psychiatry, was for some years an advocate of phrenology Spurzheim s phrenology was used to rationalize discrimination and prejudice on the basis of presumed biological racial and class differences Victor Hilts (1982) points out that, although Gall did not use hereditarian arguments, phrenologists such as Spurzheim began to promote the social policy of eugenics well before the appearance of the social Darwinists They popularized hereditarian ideas in the conviction that social progress depends on the improvement of human biological endowment through selective breeding, and warned of the possibility of racial degeneration if this were not accepted as a moral duty.

Brain Hemisphere Theories Discovery of the brain s division into two hemispheres led to an interpretation of psychopathology as caused by a breakdown in the activity integration between the two hemispheres Esquirol (1838) attributed impairment to the duality of the brain, whose two hemispheres, if not equally activated, do not act simultaneously Benjamin Rush (1745 1813) speculated that the mind, like vision, is a double organ, which could account for cases of somnambulism in which patients seemed to experience two independent states of consciousness And the French neurologist, Marie Fran ois Xavier Bichat, explained that the brain has two hemispheres because the organism must interact with the external world in a uni ed way with both sides of the body (Harrington, 1987).