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  • Cited by 2
  • Print publication year: 1996
  • Online publication date: May 2010

4 - Temporal lobe structural abnormalities in schizophrenia: A selective review and presentation of new magnetic resonance findings

Summary

It seemed not improbable that cortical centres which are last organized, which are the most highly evolved and voluntary and which are supposed to be localized in the left side of the brain, might suffer first in insanity.

Crichton-Browne (1879), P. 42

Introduction

Schizophrenia is a major mental illness that affects 1% of the general population and is extremely costly to the patient, family, and larger community. Unfortunately, its etiology is as yet unknown, and for this reason it is categorized as a “functional” psychosis rather than an “organic” psychosis, a category which implies that it arises from no known structural or pathological alteration of the brain. The role of brain dysfunction, however, in the etiology of schizophrenia seems likely in light of recent brain structural and functional studies, and has been suspected since Kraepelin (1919/1971) and Bleuler (1911/ 1950) first delineated the syndrome(s). Kraepelin, in fact, believed that the symptoms of schizophrenia, which he called Dementia Praecox, would ultimately be linked to abnormalities in both the frontal and temporal lobes. He believed that the frontal lobes were responsible for the disruption in reasoning so clearly evident in schizophrenia, while the temporal lobes were responsible for auditory hallucinations and delusions. Other workers at the close of the nineteenth century, such as Crichton-Browne, quoted above, as well as Alzheimer (1897), Kahlbaum (1874), and Hecker (1871) also believed that to understand the etiology of severe mental illnesses, such as schizophrenia, an understanding of the brain was necessary.