Part 5

H is the sound produced in the larynx by the quick rushing of the air through the widely opened glottis.

Hermann's classification which I have given is especially valuable as regards the speaking voice, but Aikin classifies the consonants from the singing point of view, according to the more or less complete closure of the resonator.

CLASSIFICATION OF CONSONANTS (AIKIN)

Jaw fully open H, L, K, G " less " T, D, N, R " nearly closed, lips closed P, B, M " " " upper lip on lower teeth F, V " quite closed S, Z, J, N, Ch, Sh

Aikin, moreover, points out that the English language is so full of closures that it is difficult to keep the resonator open, and that accounts for one of the principal difficulties in singing it.

"The converse of this may be said of Italian, in which most words end in pure vowels which keep the resonator open. In fact, it is this circumstance which has made the Italian language the basis of every point of voice culture and the producer of so many wonderful singers." As an example compare the English word 'voice,' which begins with closure and ends with closure, and the Italian 'voce,' pronounced voché, with its two open vowel sounds. The vowel sound ah on the note c is the middle tone of the speaking register, and as we know, can be used all day long without fatigue; therefore in training the voice the endeavour should be made to develop the register above and below this middle tone. In speaking there is always a tendency under emotional excitement, especially if associated with anger, to raise the pitch of the voice, whereas the tender emotions lead rather to a lowering of the pitch. Interrogation generally leads to a rise of the pitch; thus, as Helmholtz pointed out, in the following sentence there is a decided fall in the pitch--"I have been for a walk"; whereas in "Have you been for a walk?" there is a decided rise of pitch. If you utter the sentence "Who are you?" there is a very definite rise of pitch on 'are.'

PATHOLOGICAL DEGENERATIVE CHANGES PRODUCING SPEECH DEFECTS AND WHAT THEY TEACH

As I have before remarked, children utter vowel sounds before consonants, and I used this as an argument that phonation preceded articulation; but there is another reason for supposing that articulate sounds are of later development phylogenetically, as well as ontogenetically. Not only are they more dependent for their proper production on intelligence, but in those disorders of speech which occur as a result of degenerative processes of the central nervous system the difficulty of articulate speech precedes that of phonation. Take, for example, bulbar paralysis, a form of progressive muscular atrophy, a disease due to a progressive decay and destruction of the motor nerve cells presiding over the movements of the tongue, lips, and larynx, hence often called glosso-labial-laryngeal palsy. In this disease the lips, tongue, throat, and often the larynx are paralysed on both sides. "The symptoms are, so to speak, grouped about the tongue as a centre, and it is in this organ that the earliest symptoms are usually manifested." (Gowers). Imperfect articulation of those sounds in which the tongue is chiefly concerned, viz. the lingual consonants l, r, n, and t, causing indistinctness of speech, is the first symptom; the lips then become affected and there is difficulty in the pronunciation of sounds in which the lips are concerned, viz. u, o, p, b, and m. Eventually articulate speech becomes impossible, and the only expression remaining to the patient is laryngeal phonation, slightly modulated and broken into the rhythm of formless syllables.

The laryngeal palsy rarely becomes complete. The nervous structures in the physiological mechanism of speech and phonation are affected in this disease; but there are degenerative diseases of the brain in which the psychical mechanism of speech is affected, e.g. General Paralysis of the Insane, in which the affection of speech and hand-writing is quite characteristic. There is at first a hesitancy which may only be perceptible to practised ears, but in which there is no real fault of articulation once it is started; sometimes preparatory to and during the utterance there is a tremulous motion about the muscles of the mouth. The hesitation increases, and instead of a steady flow of modulated, articulate sounds, speech is broken up into a succession of irregular, jerky, syllabic fragments, without modulation, and often accompanied by a tremulous vibration of the voice. Syllables are unconsciously dropped out, blurred, or run into one another, or imperfectly uttered; especially is difficulty found with consonants, particularly explosive sounds, b, p, m; again, linguals and dentals are difficult to utter. Similar defects occur in written as in vocal speech; the syllables and even the letters are disjointed; there is a fine tremor in the writing, and inco-ordination in the movements of the pen. Silent thoughts leave out syllables and words in the framing of sentences; consequently they are not expressed by the hand. The ideation of a written or spoken word is based upon the association of the component syllables, and the difficulty arises primarily from the progressive impairment of this function of association upon which spoken and written language so largely depends. Examination of the brain in this disease explains the cause of the speech trouble and the progressive dementia (loss of mind) and paralysis with which it is associated. There is a wasting of the cerebral hemispheres, especially of the frontal lobes, a portion of the brain which, later on, we shall see is intimately associated with the function of articulate speech.

THE CEREBRAL MECHANISM OF SPEECH AND SONG

Neither vocalisation nor articulation are essentially human. Many of the lower animals, e.g. parrots, possess the power of articulate speech, and birds can be taught to pipe tunes. The essential difference between the articulate speech of the parrot and the human being is that the parrot merely imitates sounds, it does not employ these articulate sounds to express judgments; likewise there are imbecile human beings who, parrot-like, repeat phrases which are meaningless. Articulate speech, even when employed by a primitive savage, always expresses a judgment. Even in the simple psychic process of recalling the name aroused by the sight of a common object in daily use, and in affixing the verbal sign to that object, a judgment is expressed. But that judgment is based upon innumerable experiences primarily acquired through our special senses, whereby we have obtained a knowledge of the properties and uses of the object. This statement implies that the whole brain is consciously and unconsciously in action. There is, however, a concentration of psychic action in those portions of the brain which are essential for articulate speech; consequently the word, as it is mentally heard, mentally seen, and mentally felt (by the movements of the jaw, tongue, lips, and soft palate), occupies the field of clear consciousness; but the concept is also the nucleus of an immense constellation of subconscious psychic processes with which it has been associated by experiences in the past. In language, articulate sounds are generally employed as objective signs attached to objects with which they have no natural tie.

In considering the relation of the Brain to the Voice we have not only a physiological but a psychological problem to deal with. Since language is essentially a human attribute, we can only study the relation of the Brain to Speech by observations on human beings who during life have suffered from various speech defects, and then correlate these defects with the anatomical changes found in the brain after death.

Between the vocal instrument of the primitive savage and that of the most cultured singer or orator there is little or no discoverable difference; neither by careful naked-eye inspection of the brain, nor aided by the highest powers of the microscope, should we be able to discover any sufficient structural difference to account for the great difference in the powers of performance of the vocal instrument of the one as compared with that of the other; nor is there any sufficient difference in size or minute structure of the brain to account for the vast store of intellectual experiences and knowledge of the one as compared with the other. The cultured being descended from cultured beings inherits tendencies whereby particular modes of motion or vibration which have been experienced by ancestors are more readily aroused in the central nervous system; when similar stimuli producing similar modes of motion affect the sense organs. But suppose there were an island inhabited only by deaf mutes, upon which a ship was wrecked, and the sole survivors of the wreck were infants who had never used the voice except for crying, would these infants acquire articulate speech and musical vocalisation? I should answer, No. They would only be able to imitate the deaf mutes in their gesture language and possibly the musical sounds of birds; for the language a child learns is that which it hears; they might however develop a simple natural language to express their emotions by vocal sounds. The child of English-speaking parents would not be able spontaneously to utter English words if born in a foreign country and left soon after birth amongst people who could not speak a word of English, although it would possess a potential facility to speak the language of its ancestors and race.

It is necessary, however, before proceeding further, to say a few words explanatory of the brain and its structure, and the reader is referred to figs. 15, 16, 17. The brain consists of (1) the great brain or cerebrum, (2) the small brain or cerebellum, and (3) the stem of the brain, which is continuous with the spinal cord. The cerebro-spinal axis consists of grey matter and white matter. The grey matter covers the surface of the cerebrum and cerebellum, the white matter being internal. The stem of the brain, the medulla oblongata, and the spinal cord, consists externally of white matter, the grey matter being internal. The grey matter consists for the most part of nerve cells (ganglion cells), and the white matter consists of nerve fibres; it is white on account of the phosphoretted fatty sheath--myelin--that covers the essential axial conducting portion of the nerve fibres. If, however, the nervous system be examined microscopically by suitable staining methods, it will be found that the grey and white matters are inseparably connected, for the axial fibres of the nerves in the white matter are really prolongations of the ganglion cells of the grey matter; in fact the nervous system consists of countless myriads of nervous units or neurones; and although there are structural differences in the nervous units or neurones, they are all constructed on the same general architectural plan (vide fig. 15). They may be divided into groups, systems, and communities; but there are structural differences of the separate systems, groups, and communities which may be correlated with differences of function. The systems may be divided into: (1) afferent sensory, including the special senses and general sensibility; (2) motor efferent; (3) association.

The great brain or cerebrum consists of two halves equal in weight, termed hemispheres, right and left; and the grey matter covering their surface is thrown into folds with fissures between, thus increasing enormously the superficial area of the grey matter and of the neurones of which it consists without increasing the size of the head. The pattern of the folds or convolutions shows a general similarity in all human beings, certain fissures being always present; and around these fissures which are constantly present are situated fibre systems and communities of neurones having particular functions (vide fig. 16.) Thus there is a significance in the convolutional pattern of the brain. But just as there are no two faces alike, so there are no two brains alike in their pattern; and just as it is rare to find the two halves of the face quite symmetrical, so the two halves of the brain are seldom exactly alike in their pattern. Although each hemisphere is especially related to the opposite half of the body, the two are unified in function by a great bridge of nerve fibres, called the corpus callosum, which unites them. The cortical centres or structures with specialised functions localised in particular regions of one hemisphere are associated by fibres passing to the same region in the opposite hemisphere by this bridge.

Muscles and groups of muscles on the two sides of the body which invariably act together may thus be innervated from either hemisphere, e.g. the muscles of the larynx, the trunk, and upper part of the face.

Gall, the founder of the doctrine of Phrenology, wrecked his fame as a scientist by associating mental faculties with conditions of the skull instead of conditions of the brain beneath; nevertheless, he deserves the highest credit for his discoveries and deductions, for he was the first to point out that that part of the brain with which psychic processes are connected must be the cerebral hemispheres. He said, if we compare man with animals we find that the sensory functions of animals are much finer and more highly developed than in man; in man, on the other hand, we find intelligence much more highly developed than in animals. Upon comparing the corresponding anatomical conditions, we see, he said, that in animals the deeper situated parts of the brain are relatively more developed and the hemispheres less developed than in man; in man, the hemispheres so surpass in development those of animals that we can find no analogy. Gall therefore argued that we must consider the cerebral hemispheres to be the seat of the higher functions of the mind. We must moreover acknowledge that the following deductions of Gall are quite sound: "The convolutions ought to be recognised as the parts where the instincts, feelings, thoughts, talents, the affective qualities in general, and the moral and intellectual forces are exercised." The Paris Academy of Science appointed a commission of inquiry, May, 1808, which declared the doctrine of Gall to be erroneous. Gall moreover surmised that the faculty of language lay in the frontal lobes, and Bouillaud supported Gall's proposition by citing cases in which speech had been affected during life, and in which after death the frontal lobes were found to be damaged by disease. A great controversy ensued in France; popular imagination was stirred up especially in the republic by the doctrine of Gall, which was an attempt to materialise and localise psychic processes. Unfortunately Gall's imagination, encouraged by a widespread wave of popular sympathy, overstepped his judgment and launched him into speculative hypotheses unsupported by facts. His doctrine of Phrenology was shown to be absolutely illogical; consequently it was forgotten that he was the pioneer of cerebral localisation.

SPEECH AND RIGHT-HANDEDNESS

The next step in Cerebral Localisation was made by a French physician, Marc Dax, who first observed that disease of the left half of the cerebrum producing paralysis of the right half of the body (right hemiplegia) was associated with loss of articulate speech. This observation led to the establishment of a most important fact in connection with speech, viz. that right-handed people use their left cerebral hemisphere as the executive portion of the brain in speech. Subsequently it was shown that when left-handed people were paralysed on the left side by disease of the right hemisphere, they lost their powers of speech. But the great majority of people are born right-handed, consequently the right hand being especially the instrument of the mind in the majority of people, the left hemisphere is the leading hemisphere; and since probably specialisation of function of the right hand (dexterity) has been so closely associated with that other instrument of the mind, the vocal instrument of articulate speech, the two have now become inseparable; for are not graphic signs and verbal signs intimately interwoven in the development of language and human intelligence?

What has determined the predominance of the left hemisphere in speech? I can find no adequate anatomical explanation. There is no difference in weight of the two hemispheres in normal brains. Moreover, I am unable to subscribe to the opinion that there is any evidence to show that the left hemisphere receives a larger supply of blood than the right. Another theory advanced to explain localisation of speech and right-handedness in the left hemisphere is that the heavier organs, lung and liver, being on the right side have determined a mechanical advantage which has led to right-handedness in the great majority of people. This theory has, however, been disposed of by the fact that cases in which there has been a complete transposition of the viscera have not been left-handed in a larger proportion of cases. The great majority of people, modern and ancient, civilised and uncivilised, use the right hand by preference. Even graphic representations on the sun-baked clay records of Assyria, and the drawings on rocks, tusks, and horns of animals of the flint-weapon men of prehistoric times show that man was then right-handed. There is a difference of opinion whether anthropoid apes use the right hand in preference to the left. Professor Cunningham, who made a special study of this subject, asserts that they use either hand indifferently; so also does the infant at first, and the idiot in a considerable number of cases. Then why should man, even primitive, have chosen the right hand as the instrument of the mind? Seeing that there is no apparent anatomical reason, we may ask ourselves the question: Is it the result of an acquired useful habit to which anatomical conditions may subsequently have contributed as a co-efficient? Primitive man depended largely upon gesture language, and the placing of the hand over the heart is universally understood to signify love and fidelity. Uneducated deaf mutes, whose only means of communicating with their fellow-men is by gestures, not only use this sign, but imply hatred also by holding the hand over the heart accompanied by the sign of negation. Moreover, pointing to the heart accompanied by a cry of pain or joy would indicate respectively death of an enemy or friend. Again, primitive man protected himself from the weapons of his enemies by holding the shield in his left hand, thus covering the heart and leaving the right hand free to wield his spear. The question whether it would have been to his advantage to use either hand indifferently for spear and shield has been, to my mind, solved by the fact that in the long procession of ages evolution has determined right-handed specialisation as being more advantageous to the progress of mankind than ambidexterity. Right-handedness is an inherited character in the same sense as the potential power of speech.

LOCALISATION OF SPEECH CENTRES IN THE BRAIN

In 1863 Broca showed the importance in all right-handed people (that is in about ninety-five per cent of all human beings) of the third left frontal convolution for speech (vide figs. 16 and 17); when this is destroyed by disease, although the patient can understand what is said and can understand written and printed language, the power of articulate speech is lost. Motor Aphasia. This portion of the brain is concerned with the revival of the motor images, and has been termed by Dr. Bastian "the glosso-kinæsthetic centre," or the cortical grey matter, in which the images of the sense of movement of the lips and tongue are formed (vide fig. 17). A destruction of a similar portion of the cortex in a right-handed person produces no loss of speech; but if the person is left-handed there is aphasia, because he, being left-handed, uses the third right inferior frontal convolution for speech. These facts have for long been accepted by most neurologists, but recently doubts have been cast upon this fundamental principle of cerebral localisation by a most distinguished French neurologist, M. Marie; he has pointed out that a destructive lesion of the cortex may be accompanied by subcortical damage, which interrupts fibres coming from other parts of the brain connected with speech.

In the study of speech defects it is useful to employ a diagram; a certain part of the brain corresponds to the Speech Zone there indicated, and lesions injuring any part of this area in the left hemisphere cause speech defects (vide fig. 17). All neurologists, M. Marie included, admit this, and the whole question therefore is: Is a destruction of certain limited regions of the superficial grey matter the cause of different forms of speech defects, or are they not due more to the destruction of subcortical systems of fibres, which lie beneath this cortical speech zone?

There is a certain portion of the speech zone which is assumed to be connected with the revival of written or printed language, and is called the visual word-centre. There is another region connected with the memory of spoken words--the auditory word-centre; you will observe that it is situated in the posterior third of the first temporal convolution, but this does not comprise nearly the whole of it, for there is an extensive surface of grey matter lying unseen within the fissure, called the transverse convolutions, or gyri. Lesions of either of these regions give rise to Sensory Aphasia, which means a loss of speech due to inability to revive in memory the articulate sounds which serve as verbal symbols, or the graphic signs which serve as visual symbols for language.

This speech zone acts as a whole, and many disorders of speech may arise from destructive lesions within its limits. It has a special arterial supply, viz. the middle cerebral, which divides into two main branches--an anterior, which supplies the motor portion, and a posterior, which supplies the posterior sensory portion. The anterior divides into two branches and the posterior into three branches, consequently various limited portions of the speech zone may be deprived of blood supply by blocking of one of these branches. The speech zone of the left hemisphere directly controls the centres in the medulla oblongata that preside over articulation and phonation; innervation currents are represented by the arrows coming from the higher to the lower centres.]

These several cortical regions are connected by systems of subcortical fibres to two regions in front of the ascending frontal convolution (vide fig. 17), called respectively the "glosso-kinæsthetic" (sense of movement of tongue) and the "cheiro-kinæsthetic" (sense of movement of hand) centres. Now a person may become hemiplegic and lose his speech owing either to the blood clotting in a diseased vessel, or to detachment of a small clot from the heart, which, swept into the circulation, may plug one of the arteries of the brain. The arteries branch and supply different regions, consequently a limited portion of the great brain may undergo destruction, giving rise to certain localising symptoms, according to the situation of the area which has been deprived of its blood supply. Upon the death of the patient, a correlation of the symptoms observed during life and the loss of brain substance found at the post-mortem examination has enabled neurologists to associate certain parts of the brain surface with certain functions; but M. Marie very rightly says: None of the older observations by Broca and others can be accepted because they were not examined by methods which would reveal the extent of the damage; the only cases which should be considered as scientifically reliable are those in which a careful examination by sections and microscopic investigation have determined how far subcortical structures and systems of fibres uniting various parts of the cortex in the speech zone have been damaged. Marie maintains that the speech zone cannot be separated into these several centres, and that destruction of Broca's convolution does not cause loss of speech (vide figs. 16, 17). There are at present two camps--those who maintain the older views of precise cortical centres, and those who follow Marie and insist upon a revision.

Herbert Spencer says that "our intellectual operations are indeed mostly confined to the auditory feelings as integrated into words and the visual feelings as integrated into ideas of objects, their relations and their motions."

Stricker by introspection and concentration of attention upon his own speech-production came to the conclusion that the primary revival of words was by the feeling of movements of the muscles of articulation; but there is a fallacy here, for the more the attention is concentrated upon any mental process the more is the expressive side brought into prominence in consciousness. This can be explained by the fact that there is in consequence of attention an increased outflow of innervation currents to special lower executive centres, thence to the muscles, but every change of tension in the speech muscles is followed by reciprocal incoming impressions appertaining to the sense and feeling of the movement. The more intense the sense of movement, the greater will be the effect upon consciousness. In fact, a person who reads and thinks by articulating the words, does so because experience has taught him that he can concentrate his attention more perfectly; therefore his memory or understanding of the subject read or thought of will be increased. Very many people think and commit to memory by this method of concentrating attention; they probably do not belong to the quick, perceptive, imaginative class, but rather to those who have power of application and who have educated their minds by close voluntary attention. Galton found a large proportion of the Fellows of the Royal Society were of this motor type. But the fact that certain individuals make use of this faculty more than others does not destroy the arguments in favour of the primary revival of words in the great majority of persons by a subconscious process in the auditory centre, which is followed immediately by correlated revival of sensori-motor images. Although the sensori-motor images of speech can be revived, it is almost impossible without moving the hand to revive kinæsthetic impressions concerned in writing a word. Both Ballet and Stricker admit this fact, and it tends to prove that the sense of hearing is the primary incitation to speech.