Broca's aphasia, psychodynamics, and changes in 'mental apparatus': A commentary on 'Revisiting the left convexity hypothesis: Changes in the mental apparatus after left dorso-medial prefrontal damage' by Salas Yuen

摘要

In the context of psychoanalytic psychotherapy with a patient with a vascular lesion involving the left dorsal and medial prefrontal cortex, Salas and Yuen describe changes in the patient's subjective experiences when sitting quietly as well as when attempting to solve different tasks. They propose that the patient's subjective reports reveal changes in "mental apparatus" not previously considered in the early work of Kaplan-Solms and Solms 2000. Clinical studies in neuro-psychoanalysis: Introduction to a depth neuropsychology. London: Karnac Books when describing psychotherapeutic work with a patient who was described as having Broca's aphasia. Historically, there has been debate over how different forms of aphasia might influence intellectual functioning.