Rehabilitating Phineas Gage

  title={Rehabilitating Phineas Gage},
  author={Malcolm Macmillan and Matthew L. Lena},
  journal={Neuropsychological Rehabilitation},
  pages={641 - 658}
  • M. Macmillan, M. Lena
  • Published 17 May 2010
  • Psychology, Medicine
  • Neuropsychological Rehabilitation
The view that Phineas Gage's accident made him permanently “no longer Gage” is scrutinised critically. Re-examination of the well-known older evidence together with a consideration of new material strongly implies that Gage eventually made a surprisingly good psychosocial adaptation to his injury. It is argued that the structure provided by the external circumstances of his work facilitated this result. Parallels are drawn with the theory and practice of modern rehabilitation which began with… 
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The results show that the cerebral injury of Phineas Gage was limited to the left frontal lobe, did not extend to the contralateral side,did not affect the ventricular system, and did not involve vital intracranial vascular structures.
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The 19th-century story of Phineas Gage is much quoted in neuroscientific literature as the first recorded case in which personality change (from polite and sociable to psychopathic) occurred after
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A reproduction of a daguerreotype of Phineas Gage that came into their possession more than 30 years ago is presented, which is, as far as the authors know, the only image of this famous patient.
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  • 1879
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