Studies in the Osteopathic
Sciences
The Physiology of Consciousness:
Volume 3
Louisa Burns, M.S., D.O., D.Sc.O.
1911
CHAPTER IV.
THE INHIBITIONS.
To a very great extent the development of the human brain
is a matter not of increased variety of possible reactions to given environmental
changes, but to the increased development of inhibitory powers. The difference
between man and the higher animals, then, is seen to be, not that he can do
more different things than they can, but that he can refrain from doing more
things than they can. And the difference between the higher and lower among
human kind is, not that the higher are able to do more than the lower, though
this is probably true, but the essential difference is, that the more highly
civilized a nation is, in the best use of that term, the more able its citizens
are to refrain from doing certain things.
Function of the Inhibitions
Inefficiency along certain lines of mentality is
associated with a lessened number of possible associative reactions. But
for the most part a loss of mentality, either as positive insanity or as
the neurasthenic or psychasthenic states, is more characterized by a loss
of the inhibitory powers than by a loss of the powers of active cerebration.
Or, if the mental faculties do seem to be lessened, it is largely because
of the lack of the inhibitory powers, thus permitting unwise and improper
reactions to occur to the exclusion of those more carefully determined.
It is by means of the inhibitory activities that
the adjustment of complex mechanisms becomes possible. With even the most
complex possibilities of reaction, were every incoming impulse to be followed
immediately by one of these, the powers of choice must be certainly limited.
But with the action of the cells which inhibit activity, those nerve impulses
derived from past experience, even though they be revived only through
the activity of many cells, are enabled to affect the reaction, whether
it affects consciousness or whether merely some lower center be affected.
Frontal Inhibitions
There is reason to believe that the frontal lobes
of the brain are concerned with those associative processes which relate
the personality of an individual with his environment. Other investigators
see in the frontal lobes an immense center for inhibitory impulses. It
is possible that both these views are correct. If the frontal lobes are
chiefly concerned with the inhibition of the nerve impulses too hastily
transformed into efferent impulses by the lower centers, then it is evident
that this very function of retardation renders these lobes most efficient
as controlling agents for the relating of the person to his environment.
On the other hand, if the frontal lobes were, as their phylogenetic development
and their structural relations seem to indicate, chiefly concerned with
the determination of the individual’s own place in the midst of things,
then the increase of their inhibitory powers would follow speedily.
That the activity of the frontal lobes does exert
an inhibitory power upon the activities of the lower centers is shown by
the results of the injury of these lobes. Patients whose frontal lobes
have been subjected to injury by trauma, pressure, or other pathological
conditions show very great lack of the normal self-control. They yield
unquestioned obedience to the dictates of anger, amusement, suspicion,
or any other passion. The loss of this self-control is not seen in like
degree in injuries of other parts of the brain, though it must not be forgotten
that pressure abnormalities are transmitted by the almost fluid brain substance
without interference.
The inhibitory action of the frontal lobes renders them of tremendous
value n adding to the wisdom of all conscious reactions, and of many of
those which are not present in consciousness.
Physiology of the Inhibitions
When the lower centers are stimulated by incoming
impulses reaching them, the tendency is, of course, toward immediate discharge
of the nerve impulses resulting from that stimulation as efferent or motor
impulses; that is, if any center whose duty is the coordination of any
certain action receives impulses increasing its activity from other parts
of the nervous system, the effect of that stimulation is to cause immediate
activity of that center, and thus an immediate reaction of a type depending
upon the nature of the stimulation and the physiological condition of the
center affected. This immediate reaction is exactly what occurs in the
simpler reflexes and in the lower animals, for the most part. But just
to the extent that the inhibitory powers of the higher centers, and especially
the frontal lobes, are developed, just to that extent there is produced,
not the prevention of the reaction, but its slight postponement. Thus,
the center affected may receive impulses from other parts of the cerebral
cortex, from the nerve cells in which are stored memories of previous related
reactions and their results, from other nerve cells in which are stored
memories of the nerve activity dependent upon the association of these
experiences, from other cells in which are stored memories of the experiences
of other people, of historical events, of various ethical or esthetical
teachings. As a result of this inhibition, this temporary postponement
of the reaction, the nature of the efferent impulses may be considerably
modified. Perhaps it may be altogether prevented, perhaps much reinforced,
perhaps modified in various manners. In any event the resultant reaction
is the effect, not only of the certain immediate stimulation, but also
of all the experiences of the past of the individual, and of the past histories
of many other people. Thus the reaction is, or ought to be, much wiser
than would be possible if sensory stimulation were followed by immediate
motor activity.
It must not be forgotten that the physiological value of the inhibitions
is to postpone temporarily the motor impulses and not to repress indefinitely
any reactions. The temporary inhibition may be followed by indefinite postponement
of the reaction, and the nature of the reaction may be greatly modified.
If the algebraic sum of the impulses reaching the center whose activity
has been postponed should equal zero, then probably no reaction would occur.
Inhibition of the Emotions
The centers most affected by this inhibition are
those concerned in the emotional reactions. The physiology of these centers
is discussed elsewhere. Inasmuch as these centers are those in which are
coordinated the impulses concerned in securing the safety of the person
and his race, and since in these centers the manner of the reaction is
that dependent upon racial rather than upon individual history, we have
these presenting, in their unmodified activities, the spectacles of the
most destructive, the most suicidal, and the most dangerous of all reactions
possible to animals or man. It is by the uncontrolled activity of the emotional
centers that the most destructive actions are performed. By means of the
inhibitory action of the higher centers these emotional reactions are subject
to control, and thus serve as a source of much strength and pleasure in
the performance of life’s duties. It is, however, only when the relationship
between the higher and inhibitory centers is normal and exact that these
reactions give all of their proper force to life, and all of their normal
enjoyment to those who live. With unimpeded expression, without guidance,
these powers are frittered and lost, and in their expression destruction
is certain. With the postponing effects of the inhibitions, the excessive
and destructive action of the emotions is prevented, while under other
circumstances the sane and chosen expression of the same emotions may be
increased to a force beyond the unimpeded reactions, and the pleasure derived
from that expression becomes increased to a degree unimagined by the person
in whom the effects of inhibition are not manifest.
The activity of many of the reactions which are not
ever or not usually a part of consciousness is postponed in the same manner.
Even the action of the spinal centers is subject to the inhibition of higher
centers. It thus occurs that under normal conditions there is probably
never an immediate response to afferent impulses, nor an immediate reaction
following even the most exactly coordinated series of complex associative
impulses. In other words, there is present always, in the action of the
very lowest as well as of the highest centers, some inhibitory, some postponing
impulses, by means of which too hasty or too unguarded, or too unreserved
reactions are prevented. Thus, there is afforded the time needful for each
center to receive from other related centers those impulses which are concerned
in the coordinate reactions of many centers; thus, too, the effects of
the memory impulses, whether present in consciousness or not, are permitted
to affect the ultimate reaction.
Because of this postponing condition the reaction
of any center may be greatly increased. If the experience of the individual
and of his race should be of a nature to show that the proposed reaction
is for great good, for the prevention of great evil, then the effect of
the postponement of the reaction increases its force and renders the action
itself more permanent. On the other hand, if the experience of the individual
and of the race is such as to indicate that the proposed reaction is better
modified, then that modification must inevitably ensue. It is not probable
that a complete prevention of any reaction often occurs. But the proposed
reaction may be so modified as to become unrecognizable. For instance,
the first effect of the presence of a burglar may be to kill him, but the
second thought may lead to efforts toward his greater comfort and his reformation.
So anger may be turned to pity, or pity to anger, under other circumstances.
Education of the Inhibitions
The inhibitory powers, like any others, are subject
to educational influences. The child whose every impulse is afforded immediate
and unimpeded expression becomes erratic, uncertain, easy to anger, and
not in the least to be depended upon as a member of society. On the other
hand, the child whose every expression is made the subject of discussion
and reproof, who is permitted no speedy and unthoughtful reaction, who
stops to consider the effects of every action, such a one has excessively
developed his inhibitory powers, and becomes inert, helpless, undecided.
A rational development of the inhibitory powers is greatly to be desired.
The ability to decide quickly and yet wisely, that is the desideratum.
This is to be secured only by training the postponement and not the prevention
of reactions. Let the child be taught to think about the effects of his
performances, then let him be taught to decide quickly and finally the
nature of his subsequent performances. The rational uses of the inhibitory
powers, it must be recognized, are to postpone the reactions only just
long enough to permit the receipt of other impulses from other centers,
and not to prevent reactions. Thus, the nature of any reaction is subject
to the effects of many experiences, but the fact that some reaction must
occur as an expression of the recognition of certain environmental changes
is probably inevitable. For example, if anything occurs which under ordinary
circumstances would arouse the emotion of fear, there must, probably, be
some reaction in answer to this environmental change. The inhibitions postpone
immediate reaction. The effects of the impulses from other centers, from
nerve cells concerned with the memories of the past experiences of the
person himself and others with whom he has been associated and of whom
he has heard or read, may cause his first impulse toward flight to be superseded
by movements toward investigation, or the effect of his further consideration
may cause him to run the faster. But it is very doubtful if ever the need
for some answer to the original stimulation is neglected.
The Nature of the Inhibitions
The nature of the inhibitions has long been discussed.
No satisfactory explanation has yet been offered for the phenomenon; the
following is only tentative and is given with a full appreciation of the
difficulties of explaining the matter in any feasible manner:
In the first place, it is known that the subminimal
stimulation of a neuron may produce a latent period similar to that produced
by efficient stimulation. This latent period may be increased by recurring
slight stimuli, if these occur at intervals too great for the summation
of stimuli to occur. It is known, also, that impulses which are oridinarily
inhibitory are carried over the same nerves and tracts as those employed
in transmitting impulses which increase the activity of the same structures.
The descending impulses from the cortex to the spinal centers, for example,
seem to be carried by the same tracts which carry the ordinary stimulating
impulses. The effects of the removal or the disease of the cortical areas
seem to show that the cell and fiber systems which transmit inhibitory
impulses may also, under conditions leading to more powerful stimulation,
carry impulses which are efficient in promoting neuron activity. Experimentally,
it is shown that inefficient stimuli at longer intervals than those necessary
for summation may prevent the stimulation of the neuron group for a considerable
time, even in the presence of other sources of stimulation ordinarily effective.
The psychical side of the phenomenon is shown in
a common experience; if inefficient reasons for the performance of any
act are brought before any one for a number of times, and the act is not
performed, even more powerful reasons—reasons which at first would have
easily persuaded the individual to forceful reaction—are unable to arouse
his activity. The indifference with which most persons view social and
governmental conditions, which would be seen to be unendurable if they
had been suddenly produced, is due to this physiological factor. “Too often
seen, familiar with its face,” is due, not to the frequent seeing, but
to the fact that no efficient stimulus to opposition was produced by the
sight of vice. To put inefficient reasons for performing any given act
before an unthoughtful person is equivalent to increasing the difficulty
of persuading him to that act at a later time. In teaching people, as well
as children, or in persuading others to engage in any given line of effort,
it is better to present no arguments at all until one has some hope of
success in that persuasion. Also, when any given line of argument fails,
it is better to cease referring to the matter again until other and more
cogent arguments are at hand. This does not apply in those cases in which
the repetition of certain teachings may lead to their acceptance. In this
case there is no question of reasoning; there can be only the use of the
demand or the statement in securing summation of stimuli in affecting the
reactions of others. Arguments fail in producing the phenomena of summation
probably because all reasoning is associated more or less vividly with
coordinating impulses, both stimulatory and inhibitory. The appeal to the
feelings and the repetition of facts may be summated, since the nerve reactions
concerned in these conditions are not thoroughly coordinated, and the inhibitions
are correspondingly less powerful.
Structural Basis
The structure of the cerebral cortex has been studied
with much care, yet very little is known concerning the place of the neurons
in affecting consciousness or in causing inhibition. The following schema
has been built upon the facts of histology. It is offered with a vivid
appreciation of its very slender foundation, yet it is perhaps as well
verified as any such schema can be, with our present very limited knowledge
and the handicaps under which investigations into the phenomena of consciousness
and the inhibitions must be made.
The external layer of cells of the cortex, the layer
of stellate and polymorphic cells, seems to be concerned in consciousness
probably altogether. The primary sensory areas, except for smell, contain
comparatively few of the cells of the external layer. The sensory overflows,
the intermediate and motor areas, all are very well supplied with this
layer. The cells are found best developed among the higher races of mankind,
and are very feebly developed in the brains of animals. They are first
affected by disease in certain degenerative processes associated with deficiencies
of consciousness and of self-control. For all these reasons it is believed
that these cells are the ones chiefly, if not altogether, concerned in
producing the phenomenon called consciousness.
Inhibition seems to be a function of almost all nerve
cells, under certain conditions. The inverted pyramids of Martinotti are
especially adapted to the performance of this function. (Fig. 7.) These
cells are sometimes found in the brains of animals, but are much more frequently
found in the human brain, and are then larger, with more complex structure.
They are found most plentifully in the overflow and intermediate areas.
Fig. 7. Diagram of the
elements of the cortex. The arrows show the direction of the nerve impulses.
A. Incoming axon from other parts of the nervous system: B. Large pyramidal
cell, which may receive the impulse directly from A, or indirectly by the
interpolated neurons. The axon of B may transmit the impulse thus received
to other parts of the nervous system, without affecting the neurons of
the external layers of the cortex. It is probable that consciousness is
not affected by these impulses.
A may transmit the impulses to C, as inverted
pyramid of Martinotti, which carries the impulses over its axon to the
cells of the stratum zonale, D. The dendrites of either the small, the
medium, the large pyramidal cells, as E, may receive the impulses from
D, and the large pyramidal cells, as E, may transmit the impulse thus received
to other parts of the nervous system.
F, as an axon from another part of the nervous
system. The impulses carried by F may affect the inverted pyramid, G, which
in turn may stimulate the cells of the more peripheral layers of the cortex,
including H, a cell of the stratum zonale. The large, small and medium
pyramids are affected by the action of H and of G, and these affect the
cells of the lower layers again. The impulse descending from the stratum
zonale may be transmitted to other inverted pyramids, as G and J, and the
impulses thus again be carried to the cells of the stratum zonale. There
is no way of determining the number of times this reaction may occur. It
is probable that this series of impulses passing around this circular path
is the physiological basis of inhibition, and thus of the mental process
of “thinking things over.” Ultimately the stimulation of I, a large pyramid,
or any of the cells of the seventh layer, may carry the impulses to the
other parts of the nervous system, and the final destination of these must
be the motor neurons.
Physiology of the Inhibitory Neurons
The impulses concerned in the phenomena of consciousness
and the cortical coordinations are probably as follows:
The sensory impulses from any environmental or physiological
change are carried upward by the sensory tracts to the cortex, in which
is located the primary area for the class of sensations under consideration.
The fibers of the centrum ovale enter the gray matter, passing as far toward
the external surface as the line of Bailarger. (In the auditory area the
incoming fibers reach the external layer.) The impulses carried by these
fibers then affect the cells, with which they form synapses. These cells
include the pyramids, the Golgi Type II cells, and the polymorphic cells.
The large pyramidal cells thus stimulated may initiate efferent impulses
directly, without the intermediation of neurons of other layers. It is
probable that when the incoming sensory impulse is of sufficient force,
or if the large pyramidal cells have a low enough liminal value, the efferent
impulse may be initiated immediately, and the arc thus concerned in the
reaction need not include any effect in consciousness. In this way are
produced those complex reactions, often the result of habit or of certain
slightly abnormal conditions, in which activities which are usually considered
necessarily conscious are thus effected without the intermediation of consciousness
in any degree.
The impulses carried by the incoming fibers may affect
the inverted pyramids of Martinotti. The axons of these cells pass to the
outer layer of the cortex and there form synapses with the spindle-shaped
cells and the Golgi Type II cells of that layer. These cells send impulses
to the pyramidal cells, which all send dendrites into the stratum zonale.
The impulses are carried downward by way of these dendrites to the deeper
layers. The giant pyramids may be affected directly by this relationship,
and the efferent impulses initiated by these may cause immediate reaction
to the incoming stimulus. Or the impulses may be carried by way of the
small pyramids; the axons of these send collaterals to the cells of the
larger pyramids lying in the deeper layers; the axons of these, in turn,
may send impulses to others, until a large number of neurons have been
subjected to the stimulation. The efferent impulses are thus very notably
increased over those which have resulted if the first incoming stimulus
should affect the large pyramids directly. At the same time and in the
same manner the impulses carried from cell to cell in the cortex affect
those cells, the giant pyramids and the polymorphic cells of the seventh
layer, and the axons of these carry the stimulation to the overflow of
that sensory area. In the overflow areas the cells are adapted to the retention
of the effects of previous stimulations; that is, these cells, probably
of the stratum zonale, are capable of being so changed by repeated stimulation
that their liminal value is lowered more or less permanently. When the
liminal value thus is lowered constantly, less amounts of stimulation are
needful for the initiation of nerve impulses by these cells. They send
efferent impulses, as all nerve cells do when stimulated, and these impulses
are carried to other parts of the cortex. Again, the cells in the stratum
zonale are affected, and these bring about the phenomenon of consciousness
again. When this occurs, the individual is said to “remember” the circumstances
whose occurrence originally stimulated the neuron systems concerned.
It may happen that the immediate discharge of the
efferent impulses does not occur. This postponement of reaction is called
inhibition. The impulses sent, either to the primary sense areas or to
the overflow areas or to the intermediate areas of the cortex, may be carried
to the external layer, as already described, and the descending impulses
may be carried to the small pyramids, then by the axons of these to the
inverted pyramids of Martinotti. These send axons toward the cortex, the
cells of the stratum zonale are again stimulated, and the impulses may
be again transmitted by the same pathway of small pyramids, inverted pyramids,
and again to the cortex. The efferent impulses may thus be postponed. Each
time the stimulation is carried over any given pathway the neuron systems
of that pathway have lower liminal value than before, and the tendency
is for the succeeding streams of impulses to follow that pathway. So, if
any given reaction is once prevented, it becomes easier to prevent it again.
The reactions just described are probably never so
simple as has been given. It seems probable that even the simplest reactions
of which we are conscious require the associated activity of many parts
of the cortex. But the series of occurrences is probably as described,
except that many areas are active at the same time, and consciousness at
any given time is the sum of the effects of the cortical activities.
If the reaction occurs as described for inhibition,
the effect produced in consciousness by the series of impulses passing
through cells of differing degrees of liminal value, causing repeated stimulations
due to the effects of past reactions, is that of “thinking the matter over.”
The feeling in consciousness is that of deliberately withholding reaction,
whereas really it is the condition of the cortical neurons which prevents
the reaction, and the conscious phenomena are merely the effects of this
withholding.
This inhibition permits the impulses sent to other
parts of the cortex to affect the cells there, and the impulses initiated
by the activities of these cells, affected as they are by the sum of all
past activities, result in sending increased stimuli to the overflow area,
or the intermediate area, whose cells are concerned in the reaction. These
impulses may reinforce the effect of the original stimulation, or they
may stimulate more forcibly the inverted pyramids, and thus perpetuate
the inhibition. Or the impulses from the area finally affected may initiate
the stimulation of other cell groups, and some very different reaction,
only distantly related to the original stimulus, may occur. This reaction
may be directly opposite to that which would have been expected to follow
the original stimulus, if no complicating factors had arisen.
Any given impulses or series of impulses, or the
whole complex of groups of impulses arising from any circumstances, may
be held within one of the circular phases of neuron action for some time.
It is a matter of common experience that certain reactions may be a part
of consciousness for a long time, and that the reaction may be subjected
to very much consideration before a judgment is finally decided upon. Now,
the physiological action is that of a series of very complex neuron actions.
The impulses passing through the circle of neurons, the cells of the stratum
zonale, the pyramidal and Golgi Type II and other cells of associational
function, reach the inverted pyramids, by means of which the impulses are
again carried to the cortex, and so on. At the same time impulses are being
carried to other parts of the cortex by these same associational cells;
these are in turn stimulated, and the impulses thus initiated add to the
delicacy and propriety of the final reaction.
It may occur that the balance between the liminal
value of neuron groups and the effects of the activities of the association
areas is so exact that no reaction at all is permitted. Under such circumstances
a sort of fatigue results. The neuron groups being subjected to the constant
stream of impulses, which are not varied nor permitted to cease, become
affected, as the neurons are under similar conditions throughout the nervous
system. First, the liminal value is lowered, so that amounts of stimulation
originally inefficient may initiate excessive reactions. Under such conditions,
whatever environmental changes occur in the life of the individual are
apt to affect the cells associated with the active circle. This condition
has its place in consciousness as the feeling people have when they are
intently pondering some problem; if anything else is perceived at all,
it is apt to be perceived as being in some way related to the matter in
hand at the time. This is especially true of all matters associated with
emotional states, or with feelings of an intensely personal character.
The tendency seems to be for arcs of nervous pathways
to become smaller. This is due to the fact that in complex pathways those
cell groups whose liminal value is lowest are most efficiently stimulated.
Now, when these circular streams of impulses are produced, the cells most
liable to stimulation from other parts of the nervous system react to those
impulses, are less irritable to the circular streams, and are finally left
out of the circle. The path of the impulses is more easily understood by
reference to the diagrams. The series of neuron activities thus produced
is the condition known as “split-off” complexes, etc., by various authors.
There may be harm in these circular reactions if the nervous system
is slightly abnormal. It is extremely improbable that a normal person should
suffer from such conditions unless the original stimulation had been of
a very intense and injurious nature.
If the circular stream of impulses should be permitted to
continue indefinitely, it is probable that the neuron groups would be fatigued
to the point of inactivity. The further history of the neurons would depend
upon their nutritive conditions, the amount and nature of the stimulation reaching
them later, and the integrity of the associational structures.