Brain Lesions and Art

Brain Lesions in Established Professional Artists

  • Classical method of studying the mind-brain relationship: observing the consequences of localized brain damage.
    • Example: Broca's area damage leads to speech impairment.
    • Example: Wernicke's area damage leads to language comprehension issues.
    • Example: Damage to the hippocampus results in memory problems.
    • Example: Damage to the occipital lobes results in vision problems.

Hemispheric Specialization

  • The human brain has left and right hemispheres, each with specialized functions.
  • Precentral gyrus = Motor cortex
  • Motor and somatosensory cortices exist in both hemispheres.
  • Frontal, parietal, temporal, and occipital lobes.
  • Damage to the motor area in the left hemisphere leads to paralysis on the right side of the body, and vice versa.
  • Artists with left motor area damage may start using their left hand.

Key Questions After Brain Lesion

  • Which hemisphere is involved?
  • What specific brain region is damaged?
  • Can the artist still paint, sculpt, or draw artistically?
  • Has there been a loss of talent, skills, or creativity?
  • If there are alterations, how can they be explained?
  • Are these changes unique to artists, or are they also seen in non-artists?
  • Has the artist's genre or style changed?

Genre of Art

  • Genre refers to the style or art movement an artist belongs to (e.g., realistic, impressionism, expressionism, cubism, abstract art).
  • Expressionism. Example: The Scream by Munch which the reddish sky in the painting was influenced by the Krakatoa volcano eruption.
  • Cubism: Characterized by squarish looks and objects painted on top or on the side of each other.

Neural Underpinnings of Art Production

  • Informed by blood supply to specific brain regions, dementia diseases, and neurotransmitter diseases.
  • Etiologies: These conditions help us understand the neural underpinnings of art production in the brain.

Unilateral Damage

  • Starting with artists who have damage in either the left or right hemisphere.

Artist with Right Hemisphere Stroke.

  • Professional artist who made a living from their art.
  • The artist did not lose talent, skills, or creativity post-stroke.
  • Experienced left hemi neglect due to damage in the right parietal lobe.
    • Neglect of the left half of space. Intensional problem, which usually lasts for six to eight weeks.
    • Example: Self-portrait reflecting left hemi neglect.
  • Style, genre, creativity, talent or skill did not diminish.
  • Commissioned to create art even after stroke.

Artist Number three also had a right hemisphere stroke.

  • Suffered from left hemi neglect.
  • The artist did not lose talent, skills, or creativity.
  • Neglect slowly disappeared as the two hemispheres rebalanced their attentional mechanisms.

Artist with Left Hemisphere Stroke.

  • Experienced language problems (aphasia) and difficulties with the right hand (if right-handed).
  • The artist did not lose skill and talent.
  • Any changes were related to technical motor control issues.
  • The artist worked hard to continue painting.

Artist with Left Hemisphere Stroke and Broca's Aphasia

  • Broca's area is located right behind the left temple, near the motor area.
  • Experienced aphasia (loss of ability to speak or comprehend language).

Sculptor with Left Hemisphere Stroke

  • Right-handed; faced challenges sculpting with the non-dominant hand.
  • Aphasia doesn't abolish communication through art.

Old Theory about Art and Brain

  • The old theory posited that the right hemisphere specializes in art, implying control over creation and assessment.
  • Treated art as a single function, influenced by philosophers.
  • This is not what results are showing us.

Conceptualization of Art

  • Artistic ideas don't occur randomly; they take days or weeks to develop.
  • fMRI studies are challenging because artists change their work iteratively.
  • Art production involves talent, skills, thinking, and experience.
  • Conceptualization involves recruiting many different brain areas.
  • Memory (collection of experiences) and conscious/unconscious elements play a role in art production and assessment.

Dementia and Art

  • Studying artists with dementia helps understand the nature of the disease and its impact on art.

Alzheimer's Disease

  • Pathology: Plaques (clumps of protein) and neurofibrillary tangles (dead neurons).
  • Behavioral symptoms: Severe memory loss (hippocampal damage), perceptual abnormalities, spatial perception problems, object/face recognition issues, language deficits, and motor difficulties.
  • Language deficits indicate left brain involvement; spatial perception indicates right brain involvement.
  • Damage is diffused.
  • An artist can have a very slow progression of the disease.

Artist with Alzheimer's Disease (Case Study)

  • Professional illustrator and designer.
  • Loved painting Venice, especially a famous bridge.
  • Early signs: Changes in depiction of water, less detail, buildings look the same.
  • Later stage: Lines no longer parallel to the ground, figures simplified, generic faces.
  • More advanced: Faces all drawn the same way, repetition of design, magical objects.
  • End stage: Grotesque drawings, cross-hatching, but not creative.
  • Summary of Alzheimer's effects: Impaired forms, spatial relationships, simplification.
  • Magical objects, such as abnormal faces.
  • Artists use many brain areas for art production; diffuse damage causes deterioration.
  • Despite the disease, artists don't give up on their art until motor control is lost.

Second Artist with Alzheimer's Disease

  • Professional painter of abstract art.
  • Critics and friends disliked his later works.
  • His art deteriorated, he drank to much, critics didn't appreciate.
  • He had helpers in his studio who created smooth borders by rotating the canvas.
  • In his last seven years, he could barely do anything because he was losing motor control.

Third Artist with Alzheimer's Disease

  • Drew in an expressionist style before the disease.
  • Experienced difficulties in drawing a face and placing features correctly.
  • Still had artistic ability, but faced coordination challenges.
  • At the end, he drew ovals because it was easier and developed problems with spatial abilities and spatial cognition.
  • Despite their inability to communicate with language, the fact that they can't take care of themselves, they don't give up trying to produce.