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Phineas Gage

This article is about the survivor of an iron bar through the head. For the UK musical band, see Phinius Gage.

Phineas P. Gage
Gage and his "constant companion"‍—‌his inscribed tamping iron‍—‌sometime after 1849, seen in the portrait (identified in 2009)[note 1] that "exploded the common image of Gage as a dirty, disheveled misfit" [K]
BornJuly 9, 1823 (date uncertain)
Grafton County, New Hampshire,[note 2] U.S.
DiedMay 21, 1860(1860-05-21) (aged 36)
San Francisco Bay Area, California, U.S.
Cause of deathStatus epilepticus
Burial placeCypress Lawn Memorial Park, California (skull in Warren Anatomical Museum, Boston)
Occupations
Known forPersonality change after brain injury
SpouseNone
ChildrenNone[M]: 39,319,327 [1]

Phineas P. Gage (1823–1860) was an American railroad construction foreman remembered for his improbable[B1]: 19  survival of an accident in which a large iron rod was driven completely through his head, destroying much of his brain's left frontal lobe, and for that injury's reported effects on his personality and behavior over the remaining 12 years of his life‍—‌effects sufficiently profound that friends saw him (for a time at least) as "no longer Gage".

A diagram of the iron rod traveling through Gage's skull
The iron's path, per Harlow[H]: 21 

Long known as the "American Crowbar Case"‍—‌once termed "the case which more than all others is cal­cu­lated to excite our wonder, impair the value of prognosis, and even to subvert our phys­i­o­log­i­cal doctrines" [2]‍—‌Phineas Gage influenced 19th-century discussion about the mind and brain, par­tic­u­larly debate on cerebral local­i­za­tion,​​[M]: ch7-9 [B] and was perhaps the first case to suggest the brain's role in deter­min­ing per­son­al­ity, and that damage to specific parts of the brain might induce specific mental changes.

Gage is a fixture in the curricula of neurology, psychology, and neuroscience,​​[3][M7]: 149  one of "the great medical curiosities of all time"[M8] and "a living part of the medical folklore" [R]: 637  frequently mentioned in books and scientific papers;[M]: ch14  he even has a minor place in popular culture.[4] Despite this celebrity, the body of established fact about Gage and what he was like (whether before or after his injury) is small,[note 3] which has allowed "the fitting of almost any theory [desired] to the small number of facts we have" [M]: 290 ‍—‌Gage acting as a "Rorschach inkblot" [5] in which proponents of various conflicting theories of the brain all saw support for their views. Historically, published accounts of Gage (including scientific ones) have almost always severely exaggerated and distorted his behavioral changes, frequently contradicting the known facts.

A report of Gage's physical and mental condition shortly before his death implies that his most serious mental changes were temporary, so that in later life he was far more functional, and socially far better adapted, than in the years immediately following his accident. A social recovery hypothesis suggests that his work as a stagecoach driver in Chile fostered this recovery by providing daily structure that allowed him to regain lost social and personal skills.


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  2. ^ Cite error: The named reference campbell was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference larner was invoked but never defined (see the help page).
  4. ^ Macmillan (2000), ch. 13; Macmillan (2008), p. 830.
  5. ^ Cite error: The named reference mazzoni was invoked but never defined (see the help page).

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