Patient JP

MC
by Matt Carroll3 views·Updated May 8, 2022
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  1. Okay.
  2. Hello.
  3. I'm Matthew carroll and I'm presenting on patient JP.
  4. Um
  5. What
  6. so
  7. an overview of JP at the very tip of the iceberg
  8. is that JP
  9. was a petty car thief. And then his parents lawyer
  10. recommended that he go to a
  11. doctor who named dr Ackerly
  12. In 1933
  13. uh to pursue a medical diagnosis that might help him avoid uh
  14. a prison term for car theft.
  15. Um
  16. Dr actually found that JP had significant damage to his frontal lobes.
  17. And
  18. then
  19. because JP exhibited
  20. such strange social behaviors,
  21. Dr accurately
  22. developed
  23. what is now accepted to be the role of
  24. um the frontal lobes which is to mediate social learning
  25. and behavioral inhibition.
  26. Um So surf at the water surface. We have JPs behavior and symptoms.
  27. Um As a young child starting at age 2.5 JP would wander away from
  28. his house and his parents would have to go find him uh when his parents
  29. punished him for doing this,
  30. he was completely unresponsive even though his dad would would beat him
  31. for this. He JP would exhibit no change to his behavior.
  32. Um In school JP would do very strange things like he would defecate in
  33. kids rain coats and gloves anytime he had a chance to defecate somewhere.
  34. He would he would just he would do it
  35. and he would
  36. masturbate openly.
  37. Uh So he would defecate in private, but he would masturbate openly
  38. just in the middle of class.
  39. So he was sent to several schools.
  40. He ended up going to a remedial school and a military school.
  41. Ah
  42. And he was actually kicked out of the military school
  43. because of his behavior
  44. completely incorrigible.
  45. Uh as a teenager, JP became a joy riding car thief.
  46. So I mentioned earlier that he was a car thief.
  47. But what he would do is he would just see the keys in
  48. the ignition of a car because that's what people used to do.
  49. And he would get into the car and just drive until it ran out of gas
  50. and then just abandon the car and
  51. call his parents and have and then they would have to clean
  52. up the mess and try to get the car back to its owner
  53. um
  54. as an adult.
  55. So doctor actually followed JP to adulthood
  56. and studied him as a as a middle aged person. And he found that JP
  57. had severe memory loss. And JP never managed to become
  58. an independent person.
  59. He always lived with his mom
  60. and
  61. he couldn't remember things more than a couple of minutes
  62. after that happened.
  63. The physiology, the doctor accurately um discovered
  64. that underlay
  65. um
  66. JPs
  67. disorder are that a brain scan
  68. in 1933
  69. revealed
  70. significant damage to both of JP's frontal lobes.
  71. Um Afterwards they did a they had surgery to see more about
  72. his brain and they found a cyst in his right front,
  73. right prefrontal lobe
  74. and severe inflammation that was compressing his left prefrontal lobe
  75. dr accurately who did these essays
  76. contributed these findings to congenital defects. So he thought that
  77. he thought that these were genetic these derived from genetic problems,
  78. genetic disorder.
  79. Um
  80. That
  81. instead of the experience of
  82. of J. P.
  83. This is the brain scan
  84. that was done.
  85. Um
  86. I have the interesting part in focus
  87. too.
  88. And so you can see
  89. these large
  90. fluid filled spaces in his frontal lobes.
  91. Mhm.
  92. Um
  93. Because of the time,
  94. 1933 and because JP was middle class, it wasn't wealthy.
  95. His condition was essentially untreated.
  96. Um Dr actually assessed JP for sociopathy and he tested his I. Q.
  97. He found that JP had an abstract comprehension of right and wrong.
  98. So he wasn't a sociopath
  99. And he tested his I. Q. and found it was 92. So JP was not mentally retarded.
  100. Um So
  101. both of those possibilities,
  102. which were what previous doctors had posited as possible
  103. uh
  104. causes of of the disordered behavior that JP exhibited
  105. didn't
  106. weren't supported,
  107. weren't supported.
  108. Um When JP was four, he fell on his head and he began to have seizures.
  109. So this is the only recorded brain damage, you know, from an injury that he had
  110. that, you know, was recorded and people know about.
  111. So he he fell in and said it for began to have seizures
  112. and that the doctors who were treating him, we're going to cut his skull
  113. to see inside to see if his
  114. to see the damage that was on his brain,
  115. the cranial craniotomy.
  116. And
  117. but it was canceled the same day that his seizure stopped. So
  118. he was having seizures and
  119. that, and then by the end of that day he stopped having seizures.
  120. So they called off the procedure and uh they just assumed everything was okay.
  121. Um
  122. I should say they decided that it wasn't worth performing this procedure
  123. uh when
  124. the seizures were no longer present.
  125. Ah
  126. the significance of JP dr acker lease, long term analysis.
  127. So doctor actually had two analysis. One was at the at the time in 1948
  128. That he published 1948 conducted in the 1930s,
  129. And then the other one was when it was published in the 60s when
  130. ah
  131. and it followed JP throughout his lifespan
  132. and studied him as a as a middle aged adult
  133. as a middle age.
  134. And and so and and and dr accurately in this,
  135. in these analyses found that that the frontal lobes
  136. performed the role of a great nerve net,
  137. that our behavior flows through
  138. when we're young.
  139. And
  140. so he found that
  141. socialization
  142. yields behavioral expectations
  143. and these expectations inhibit much of the activity
  144. that we would otherwise pursue.
  145. So the frontal lobes
  146. are where social information is stored.
  147. And uh
  148. they mediate,
  149. they mediate our activity
  150. because
  151. um
  152. they tell us
  153. what is expected of us and what to expect
  154. once we do something.
  155. So they're so therefore things that are socially inappropriate are inhibited.
  156. Um
  157. And
  158. those are to the right bottom are my uh work cited.
  159. Um
  160. There are the two studies that accurately published
  161. um On the top is the one that was that just studies JP.
  162. Um kind of earlier. And the one on the bottom is the long term analysis of J. P.
  163. Thank you.