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An Introduction to Neuropsychology ยป Neurological Damage: Stroke and Injury

What you'll learn this session

Study time: 30 minutes

AQA spec: 3.2.3.4

  • What neurological damage is, and what a stroke and a brain injury are
  • How damage can affect movement (motor abilities)
  • How damage can affect behaviour, personality and speech
  • How studying damaged brains helps psychologists understand the brain

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When the brain is damaged

The brain controls everything we do, so when part of it is damaged, something we normally do without thinking can suddenly go wrong. A person might not be able to lift an arm, keep their balance or find the words they want to say.

Psychologists study these changes because they show what each part of the brain is for. If damage to one area always causes the same problem, that area probably does that job. This links to what you learned about localisation of function.

Key terms:

  • Neurological damage: harm to the brain or nervous system that stops part of it working normally.
  • Stroke: damage to the brain caused when the blood supply to part of it is blocked (for example by a clot) or when a blood vessel in the brain bleeds.
  • Brain injury: damage caused by an outside force, such as a blow to the head in a fall, a car crash or a sports accident.
  • Paralysis: loss of the ability to move part of the body.

Two common causes of damage

🩸 Stroke

Brain cells need a constant supply of blood to bring them oxygen. In a stroke, the blood supply to part of the brain is cut off by a blockage, or a blood vessel bleeds. The brain cells in that area are starved or harmed and stop working. A stroke can happen suddenly, at any age, though it is more common in older people.

🤕 Injury

A hard blow to the head can bruise or tear brain tissue. Which problems follow depends on where the damage is. A blow to the front of the head may harm different abilities from a blow to the back.

In both cases the effects depend on where the damage is and how big it is. This is why two people with strokes can have very different problems.

Effects on motor abilities

Motor abilities are our skills at moving the body. Damage can make them worse in different ways.

💪 Motor area damage

The motor area sends the signals that make muscles move. If it is damaged, the person may have weakness or paralysis. Because of the crossing over of signals, damage to the left side of the brain affects the right side of the body, and the other way round.

⚖️ Cerebellum damage

The cerebellum helps balance and coordination. If it is damaged, the person may be unsteady on their feet and find smooth, controlled movements hard, such as picking up a cup without shaking.

So a person who has a stroke on the left of the motor area might find their right arm and leg weak and hard to use, even though their muscles are healthy. The muscles are fine. It is the brain signals to them that are damaged.

Effects on behaviour

Damage can change how a person acts, thinks and speaks as well as how they move.

🧠 Frontal lobe

Damage can change personality. A calm, careful person may become short-tempered, careless or unable to plan ahead. They may find it hard to control their behaviour (self-control).

💬 Language areas

Damage to a language area can affect speech. After damage to Broca's area, speech can become slow and hard to produce. After damage to Wernicke's area, a person may speak easily but what they say makes little sense.

📝 Daily life

These changes can make work, school and relationships hard. The person is still the same human being, but how they act has changed because the brain has changed.

Already met

Remember, Phineas Gage and HM are famous cases where brain damage changed behaviour. This lesson is about the general pattern, so you do not need to retell their stories.

What damage teaches psychologists

  • Linking area to job: if damage to an area keeps causing the same problem, that area is likely to control that ability.
  • Finding the damage: doctors use scans, such as CT, PET and fMRI scans, to see where the damage is.
  • Helping patients: knowing which abilities are lost helps staff plan care and rehabilitation to support recovery.

There is a limit, though. Every injury is different, and damage often covers more than one area, so it can be hard to say exactly which area caused which change.

Common mistakes

  • Forgetting the crossing over. Damage to the left motor area affects the right side of the body.
  • Mixing up a stroke and an injury. A stroke starts inside the blood supply of the brain. An injury comes from an outside force such as a blow to the head.
  • Saying all strokes cause the same problem. The effects depend on where the damage is.
  • Writing 'brain damage' with no example. Always name the area and the effect, for example 'damage to the cerebellum affects balance'.

Exam-style question

(a) Describe what is meant by a stroke. [2 marks]

(b) Explain how damage to the motor area of the brain could affect a person's movement. [2 marks]

(c) Describe one way that frontal lobe damage could change a person's behaviour. [2 marks]

Model answer

(a) A stroke is when the blood supply to part of the brain is blocked (1) or a blood vessel in the brain bleeds, which damages the brain cells there (1).

(b) Damage to the motor area could cause weakness or paralysis (1) on the opposite side of the body, because the signals that move the muscles cannot be sent properly (1).

(c) Frontal lobe damage could change the person's personality (1), for example making a calm person become short-tempered or unable to control their behaviour (1).

Exam tip

For 'explain' questions about damage, name the area, then say the effect, then link them: 'damage to the cerebellum affects balance because this area controls coordination'.

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