Of course, children tell jokes too.

In children humour is linked to development, it has developmental and social purposes. Humour requires a stable understanding of the real world, so a distinction between reality and fantasy can be made and an idea of pretence with regards to intention or action. The stable understanding required reflects the development of cognitive and social schemas formed through infancy and childhood. A schema can be regarded as a dynamic mental representation that can be used to develop models of reality, reflecting previous experience with objects, scenes and events that involve expectations of appearance, the sequence of events (Martin 2007 : 86) and outcome.

Humour is associated with incongruity between an expected variable and a perceived outcome within a single schema. There is currently a comprehension-elaboration theory of humour elicitation, proposed by Robert Wyer & James Collins (1992) that humour involves the simultaneous activation of two different schemas to understand a situation or event and the more elaboration between the two schemas, in that the two different schemas play back and forth with each other, the more it is perceived as humorous/ funny (Martin 2007 : 87). The elicitation of humour involves smiling, laughter and an emotion of mirth that is accompanied by a loss of muscle tone. This loss of muscle tone is potentially a disabling mechanism associated with the emotion of mirth, its function may be to prevent harmful behaviour (Martin 2007 : 164), this suggests that laughter may have evolved from play behaviour in mammals. Smiling in humans is an emotion display, a genuine smile is called a “Duchenne display” and involves the contraction of oricularis oculi muscles around the eyes as well as zygomatic major contraction and is associated with a reward state (Wild et al 2003 : 2122). Smiling and laughter are different displays and have different functions, smiling has origins that are more to do with a display of absence of hostile intent, while laughter is more to do with awareness of an incongruence. In humans the two displays have moved together to represent degrees of intensity of the emotion of mirth but different cognition between the displays remain. 

Smiling is present in infants during the first month, as a response to tactile and auditory stimulation associated with a caregiver and, overtime as mental representations develop, with easy recognition of people. Laughter as a response is present around 10 to 20 weeks of age and occurs in the context of infant-caregiver interaction, it occurs with some frequency within infant-caregiver play sessions (Martin 2007 : 230) and becomes more strongly associated with visual and social interactions that accompany play behaviours that induce cognitive demand on the infant (Martin 2007 : 231). The strongest associations for laughter are events that are unexpected or incongruous with a child’s developing cognitive schemas (Martin 2007 : 231). The classic “peek-a-boo” game seems to induce laughter around 6 to 12 months and the cognitive load it induces is associated with the mastering of the issue of “object permanence”, the game has an important social component, as laughter is only in response to a person playing the game, not an object.

Humour in children is most strongly related to play, which is best described by Michael Apter (1982) as being “a state of mind associated with an activity that is treated in a non-serious way, it is an activity orientated (rather than goal-oriented) mental state” (Martin 2007 : 234). There is a necessary distinction between a lie and a joke and this tends to occur around 4 years of age.

The distinction between a lie and a joke is that a joke involves an incongruity placed within a playful framework, communicated by subtle cues of intent (Semrund-Clikeman & Glass 2010 : 1250). There appears to be two major neurological components to humour, cognitive and affective. The cognitive component involves the left inferior prefrontal cortex and insula, important for processing speech sounds and the right temporal lobe for processing and integrating more subtle aspects of language. The affective component involves the right hemisphere, with focuses in the medial ventral prefrontal cortex and bilateral cerebellum (Semrund-Clikeman & Glass 2010 : 1258). Mirth associated laughter has been induced by stimulation of the fusiform gyrus and para-hippocampal gyrus , with the description of an altered perception of “the significance of things” (Wild et al 2003 : 2128).

Approximate functional areas of an adult brain. From Parsons et al 2010 : 232

Humour has a socialized component, in that the cues for “humour” are facial expressions, behavioural and vocal exaggerations and verbal labels (Martin 2007 : 235), the schema of play is useful for assimilation (fitted into pre-existing schema) of incongruous experience because it involves a fantasy assimilation where the wrong schema can be applied to objects and events and thus the incongruity is not assimilated to reality. This type of symbolic play tends to occur around 18 months of age and is described by a developmental model proposed by Paul McGhee in 1979, it is similar to, and can be elaborated with Piaget’s Theory of Cognitive Development.  

To have the capacity for humour children need to be able to engage in fantasy play associated with the preoperational stage of cognitive development. This first stage McGhee (1979) describes as “incongruous actions towards objects”, children from 18 months are capable of representing objects with internal mental schemas that are wrong and are possibly learned through cognitive errors that adults find humorous, which are then intentionally repeated with humorous intent (Martin 2007 : 239).

The second stage of McGhee’s humour development (1979) involves the playful use of language, termed “incongruous labelling of objects and events”. It occurs early in the third year of life and reflects the mastery of using words correctly, such as calling a cat a dog etc. A more advanced third stage reflects an understanding of the classes of objects that words refer to and the characteristics of the classes, this occurs later in the third year of life and is termed “conceptual incongruity” (McGhee 1979). The idea of differences between McGhee’s second stage and third state is challenged on the basis that infants pre-linguistic categories are based on the same categories of adults and thus the difference in the stages may simply reflect an improved vocabulary (Martin 2007 : 240). With regards to child neuroanatomy, by 3 years of age the main fiber tracts and brain structures appear to be the same as an adult (Parsons et al 2010 : 225).

McGhee’s final stage of humour development (1979) is termed “multiple meanings” and occurs around seven years of age and is described as reflecting a concrete operations stage in Piaget’s theory of cognitive development. Concrete operational cognition is characterised as the ability to predict the effects of actions on objects and situations, the ability to understand the principles of conservation and to understand that other people have potentially different perspectives. Humour associated with this stage of development is more sophisticated and reflects an understanding of the ambiguity of language in sound (phonology), components of meaning (morphology), meaning (semantics) and the rules for sentence construction (syntax) and are able to make and enjoy jokes that have multiple meanings, logical inconsistencies and inferential thinking.

The example McGhee (1979) gives of this is the following riddle,

“Why did the old man tiptoe past the medicine cabinet?

Because he didn’t want to wake up the sleeping pills.”

An adult version of this, relying on the same semantic ambiguity would be,

“The archeologist's career ended in ruins” (Kana 2012 : 77 from article title)

Although from adolescence to adulthood there is an increased abstraction, flexibility and critical ability in cognition, it is argued that the principles of humour achieved at the multiple meaning stage of McGhee’s humour development (1979) is representative of the beginnings of the scope present in adult life.

McGhee in 2002 proposed further classifications of the development of humour in children (Guo et al 2011), the classifications used in this developmental model are similar to the 1979 model but acknowledge the reality of approximate ages, is more empirically based and reflects the contributions of others.

Stage 1 Laughter at the attachment figure (6 to 12 or 15 months)

This describes laughter at abnormal behaviour of adults, that is accompanied by cues for playful intent. It includes abnormal face expressions, abnormal walking, voices and game playing. This may potentially reflect the emergence of components of theory of mind (Parsons et al 2010 : 234) and the use of a "permanence" schema

Stage 2 Treating an object as a different object ( 12 or 15 months to 3,4 or 5 years)

Similar to the 1979 model but potentially occurring six months earlier. The beginnings of symbolic play, treating one type of object as another type of object.

Stage 3 Misnaming objects or actions (2 to 3 or 4 years).

Using developing language skills to deliberately misname objects or actions for the purpose of humour, challenging the use of a single schema.

Stage 4 Playing with word sounds (not meaning), nonsense real world combinations, and distortion of feature of objects (3 to 5 years). Strongly associated with the use of language and play is derived from the sounds of language but may also feature challenges to schema, that appear as nonsense real world combinations.

Stage 5 Pre-riddle, transition period (5 to 6 or 7 years).

Children are interested in the verbal humour of older children but may not understand the ambiguous meaning, the presence and elaboration of multiple schemas.

Stage 6: Riddles or jokes (from 6 or 7 years). With the understanding of double meanings, semantic ambivalence they are capable of enjoying the incongruence and are functioning within the scope of adult cognition. Using the Wyer & Collins (1992) comprehension-elaboration theory of humour elicitation, they are using and elaborating multiple schemas.

There are critiques of the developmental stage model proposed by McGhee (1979) (2002). They are elaborations of Piaget's stage model of Cognitive Development, that are also linked to ideas of a stage development of morality, such as correlating the degree of mirth (humour) as a reaction to intentional and unintentional harmful outcomes with moral development (McGhee 1974), which is an interesting idea. There is a recognition that humour as used and understood, by children over two years old (Hoicka & Akhtar 2012 : 599) is a reflection of cognitive development, which includes the development of a theory of mind and the use of social schemas. It has been argued that teasing behaviour in infants from 8 months old, including the offering and withdrawing of an item and engaging in provocation disruption of other peoples activities may reflect a theory of mind, an understanding of the existence of other minds with different intentions (Mireault et al 2012 : 339). This could be a reflection of critical components of mind emerging (Parsons et al 2010 : 234). A theory of mind is implicitly demonstrated around 18 months of age, as demonstrated by an awareness of the emotional states of others (intersubjectivity) and is potentially associated with developments of the inferior parietal lobule, inferior frontal gyrus and premotor cortex, involved in the detection of agency of action (Parsons et al 2010 : 234). Explicit demonstration of theory of mind tends to emerge between four and six years of age (Parsons et al 2010 : 234) and is demonstrated by explicit evidence of attribution of a mind to others, such as children understanding that people can use "their minds" to control their emotions through use of strategies such as distraction and cognitive reframing (Bosacki 2013 : 665).

Bibliography

Bosacki, Sandra. (2013). A Longitudinal study of Childrens Theory of Mind, Self-Concept, and Perceptions of Humour in Self and Other. In the Journal of Social Behavior and Personality. Volume 41, Issue 4. Pages 663 -674.

Guo, Juan; Zhang, XiangKui; Wang, Yong & Xeromeritou, Aphrodite. (2011). Humour among Chinese and Greek preschool children in relation to cognitive development. In the International Electronic Journal of Elementary Education. Volume 3, Issue 3, July.

Hoicka, Elena & Akhtar, Namera. (2012). Early humour production. In the British Journal of Developmental Psychology. Volume 30. Pages 586 -603.

Kana, Rajesh K. & Wadsworht, Heather M. (2012). “The archeologist's career ended in ruins” : Hemispheric differences in pun comprehension in autism. In NeuroImage, Volume 62. Pages 77 -86.

Martin, Rod A. (2007). The Psychology of Humour : An Integrative Approach. Published by Burlington, MA : Elsevier Academic Press 2007. Pages 1 -421.

McGhee, Paul E. (1974). Moral development and childrens appreciation of humour. In Developmental Psychology. Volume 10, Issue 4. Pages 514 -525.

Mireault, Gina; Poutre, Merlin; Sargent-Hier, Mallory; Dias, Caitlyn; Perdue, Brittany & Myrick, Allison. (2012). Humour Perception and Creation between Parents and 3 to 6 month old Infants. In Infant and Child Development. Volume 21. Pages 338 -347.

Parsons, C.E; Young, K.S; Murry, L; Stein, A & Kringelback, M.L. (2010). The functional neuroanatomy of the evolving parent-infant relationship. In Neurobiology, Volume 91. Pages 220 -241.

Semrund-Clikeman, Margaret & Glass, Kimberly. (2010). The relation of Humour and Child Development: Social, Adaptive and Emotional Aspects. In the Journal of Child Neurology, Volume 25, Issue 10. Pages 1248 -1260.

Wild, Barbara: Rodden, Frank A; Grodd, Wolfgang & Ruch, Willibald. (2003). Neural correlates of laughter and humour. Review Article. In Brain, Volume 126. Pages 2121 -2138.

Red Dog.

Humour can be described at various levels, from a cultural level to an individual level and arguably humour is a cultural construction, a cultural capital that is used at an individual level for purposes of expressing the potential scope of human experience, and includes techniques for coping with adversity, representing uncomfortable or unconscious truths and challenging the representational ability of language itself.  Its subjects are the scope of human experience and include gender, hierarchy, ideology, economics and prejudice.  There are various  theories on humour that individually seem to focus on particular aspects such as, absurdity, repression, status hierarchies and cooperation to name a few,  but they tend to make some common observations, the most significant one being  humour reflects a set of incongruous conceptualizations or paradoxes and it is able to address taboo topics or transgress social expectations.

In  a journal article titled “The First Joke: Exploring the Evolutionary Origins of Humor” by Joseph Polimeni and Jeffrey P. Reiss (2006) it describes three essential themes  that are repeatedly observed in theories of humour., but it is potentially significant to recognise that three is an awfully convenient number that people like to use. These three themes could be integrated into a single statement such that, incongruous conceptualization describes the production of a symbolic absurdity and this production is used discursively for expression which can have a political purpose in its social context.

The three themes individually described by Polimeni & Reiss (2006) are,

1) incongruous conceptualizations,

2) repressed sexual or aggressive feelings, which may be described more broadly as approaching taboo topics and transgress social expectations to achieve particular discursive objectives and

 3) humour elevates social status by demonstrating superiority or saving face. This observation can be broadened to having a foucauldian aspect involving power and identity and indicates that humour is something performed in a communicative event, even if that event is with oneself as a self reflection. The description of the demonstration of superiority may be demonstrating discursive competency although humour is used for political purposes such as designating out groups and deflecting criticism.

An example of a joke that functions predominantly by its incongruous content can be found in Carty & Musharbash (2008 :  210) description of the Red Dog joke, which is as follows.

During the summer at Yuendumu, at a time when initiation ceremonies were going on, they saw Neils dog, Barbie, running into the camp with red ochre handprints all over her body.  To translate the joke it becomes necessary to know that red ochre had significant symbolic power and was used to make things sacred and at the that initiation ceremonies had a significant gendered spatiality. The dogs owner Neil had been recently initiated and was quite fond of dogs, spending nearly as much time playing with dogs as socialising with people. Thus what was funny to the people in the camp was the absurd meaning of a red ochre on a dog and the meaning of the message of the handprints on the dog.  Of course after explaining all this the joke is dead. ( from You’ve Got to be Joking : Asserting the Analytical Value of Humour and Laughter in Contemporary Anthropology. (2008))

The incongruity found in the  Red Dog joke is due to the absurdity of the human meanings of the elements found in the Red Dog joke. Although we can appreciate the absurdity, the taboo content of the red dog joke is lost because we don’t have a full understanding of its social context, we have not internalized the rules that the joke transgresses. An example of a joke that features a significant understandable transgressive content is Purdies Errol Flynn joke.

Erroll Flynn invited a group of friends to dinner and gave them (insert a series of items and activities, entertainment that reflects opulence). At last a dwarf musician appeared who played an incredible selection of jazz and classical rock. All the guests wanted to know where Flynn had found this dwarf genius, and in the end he explained. “I did a good turn for this witch” he said “and she said she would give me anything I wanted. The trouble is, she’s a bit deaf, and she though I asked for a twelve inch pianist” (Purdie 1993 : 35) (from Comedy theory and the postmodern (2006)).

The transgressive or taboo element is the suggested knowledge that Erroll Flynn did not want a twelve inch pianist.  To get the joke the audience has to know the most likely word that rhymes with pianist, which is also suggested by the adjectival component “twelve inch” thus the jokes incongruous conceptualization is the derived semantic ambiguity of the noun phrase.

There is also a social dimension to the Errol Flynn joke. This joke dates to at least the late 1930’s as Errol Flynn was a famous silver screen Hollywood actor who was known for his swashbuckling roles and had a reputation for womanizing. Thus the social context of the joke is that Errol Flynn is someone known for his opulent lifestyle and sensationalised affairs and the dwarf is assumed to be part of this opulent lifestyle, this assumption is challenged by the semantic ambiguity of the punchline.

The different functions and content of the humour suggests that a cross cultural comparison if made, would be most productive if it included an attempt to compare similar functions and content.

An example of classifying humour by function, with lose associations with content can be found in Alfred Malinowski’s (2013) Characteristics of Job Burnout and Humour amongst Psychotherapists.  Its uses a four part scheme by Malinowski (2013) with the opposing categories of  affiliative humour vs aggressive humour and  self enhancing humour vs self defeating humour. This study provides classifications of the discursive functions humour is used and expands on the social status theme observed by Polmeni & Reiss (2006). 

The classification of self defeating humour is correlated with emotional exhaustion and depersonalization, while self enhancing humour is correlated to personal accomplishment (Malinowski 2013). Depersonalisation is describing a cynical and negative attitude that distances the individual from the (social) situation. Humour used reduces the amount of anxiety and worry and produces positive emotions. Aggressive humour tends to have a negative effect on the user and relationships. Adaptive humour consists of affiliative humour and self-enhancing humour (from Martin et al 2003) that forms and reinforces friendships, group relationships and group cohesion. Self enhancing humour is correlated with an individual’s emotional well being.

Examples of adaptive humour can be seen in Mahedev Aptes (1985) synthesis of  joking relationships, commonly seen between extended relatives in preliterate societies. The joking appears to have the function of reducing potential conflict and aggression. Tribal clowns as described by Colin Turnbull in his book Wayward Servants: The Two Worlds of African Pygmies,  a study of the Mbuti seem to have “face saving” functions despite their interfering role (Polimeni & Reiss 2006 : 358), this is a social role .

Aggressive and Self defeating humour seems to be correlated with emotional exhaustion, depersonalization and a lack of a sense of personal accomplishment (Malinowski 2013). Aggressive humour is the type of humour that uses sarcasm and teasing to relieve tension and to attract attention. Aggressive humour may negatively effect the relationship of individuals and lead to a lack of social support in times of crises. Self defeating humour is humour that is used to make degrading remarks about oneself for the approval of others, saying something critical or comical about oneself to make other people laugh. Self defeating humour is correlated with high levels of anxiety, depression and lower levels of self esteem. These are correlations and correlation does not necessarily mean causality.

What these classifications potentially describe in my opinion is play behaviour being introduced into situations of adversity that has been classified into a four part scheme, certain types of humour will be used by the individual when experiencing emotional exhaustion and the compromise of normative expectations associated with a just world hypothesis. Aggressive humour may be used in situations of intra-group / inter-group competition and reflect the political situation of contested ground. I suspect that “play behaviour” in the context of situations of aggression is potentially dangerous as it reflects the depersonalization of the user and a reduced evaluation of consequence, as “play is unreal”. I think this is what makes the image of the Joker so malevolent, malice in the context of reduced evaluation of consequence.

Perhaps adaptive humour is part of the process of evaluating the situation, but there may be Focauldian processes in its evaluation. For example the use of self defeating humour for the approval of others may be an affiliative behaviour, a way of saving face. It can have discourse goals (Burgers, Mulken & Schellens 2013) such as diminishing or enhancing criticism by communicating the disparity between reality and the ideal, the correlation of anxiety, depression and lower levels of esteem may not be a  causal relationship but simply a reflection of the situation and its toll on the individual, correlation, not cause.

Language in its broadest sense refers to a symbolic system that is central to the construction of subject identity (Pye 55 : 2006) and humour in its many forms is a game of symbolic manipulation in which the psychological and textual converge, and this game can use breaks in the symbolic system to convey existential absurdity and human suffering (Pye 55 : 2006). The “breaks” are the overloaded signifying structures, the signifiers and signified that are used in a semantic space. This is the significance of the red dog joke, the red dog represents a break in the symbolic system, as it is an overloaded signifier.  A competent adult doing this is demonstrating his awareness of the procedures of signification and is therefore asserting an identity as a fully competent adult showing skill in discourse. A child doing this may simply be learning how to use language, which adults will find amusing, see types of narratives contained in the comedy section of Readers Digest. Of course children tell jokes too.

A Foucauldian aspect is the construction of individuals as a focus of humour, where the victim of the joke, comic figure, does not have full control of the signifying system and thus is constructed as being discursively incompetent.  Other breaks in the symbolic system are used to produce taboo results and transgress social expectations, which are part of their appeal.

Does this explanation correspond to things that can be said to be demonstrably real, to something biological? Damage to the central nervous system tends to suggest the areas involved in processing humour. Epilepsy patients with damage to the frontal cortex have been described as acquiring a “humourless” personality and brain lesions to the right hemisphere tend to have the greatest cognitive impairment on humour appreciation. The right hemisphere is involved in “global attention” and the expression and comprehension of emotion, and this includes the interpretation of emotional material presented linguistically (Polimeni & Reiss 2006 :  356).

Magnetic Resonance Imaging (MRI) of unimpaired individuals found that activation in the prefrontal cortex (MVPFC) bilaterally ” correlated with how funny a joke is” (Polimeni & Reiss 2006 : 355).  The importance of the left inferior frontal cortex for the reconciliation of ambiguous semantic content with stored knowledge in humour was suggested by a study by Moran et al (2004), described by Polemi & Reiss (2006), which monitored humour detection & appreciation in individuals watching The Simpsons and Seinfeld comedies in an event related MRI experiment and found significant activation of the left posterior middle temporal gyrus, left inferior temporal gyrus, right posterior middle temporal gyrus and right cerebellum. The temporal lobes tend to be related to the language component of humour and prefrontal cortex is intimately involved in humour, in its detection of semantic ambiguity and humour appreciation

The prefrontal cortex has many higher cognitive functions and has projections from the subcortical dopaminergic reward system. Its involvement in attention, incorporation of emotional behaviour, semantic memory retrieval, episodic memory, working memory and theory of mind suggest (Polimeni & Reiss 2006 : 356) and  demonstrate the complexity of the cognitive processes involved in humour detection and appreciation.

Humor is generally understood to be a pleasurable, at least to the competent adults engaging in the activity and thus must be linked to the subcortical dopaminergic reward system. From an evolutionary perspective there is likely a direct or indirect selective pressure for its existence and perhaps it is related to play behaviour in mammals generally, which have learning functions. Mammalia is the only phylum in the animal kingdom to feature play behaviour and many features of human evolution have been extended from neotenic origins. This could be an example of a selected feature in human evolution deriving from a juvenile state, a neontic feature retained into adulthood that has been used in complex ways to serve a variety of functions. 

Comic from Thatababy. By Paul Trap (2013)

Bibliography

Burgers, Christian; Mulken, Margot van & Schellens, Peter Jan. (2013). The use of co-textual irony markers in written discourse. From Humour 2013, Volume 26, No 1. Pages 45 -68.

Carty, John and Musharbash, Yasmine. (2008). You’ve Got to be Joking : Asserting the Analytical Value of Humour and Laughter in Contemporary Anthropology. In the Anthropological Forum. Volume 18. Number 3. November 2008. Pages 209 -217.

Malinowski, Alfred. (2013). Characteristics of Job Burnout and Humour amongst Psychotherapists.  From Humour 2013, Volume 26, No 1. Pages 117 -133.

Moran, J.M.; Wig, G.S; Adams, R.B; Janata, P & Kelley, W.M. (2004). Neural correlates of humour detection and appreciation. In NeuroImage. Volume 21. Pages 1055 -1060.

Mosko, Mark S. (2009). The Symbols of “Forest” : A Structural Analysis of Mbuti Culture and Social Organization. In the Journal American Anthropologist, Volume 89, No 4 . Pages 896 -913.

Polimeni, Joseph & Reiss, Jeffrey. (2006). The First Joke: Exploring the Evolutionary Origins of Humor. In Evolutionary Psychology. Volume 4. Pages 347 -366.

Pye, Gillian. (2006). Comedy Theory and the post modern. In Humour 2006, Volume 9, No 1. Pages 53 -70.

Recommended Websites

David Raymond Davis (April 2011) writes about Collin Turnbull in “The Deconstruction Zone”

http://thedeconstructionzone.blogspot.co.nz/2011/04/my-postmodern-analysis-of-forest-people.html

Collin Turnbull (1961) provides examples of intra-group toleration  amongst the Mbuti and it would have been potentially productive to compare humour communicating the value of toleration. Its worth noting that the book People of the Forest (1961) has been described as a kind of fairy tale that can be deconstructed according to the psychological needs of Collin Turnbull, it’s a harsh analysis but illuminating.

A brief cover of the paleomicrobiology of Mycobacterium tuberculosis.

Tuberculosis is caused a by a group of bacteria that are closely phylogenetically related called the Mycobacterium tuberculosis complex. They are slow growing aerobic gram positive bacilli that due to its high lipid content in its one phospholipid bilayer, requires stain methods that facilitate the dye into their cell wall, such as the heat method of Ziehl Neelsen staining. It is estimated by the WHO that approximately one third of the world population have latent TB infections but only 5 to 10 percent of these individuals will develop the disease in their lifetime.

Skeletal Material

It was recently thought that TB was likely transferred to humans during the Neolithic period associated with increasing sedentary lifestyles and domestication of cattle, perhaps transferred from Mycobacterium bovis (Iseman 2478 : 1994), but with the exception of Mycobacterium canetti, members of the MTBC group do not show horizontal gene transfer (Gagneux 852 : 2012) most of the genetic differences in the MTBC are due to deletions. Thus comparison of human M tuberculosis and M bovis indicate that the M bovis genome is around 60 000 base pairs smaller than the human M tuberculosis genome, thus the human M tb lineage is older than M bovis and this also suggest TB in humans predates the Neolithic period (Gagneux 852 : 2012).

TB in the bone is the result of a post primary tuberculosis spread and is a chronic process, thus features remodelled marginal erosive lesions. In cases of active TB, 3 to 5 % of individuals develop bone lesions (Holloway et al 2011). Newly formed woven bone can be distinguished from mature lamellar sclerotic changes, that can suggest healing. The presence of woven bone indicates lesions active at time of death while sclerotic changes changes signal an inactive disease process (Roberts & Buikstra 88 : 2003). Mycobacterium bovis, is more likely to cause skeletal damage and is potentially up to 20 times more likely to lead to bone and joint tuberculosis in children.

Other diseases that show up in skeletal material include osteomyelitis, syphilis and leprosy. Indicated in Figure A.

Figure A

Because these diseases leave evidence in skeletal material much attention in paleopathology focused on these diseases in the historical record. Such classifications tend to be on the basis of most probable cause and when collections of skeletal material demonstrating pathology classifications has been re examined there have been many examples the initial classifications being challenged. (Picture from Infections in Palaeopathology : The Basis of classification according to most probably cause. By Juliet Rogers and Tony Waldron 1989).

Donoghue (2011) describes the gradual inclusion of bone specimens for TB analysis by DNA techniques that did not show bone pathology, the initial studies took this as indications of haematogenous spread of tuberculosis bacilli. There have been cases where not MTBC aDNA was found in bones demostrating pathology, most likely attributable to poor DNA preservation but at least one study has found brucellosis DNA sequences, IS6501 in vertebra negative for IS6110 and M bovis sequences oxyR pseudogene and mpt40 that showed pathology that could easily be classified as typical of M tuberculosis (Mutolo 2011).

Up until the 1960's it was still being argued that there was no Pre Columbian tuberculosis on the basis of skeletal material.

The cut off for pre-Columbian contact is 1492 AD, the exact date of the mummy is not given but is around this time. It is significant because an early theory for the absence of skeletal remains showing TB in the Americas was that TB was introduced by European contact, and was still being argued about in the 1960s by Dan Morse. An interesting part of his argument was that North Americans lived in small population densities that would not have supported the disease, making a comparison to then contemporary indian populations, he calculated that 2.24 percent of skeletal material should present evidence of bone tuberculosis and 0.67 percent with vertebral involvement (Roberts & Buikstra 2003 : 188).

The study conducted by Corthals et al (2012), titled “Detecting the immune system response of a 500 year old inca mummy” uses PCR amplification to detect the presence of Mycobacterium tuberculosis and “shotgun proteomics” to detect the protein expression in buccal swabs and cloth samples from 500 year old Andean mummies, two young children and an adolescent girl.

The mummies were buried 25 meters from the 6739 metre summit of Llullaillaco, a high elevation volcano in the province of Salta, Argentina. They were buried 50 cm underground and packed with volcanic ash. This ash inhibited the growth of decomposing bacteria & fungi, functioned as a barrier to moisture and airtight with snow and the freezing temperature, the corpses were preserved by the combination of mild humidity, anaerobic environment and natural disinfectants (see figure B).  

Figure B

The paper describes the three children as being sacrificed to Pachamama, the earth goddess, in the ritual of Capacocha. Subcutaneous fat in the bodies was converted to soap by a process called adipocere.  

The presence of pathogenic Mycobacterium was indicated as being probable by PCR using primers for the genus Mycobacterium and primers belonging to species in the Mycobacterium tuberculosis complex. For a lot of DNA techniques the significance of the presence of Mycobacterium DNA is questionable, part of the natural soil flora, a contaminant or an indication of the pathogen. Early work trying to confirm the presence or absence of a pathogen used a fragment of the M. tuberculosis complex MTBC specific repeat element, but this is for the whole MTBC complex, not just Mycobacterium tuberculosis. Because of the good preservation of the material the study has been able to use a wide range of primers, including species specific primers, as indicated in this figure (figure C).

Figure C

It has been argued that the mycobacterium cell wall properties can potentially enhance the preservation of nucleic acids (Donoghue & Spigelman 2006) but Wilbur et al 2009 argues that the same cell wall properties will enhance its degradation, so this is an issue to be resolved. More recent papers describe the use of a MALDITOF, Matrix Assisted Laser Desorption Ionization Time of Flight, mass spectrometry technique that detects the presence of the tuberculosis using the lipid components of the cell wall, mycolic acids. This is not without its issues, but it is potentially able to be used to detect Mycobacterium tuberculosis pathogen in less well preserved skeletal material.

The Corthals et al (2012) paper wanted to establish whether or not the mummy of the adolescent female had an active infection at the time of her sacrifice. It would be interesting to speculate whether this influenced the process of her being used in the sacrifice. The proteonomics technique used by the study was able to match up the mass spectrum of proteins from the lip swab sample of the 15 year old adolescent female to a library of immune system proteins.

They found normal serum proteins and some proteins not normally present in blood or saliva but are consistent with immune response to infectious disease. These included,

• Cathepsin G, a specialized neutrophilic polymorphonuclear leukocyte serine protease found in the azurophil granules, with its function liked to pathogenesis of diseases associated with inflammation and neutrophil infiltration of the airways.
• Alpha antitrypsin, a marker of chronic lung infection, a strong indicator of mycobacterial infection.
• Neutrophil defensin 1 and 3 are part of the defensin family of cysteine rich cationic proteins found in leukocytes and are specifically associated with macrophages involved in lung tissue inflammation response.  
• Proteins including apolipoproteins A1 & A2 and transthyretin, which are expressed in chronic and acute lung inflammation, and can be used as monitoring biomarkers for pulmonary related diseases.

The full complement of these proteins in the mouth swab of the 15 year old adolescent provides strong evidence of a response to a severe respiratory bacterial infection, the physical evidence and other immune response proteins supports the hypothesis of an infection caused by Mycobacterium.

After the proteomics technique the paper presents a PCR and a maximum likelihood phylogeny to indicate a higher probability that presence of Mycobacterium belonged to the pathogenic MTBC complex.

The ancient lineage of Mycobacterium tuberculosis is suggested from a study on a pre-Pottery Neolithic site in Atlit Yam in the Eastern Mediterranean dating from around 9250 to 8150 Before present era, bones belonging to a woman and infant demonstrated morphological changes, the detection of ancient DNA and MTBC specific cell wall lipid biomarkers (Donoghue 2011).

Helen Donoghue (Donoghue 82 : 2008) describes the use of cell wall lipid biomarkers for the purpose of identifying members of the MTBC, with the advantage that the lipid biomarkers are more stable, potentially lasting longer than DNA and the methods used, HPLC and Mass spectroscopy are sensitive enough for direct detection.

There are issues with the use of lipid biomarkers for identification of members of the MTBC, although the recent mycoloyl arabinoglactan- peptidoglycan complex is known, ancient MTBC mycolic acids as synthesized are potentially different due to adaptive evolution (Mark et al 112 :2011) and will undergo chemical reactions post mortem thus over time will change the mass spectrum peaks and fragment identification. The images on the screen are from Mark Lazlo's et al (2011) paper “Analysis of ancient mycolic acids by using MALDI TOF MS: response to “Essentials in the use of mycolic acid biomarkers for tuberculosis detection” by Minnikin et al 2010. Lazlo is referenced by Helen Dononhue (2011) in the detection of lipid biomarkers, the team is responding to a critique that the method is not sensitive enough for its application for archaeological material.

When it was being argued that there was no MTBC on the American continent, part of this argument was there was a founder effect bottleneck and a low population density did support endemic Mycobacterium tuberculosis. The low population density argument is shown to be flawed with evidence of high density sedentary Pre-Columbian populations in North America, without even discussing Meso and South America but also a different picture of the incidence of Mycobacterium tuberculosis in ancient American populations is emerging. Because of M tuberculosis biomarkers are being found in archaeological material without demonstrating pathological change the incidence of M tuberculosis in historical/ paleolithic populations is seen to be greater than previously estimated (Donoghue 821 : 2011). This is accompanied by more recent insights in the origin and evolution of M tuberculosis.

A paper by Holloway et al (2011) titled Evolution of human tuberculosis: A systematic review and meta-analysis of paleopathological evidence attempts to compare all known cases of TB showing bone involvement from the range of 7250 BCE to 1899 and does a Chi squared test against the null hypothesis that the frequency and location of bone lesions does not change over time. The papers data was reported cases in literature, which yielded 530 TB cases from 221 gravesites reported in 151 references (Holloway et al 407 : 2011). One of the interesting aspects of the paper was its classification of sites in terms of pre urbanised, urbanised and early modern time periods. In the Mediterranean early urbanization is associated with Phoenician and Greek expansion, the beginning date used was from 600 BCE (before the common era), while in Northern Europe early urbanization is from 800 CE (common era). The paper classifies early urbanization in the Americas as from 1500 CE, the point of European contact. The paper produced a bar chart, comparing time periods that shows a decrease in the frequency of skeletal lesions over time, and a decrease in the frequency of involvement of the spine with an increased involvement in other skeletal locations (Holloway et al 411 : 2011). The significance of this can be discussed with respect to an “osteological paradox” (Holloway et al 414 : 2011), where to develop bone lesions the individual has to be generally immunologically resistant enough and healthy enough to survive a chronic condition. Thus this decrease in the frequency of bone lesions could mean that the frequency of individuals with sufficient immunological resistance has decreased. They argue that because the average age of death was the same in all three time periods that this is unlikely and describe a general evolutionary process of decreased virulence of bacteria over time, although the cause of death may not have been due to TB.

Figure D

This decreased virulence over time is argued to be evidence of a form of sympatric speciation, a process of coevolution that is often demonstrated by reciprocal transplant experiments, where the performance of locally adapted pathogen variants (sympatric) are compared to non locally adapted pathogen variants (allopatric) ( Fenner et al 2 : 2013). An indirect way to observe this is to look at the performance of pathogen variants when the immune system of individuals of the sympatric host population is disrupted. A paper by Fenner, Egger, Bodmer, Furrer, Ballif et al 2013 called HIV infection disrupts sympatric host pathogen relationships in human tuberculosis has done this presenting a statistical argument that HIV infection disrupts sympatric host pathogen relationships in human tuberculosis. Currently Mycobacterium exists in six main phylogenetic lineages associated with geographical regions with sympatric human populations. Transmission tends to occur in higher frequency in sympatric host pathogen combinations and these associations remain in international cosmopolitan situations. The Fenner et al study focused on 233 European born patients from a population of 518 patients (21.6% had HIV) and defined a sympatric host-pathogen relationship as infection with lineage 4 and allopatric as infection with any other lineage. From this group of 233 European born patients, 36 had HIV and of these individuals 9 had an infection with a non lineage 4 Mycobacterium tuberculosis strain (Fenner et al 4 : 2013).

Figure E

Using a multivariate analysis there was a statistically significant associated between HIV infection and infection by allopatric M tuberculosis (unadjusted OR 7.0, 95% Confidence interval 2.5 -19.1, p value less than 0.0001). It also found that the strength of the association between HIV infection and allopatric lineage increased as CD4 T cell count went down (Fenner et al 6 : 2013). The study has attempted to adjust for age, sex, frequency of travelling, contact with foreign populations and other forms of immunosuppresion and found that the only strong adjusted variable was repeated travelling to low income countries with a decreased OR to 4.5 (95% CI 1.5 -13.6, p = 0.008). This data supports the idea of co-evolution of the Mycobacterium tuberculosis and human host populations.  

The time scale for the co evolutionary relationship of the Mycobacterium tuberculosis Complex with humans is suggested by genome sequencing of M tuberculosis to be at least 2.6 to 2.8 million years ago, earlier than the range of Homo habilis (2.3 to 1.4 million years ago), suggested by synonymous sequence diversity (Donoghue 825 : 2011), there is a possible material evidence of case of TB in Homo erectus dating to 490 -510 000 years ago, from a partial skeleton found in western Turkey (Donoghue 826 : 2011) .

The common image of Mycobacterium tuberculosis, with very good reason, is as a scourge of high density population centers characterised by the conditions of the early industrial revolution (20^th century) and urban populations characterised by poverty. It is the medical reasoning for antispitting laws that were enforced by New York City around 1910, recently Waltham Forest Council in Britain (Paul Cocozza, from The Guardian, September 2013) fined spitters and there is currently an anti spitting Bill is being introduced in the Phillipines. But given its long association with humans, predating the Neolithic, the predominant conditions providing the evolutionary selection pressure on it would be different from those now.

These pre Neolithic conditions would be low density populations, that are composed of small, groups organised around kinship structures that are predominantly mobile (Donoghue 826 : 2011). Because of this the organism would be under selection pressure to survive through the lifetime of the individual host, with transmission occurring from adults with reactivation of the disease to other individuals, including infants with immature immune systems. Reactivation would occur in situations of nutritional deprivement, age related failing immune systems, and physical and mental stress (Donoghue 826 : 2011). As such the organism would be selected towards a quasi-commensal host pathogen relationship, with increased latency in the majority of cases, over time there would be co evolutionary processes leading to sympatric host pathogen relationships.

Conclusions

One of the insights that this model provides is that given the increased population density, with a greater opportunity for transmission, the selection pressures favoring latent infection would be reduced and so selection pressures should favor an increased bacterial virulence (Donoghue 827 : 2011). There is evidence of evolutionary modern lineages that induce lower levels of early inflammatory response and faster progression to active disease (Donoghue 827 : 2011).

The use of antibiotics is a selection factor, and most papers describe the mutation rates of Mycobacterium tuberculosis in resistance to line 1 antibiotics, isoniazid, rifampicin and ethambutol as within the range of 1 X 10^-7 (ethambutol) to 2.3 X 10^-10 (rifampicin) and seem to describe Mycobacterium tuberculosis as predominantly transferring antibiotic resistance vertically, through generations (Gumbo 722 : 2013). In lineage 2, which includes the Beijin strains, there is a prevalence of MDR tuberculosis. It has been found that lineage 2 appears to have a tenfold increased acquisition of rifampicin resistance compared to lineage 4. This suggests another implication, that there are different rates of multidrug resistance (antibiotic resistance) in the different lineages.

Figure F

Comments.

Rabbit test models to determine when treponemal dissimination found that in later stages of the disease Treponomal DNA could not be isolated from the bone. Syphilis produces marks of severe inflammation on long bones and cranium, deep erosions and nodes that can be described as a moth eaten appearance and a thickening of the long bones. Sectioned bone reveals a spongy appearance with obliteration of the medullary cavities.

Holloway et al (2011) uses Pompeii as a way of checking whether the frequency of lesions in the age and sex distributions found in the cemeteries corresponded with the frequency of lesions in living population age and sex distributions. It was found that it did not differ in adult populations but did differ significantly in sub adult (child) populations (Holloway et al 414 : 2011), this is why the Holloway et al (2011) paper only discusses adult populations.

Mechanisms of action of antibiotics, for figure F.

Ethambutol inhibits arabinosyl transferase involved in cell wall biosynthesis, the enzyme is coded for by three homologous genes embCAB and resistance is associated with mutation of these loci

Isoniazid is a peroxide producing drug that relies on catalase activity to interfere with mycolic acid biosynthesis.

Rifampic prevents transcription of DNA dependant RNA polymerase, binds to beta subunit, resistance is conferred by mutations of the rhoB gene that encodes

Pyrazinamide interferes with fatty acid synthesis, lowering intracellular pH which inactivates fatty acid synthase

Bibliography

Donoghue, Helen D. (2008). Chapter 6 : Palaeomicrobiology of Tuberculosis. In D Raoult & M Drancourt (eds). Paleomicrobiology : Past Human Infections. Published by Springer-Verlag Berline Heidelberg. Pages 75 -97

Donoghue, H.D. (2011). Insights gained from palaeomicrobiology into ancient and modern tuberculosis. In the Journal of Clinical Microbiology Infectious Diseases. Volume 17. Pages 821 – 829.

Fenner, L; Egger, M; Bodmer, T; Furrer, H; Ballif, M et al. (2013). HIV Infection Disrupts the Sympatric Host-Pathogen Relationship in Human Tuberculosis. In PloS Genet Volume 9, Index 3. e1003318. doi:10.1371/journal.pgen.1003318

Gagneux, Sebastien. (2012). Host-pathogen coevolution in human tuberculosis. In Philosphoical transactions of The Royal Society. Volume 367. Pages 850 -859.

Gumbo, Tawanda. (2013). Biological variability and the emergence of multidrug-resistant tuberculosis. In Nature Genetics. Volume 45. Pages 720 -721.

Holloway, K.L; Henneberg, R. J; Lopes, M de Barros & Henneberg, M. (2011). Evolution of human tuberculosis: A systematic review and meta-analysis of paleopathological evidence. In Homo- Journal of Comparative Human Biology. Volume 62. Pages 402 -458.

Iseman, Michael. (1994). Evolution of drug resistant tuberculosis: A tale of two species. In Proceedigns of the National Academy of Sciences of the United States of America . Volume 91. Pages 2428 -2429.

Mutolo, Michael ; J. Jenny, Lindsey; Buszek, Amanda; Fenton, Todd W & Foran, David. (2012). Osteological and Molecular Identification of Brucellosis in Ancient Butrint, Albania. In the American Journal of Physical Anthropology. Volme 147. Pages 254 -263.

Summary of “Great Plagues of the Past and Remaining Questions” by Cheston B. Cunha & Burke A. Cunha. (2008)

Covers three of the most famous, historically recorded plagues of the ancient world, the plague of Athens (430- 426 BC) described by Thucydides, the Antonine Plague (166- 270 AD) described by Galen and the Justinian Plague (542- 590 AD), described by Procopius. Cunha et al (2008) have produced tables of the features of descriptions of the three plagues and attempted to give a most probably cause on the basis descriptions match to the etiology of known infectious disease.

Of the diseases described, the symptoms of the Antonine plague seem the most precise and objective, it is written by Galen and it describes an exanthema covering the whole body and the blood content of blisters. “Putrified blood like some ash which nature had deposited on the skin” and the healing process,” where part of the surface called the scab fell away and then the remaining part nearby was healthy” . Galen describes the course of the disease, for a surviving patient, through the experience of a young man. On the basis of Galen’s description Cuhna et al (2008) indicates that the Antonine Plague was probably small pox spreading through immunologically naive populations, the recurrence of the plague was its spread to populations previously unexposed.  

The description of the Justinian Plague by Procopius reliably indicates that it was Yersinia pestis, with the revealing description of bubonic swellings developed in the groin of the body, armpit, behind the ear and along the thighs. Procopius writes without the theories or the medical agenda of Galen and gives a general account of the relayed symptoms and hypothesized history, describing the failure of physicians in making an accurate prognosis of the course of the disease for many patients. In this way Procopius’s archive allows the most reliable diagnosis of the three.

The description provided Thucydides is regrettably inconsistent with one disease cause, though Thucydides experienced the disease himself, the descriptions he provides seems to describe several disease states but Cuhna et al (2008) give a best fit of epidemic typhus, the causative organism Rickettsia prowazekii.

In each of the great plagues described there have been significant repercussions that have potentially affected the course of history. Athens, without the plague may have won the Peloponnesian War, without the Antonine plague Rome may not have had the loss of manpower and may have solved the crisis seen in third century differently and without the Justinian Plague the Eastern Roman Empire may have had a longer lasting restoration of the west in the 7^th Century. The plagues in retrospect can be seen to be the products of their host societies situations and successes. Increased population movement, long distance infrastructure, war time conditions and trade networks facilitated the spread of disease.

Bibliography

Cunha, Cheston B & Cunha, Burke A. (2008). Great Plagues of the Past and Remaining Questions. In D. Raoult & M Drancourt (eds). Paleomicrobiology: Past Human Infections. Published by Spring-Verlag Berlin Heidelberg. Pages 1- 20.

The Global History of Paleopathology : Pioneers and Prospects. (2012). (Edited by Jane Buikstra & Charlotte Roberts). Published by Oxford University Press.

Is an alphabetized description of biographies, regional investigations, key topics and organizations involved in Paleopathology. My interest in this was tied to limited work objectives. Given that I am not an academic with extensive experience in the specialization of Paleopathology I'm not really capable of providing an exhaustive review that provides an authoritative discussion on the significance of the book, but I can follow the index on topics that are relevant to my work and expand areas of interest. Think of this as a kind of review by a description of a segment of stratification layers.

That said, Mycobacterium tuberculosis is a significant topic in Paleopathology, it reliably shows up in skeletal material, so was discussed in the early stages of the field's development and is now  investigated by DNA techniques and other recent analytical techniques and this is where my interest in the book begins.

In the biography section, Part I : Biographies,  it describes the involvement of Keith Manchester, George Daniel Morse nad Mahmound Yousef K El-Najjar in the research of Mycobacterium tuberculosis. Keith Manchester investigated the antiquity of tuberculosis with Mirko Grmek and considered its relationship with leprosy (Roberts 2012 : 58). It was suggested by them that the cross immunity that exists between leprosy and tuberculosis explains the decline of leprosy and the rise of tuberculosis in Europe in the 14th century AD. As host-pathogen co-evolution  led to a decrease in the virulence of leprosy, and with urbanization and increasing population density tuberculosis became prominent. For the biography of George Daniel Morse it covers his discussion of the appearance of tuberculosis in pre-columbian America, this include an early argument that the deformities in hunchback jars from the Mississippi valley did not portray kyphotic changes in the spine due to spinal tuberculosis. In retrospect this is interpreted as being strongly influenced by his everyday experience of working with tuberculosis patients (Rose & Burk 2012 : 87) which would have included involvement of a range of skeletal disorders from mild to severe, compared to the more advanced forms represented in the pottery. Artistic representations of hunchbacks is considered a significant part of the evidence of Potts disease in ancient societies, Armand Ruffer (1859- 1917) described Pott's disease in a 21st dynasty Egyptian mummy and conducted the examination of the soft tissue of a mummy to track psoas infection (Sandison 2012 : 107- 108). Mahmound Yousef K El-Najjar examined American literature and museum skeletons to conclude that tuberculosis and treponematosis was present in pre-Columbian America (Al-Shorman & Rose 2012 : 167).

In the Part III : Regions section, it includes a description of the research of tuberculosis in the Nile Valley. This includes Alexander James Edward Cave's (1939) review of written documents, artifacts, art and discovered cases leading to the conclusion that tuberculosis was present in the Nile Valley and Nubia at least 5000 years ago and speculated that bovine tuberculosis may have been present in the beginning Dynastic period (Baker & Judd 2012 : 222). Allison and collaborators (1981) confirmed the research findings of Garcia Frias,which found macroscopic evidence of tuberculosis from four mummies dated to 2500 years old from the Andes, indicating that tuberculosis was present in South America before 15th century European contact (Guillen 2012 : 320).

Part VI : Future Developments was quite interesting to me. It included a chapter titled "Using Ancient DNA techniques to Study Human Disease" by Wilbur & Stone (2012). It describes an issue that the key reason ancient pathogen DNA research remains quite contentious is that there has been inadequate research to determine how likely pathogen DNA is to preserve over long period of time. It is argued by Donoghue and Spigelman (2006) that Mycobacterium, such as Mycobacterium tuberculosis have enhanced preservation of nucleic acids due to their cell wall properties  but it is also argued by Wilbur et al (2009) that the same cell wall properties can potentially increase the rate of degradation of Mycobacterium nucleic acids (Wilbur & Stone 2012 : 703). Tuberculosis and Leprosy have received the largest attention from ancient DNA researchers because of the antiquity and ubiquity of remains with characteristic lesions. Much early work determining the presence or absence of the pathogen in remains has used a fragment of the Mycobacterium tuberculosis complex (MBTC) specific repeat element, IS6110, and this was used to find tuberculosis like disease  in a calcified subpleural nodule in a 1000 year old mummy from Peru (Wilbur & Stone 2012 : 706). The IS6110 sequence is found in all members of the MTBC, which includes M. tuberculosis, M. africanum, M. canettii, M.bovis and M. microti. Placing the organisms into a phylogenetic framework for the identification of subspecies and strain identification is problematic.There is much criticism in studies on ancient mycobacterial DNA due to lack of adherence  to accepted minimal authentication protocols and a lack of replicability.

Because I am writing from New Zealand, I had a vague interest in its regional description of Paleopathology in New Zealand. This is classified under the regional topic "Pacific", which makes sense from an anthropological perspective because New Zealand's pre European contact population were from Polynesian settlers around 1200 AD, despite the proximity of Australia, which the book classifies as a separate region (Pietrusewsky & Douglas 2012 : 604). Its description includes Philip Houghton's books and papers on the Prehistoric Maori and his theory  that the rigors of long distance voyaging were selection factors that may have an impact on Maori and Polynesian population health issues.

Its chapter titled "Paleopathology in Israel : Nicu Haas and his successors" was particularly interesting, which it introduces as "There is no other country where paleopathological findings expand far beyond scientific boundaries and affect the individuals beliefs, emotions and social standing as in Israel" (Hershkovitz 2012 : 426). It describes Nathan and Haas's (1963) study of caves of refuge used during the Second War against the Romans led by Bar-Kochba (133- 135 AD). The caves contained skeletal material with a small proportion of elderly and high proportion of children that tended to feature cribra orbitalia which suggests death by starvation (Hershkovitz 2012 : 429). It also features Nicu Hass's investigation of  a crucified man dating between 37 BC and 50 AD in an ossuary at Giv'at ha-Mivtar, a small hill in northern Jerusalem, who was crucified in a way different from that commonly depicted in images.

In conclusion, I suspect it makes a good reference and certainly represents an introduction to the topics and issues associated with Paleopathology.

Bibliography 

Al-Shoreman, Abdulla A & Rose, Jerome C. (2012). Mahmoud Yousef K. El-Najjar (1972- 2009). In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 164 -169.

Baker, Brenda J. & Judd, Margaret A. ; (2012). Development of Paleopathology in the Nile Valley. In  The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 209- 225.

Guillen, Sonia E. (2012). A History of Paleopathology in Peru and Northern Chile : From Head Hunting to Head Counting.  In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 312- 328.

Hershkovitz, Israel. (2012). Paleopathology in Israel : Nicu Haas and his Succerssors.  In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 426- 438.

Pietrusewsky, Michael & Douglas, Michele Toomay. (2012). History of Paleopathology in the Pacific.  In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 594- 615.

Roberts, Charlotte A. ; (2012). Keith Manchester (1938-) ; In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 56- 59.

Rose, Jerome & Burke, Dolores L. ; (2012). "Dr Dan" : The Life of George Daniel Morse (1906- 1985).  In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 82- 87.

Sandison, Andrew T. ; (2012). Sir Marc Armand Ruffer (1859- 1917);  In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 106- 109.

Wilbur, Alicia & Stone, Anne C. (2012). Using Ancient DNA Techniques to Study Human Disease. In The Global History of Paleopathology : Pioneers & Prospects. Published by Oxford University Press. Pages 703- 717.

Saw Byzantium last week, and yeah, you can bet my initial interest was due to its title.

The protagonists of the movie are two female vampires who have a mother and daughter relationship, played by Gemma Arterton and the other worldly Saoirse Ronan respectively, they are trying to evade an order of male vampires. It probably could be quite strongly interpreted by feminist theory with arguments concerning agency but that's not an approach I could take comfortably and I am sure someone else probably will do that better, if it becomes significant. I saw it with a friend with a stronger literary background, he tended to take a critical approach to the movie, I quite liked it for its new features. It is directed by Neil Jordan.



 The dialogue of the characters for the most part appears natural, in a movie context, the speech of Gemma Arterton's character, Clara, evokes a working class Victorian background. The visual representations of the city, town and coast are for the most part mundane and the concerns of the protagonists are within the spectrum of humanity, mostly trying to survive by doing what they know. There are no sky scraper scenes with actors in gothic clothing bearing symbols of authority, efficiency, weapons or vestiges of a pan opticon view that evokes power structures. If I had to make a comparison I would compare it to "Near Dark" in terms of the coterie, group dynamic focused narrative.

The creation story for Gemma Arterton's Clara begins during the Napoleonic period on the English coast, possibly the vampires are creatures of habit and have returned to an old location that has been built up by modernity. The circumstances of Clara's creation to me evokes Pierre Choderlos de Laclos "Les Liaisons Dangereuse", which is because it probably has similar themes and settings.

I found myself more concerned with the fate of the mortal humans that the vampires interact with than the vampire protagonists but that is probably what makes it work as a thriller. The cool title is a reference to the name of the Hotel that the vampire protagonists take up residence and possibly a more awkward reference to a "sword from the fall of Byzantium" that one of the male vampires bears.

Notes from The virtues and faults of the Latin Christians by Tia Kolbaba (2012), (Edited by Paul Stephenson) in The Byzantine World.

Western Europe was accurately perceived by the Byzantines as being composed of many ethic groups, ethne (Kolbaba 114 : 2012), and the general attitude of the Byzantines to the western ethne changed over time. In late Byzantine society a perception of “the west” as an tyrannical enemy may have formed, with the phrase “Better the Turk than the Pope” (Brownsworth 2012) during the Palaiologian period (1204 -1453).

During the early period (600 -843 AD) Orthodox monks took shelter in Rome during the revival of iconoclasms in 815 and when Orthodoxy was reintroduced in 843 many expressed admiration for St Peter and a commitment to ecumenical canons and imperial laws that indicated Rome as the first of the patriarchates. Greek churches in Italy provided Greek leaders who worked to keep Latin and Greek churches together during the middle period (843 -1050), they functioned as flexible moderate middlemen between the two patriarchial sees (Kobaba 121 : 2012).

The issue of the Latin churches using unleavened bread (azyma) in the Eucharist, while the Greek churches used yeast in bread that rises (enzyme) was in part because non Chalcedonian Armenians using unleavened bread that was a symbol for the one nature of Jesus Christ and attachment to Judaic rites, and this argument was extended to the Latin churches as well. During the later stages growing contact with Latins in Byzantine service lead to an increasing awareness of differences in ritual and doctrine. There were a number of different responses, some like John of Antioch (1101) thought differences in the azymes, Filioque and other Latin variations were insignificant and his actions speak to a commitment to coexistence (Kolbaba 124 : 2012). The success of the reformed papacy and its claims to plenitude potestatis provoked resistance and criticism.

Byzantine criticism of fundamental developments in Latin theology included the meaning of John 14:28, “The Father is greater than I (the son)”. The Byzantine emperor Manual I (1143 -1180) adopted the Latin meaning and forced it on the Greek Church. There were different philosophical traditions and some of the issues the Latins were discussing the Greeks were unaware of and were brought to their attention by diplomats, subsequently they became embroiled in the theological controversies of the Latin world in the twelfth century (Kolbaba 126 : 2012).

After the sack of Constantinople in 1204 by the fourth Crusade, theological speculation using Latin philosophical innovations and attention to the theological issues the Latins discussed was subsumed by political motivations and sometimes violent resistance. As a rule the moderate middlemen were silenced. At the Second Council of Lyons (1274) Greeks who spent too much time with Latins were suspected of heresy, those who though the differences were inconsequential were either exiled or converted to Latin Christianity (Kolbab 127 : 2012). When imperial envoys returned to Constantinople from the Second Council of Lyons, following the news that they had agreed to a church union they were greeted with the cries “You have become Franks!” (Kolbaba 127 : 2012). The violence following the Fourth Crusade and the Latin papacies attempts to realise its plenitude of power, penitude potestatis had decisively created an irreparable schism (Kolbaba 127 : 2012).

Cover of The Byzantine World (2012)

Bibliography

Brownsworth, Lars.(December 2009). Lars Brownworth - Smithsonian Institute - Byzantium. @ http://www.youtube.com/watch?v=LQ4ilVj1xLE. Approx 70 minutes long. Uploaded May 2011. Last viewed 10-7-2013.  

Kolbaba, Tia. (2012). The virtues and faults of the Latin Chrisitans. (Edited by Paul Stephenson). From The Byzantine World. Published by Routledge. Pages 114 -127.