On a different note, Alphonso Caramazza has given a principled reason for rejecting the use of group studies in cognitive neuropsychology. Studies of brain damaged patients can either take the form of a single case study, in which an individual's behavior is characterized and used as evidence, or group studies, in which a group of patients displaying the same deficit have their behavior characterized and averaged. In order to justify grouping a set of patient data together, the researcher must know that the group is homogenous, that their behavior is equivalent in every theoretically meaningful way. In brain damaged patients, this can only be accomplished "a posteriori" by analyzing the behavior patterns of all the individuals in the group. Thus according to Caramazza, any group study is either the equivalent of a set of single case studies or is theoretically unjustified. Newcombe and Marshall pointed out that there are some cases (they use Geschwind's syndrome as an example) and that group studies might still serve as a useful heuristic in cognitive neuropsychological studies.