McIntyre M, Pritchard P B, Lombroso C T
Epilepsia. 1976 Dec;17(4):377-86. doi: 10.1111/j.1528-1157.1976.tb04449.x.
Twenty-two young adults with clinically and electroencephalographically diagnosed temporal lobe epilepsy were selected from an outpatient neurology source; 11 with focal epileptic activity in the right temporal lobe and 11 with left temporal lobe involvement were included. All patients had normal intelligence and comparable educational and socioeconomic backgrounds. Matched nonepileptic controls were also tested. Subjects were given psychological tests assessing differences in cognitive style and affect communication. Greater reliance on the ear ipsilateral to discharge focus in a dichotic listening paradigm was discovered, confirming appropriate lateralization assignment. Left lateralized patients exhibited a more reflective cognitive style than controls; right lateralized patients were more impulsive. Previously confirmed associations between impulsivity and externalized aggressive responses suggest the hypothesis that externalization of aggressive responses may occur more often among right lateralized patients. Left lateralized patients exhibited a more reflective cognitive style than controls; right lateralized patients were more impulsive. Previously confirmed associations between impulsivity and externalized aggressive responses suggest the hypothesis that externalization of aggressive responses may occur more often among right lateralized patients. Left lateralized patients made more atypical assignments of affect labels to emotionally evocative descriptions. Right laterlized patients tended to assign affect labels as controls. A greater potential for disturbance in the verbal communication of affect among left laterlized patients is suggested.
从门诊神经科选取了22名临床和脑电图诊断为颞叶癫痫的年轻成年人；其中11名右侧颞叶有局灶性癫痫活动，11名左侧颞叶受累。所有患者智力正常，教育和社会经济背景相当。还对匹配的非癫痫对照组进行了测试。受试者接受了评估认知风格和情感交流差异的心理测试。发现在双耳分听范式中，患者更依赖于与放电灶同侧的耳朵，证实了适当的侧化分配。左侧化患者表现出比对照组更具反思性的认知风格；右侧化患者更冲动。先前已证实的冲动性与外化攻击反应之间的关联表明了这样一种假设，即外化攻击反应在右侧化患者中可能更常发生。左侧化患者表现出比对照组更具反思性的认知风格；右侧化患者更冲动。先前已证实的冲动性与外化攻击反应之间的关联表明了这样一种假设，即外化攻击反应在右侧化患者中可能更常发生。左侧化患者对情感唤起描述的情感标签分配更不典型。右侧化患者倾向于像对照组一样分配情感标签。这表明左侧化患者在情感言语交流方面有更大的紊乱可能性。
