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《论右手与左手》(1646年):托马斯·布朗爵士对“用手习惯”的历史考察。

Of the Right and Left Hand (1646): Sir Thomas Browne's historical survey of 'handedness".

作者信息

Breathnach Caoimhghin S

机构信息

Department of Human Anatomy and Physiology,NUI University College Dublin,Ireland.

出版信息

Ir J Psychol Med. 2005 Mar;22(1):30-32. doi: 10.1017/S0790966700008788.

Abstract

'Handedness' as an expression of cerebral lateralisation is valuable in analysis of hemispheric asymmetries, carrying implications for implementation (as well as interpretation) of complex cognitive functions. In recent decades it has become possible to categorise handedness in a reproducible manner and, independently, to estimate accurately the degree of language lateralisation of the brain. These advances have re-focussed attention on cerebral organisation and hemispheric asymmetries, and there is now considerable interest in the neuropsychology of left-handedness. Because of procedural and ethical constraints there are relatively few large scale studies on language dominance, whereas handedness has been studied extensively in recent decades. Language is represented in the left hemisphere in all but 1% of right-handers, and in 60% of left-handers; in 15% of right-handers speech representation was bilateral. Precise determination of handedness or lateralisation does not appear to have been assessed in major studies of electroconvulsive therapy (ECT). Results in 29 reports, when the electrodes were placed over either the non-dominant or both hemispheres, were tabulated and briefly discussed by d'Elia and Raotma, but the criterion of lateral dominance assignment was not clearly specified; the unilateral and bilateral placements were equally efficacious in their antidepressant effect. d'Elia, who introduced unilateral therapy in 1970, accepted the assumption that the left hemisphere was 'dominant', but later workers were more circumspect.

摘要

“利手”作为大脑偏侧化的一种表现形式,在分析半球不对称性方面具有重要价值,对复杂认知功能的实施(以及解读)具有重要意义。近几十年来,已经能够以可重复的方式对利手进行分类,并且能够独立、准确地估计大脑语言偏侧化的程度。这些进展将注意力重新聚焦于大脑组织和半球不对称性,目前人们对左利手的神经心理学有相当浓厚的兴趣。由于程序和伦理限制,关于语言优势的大规模研究相对较少,而近几十年来利手已经得到了广泛研究。除了1%的右利手外,语言在左半球表征,在60%的左利手中也是如此;在15%的右利手中,语言表征是双侧的。在电休克治疗(ECT)的主要研究中,似乎没有对利手或偏侧化进行精确测定。d'Elia和Raotma汇总并简要讨论了29份报告的结果,这些报告中电极放置在非优势半球或双侧半球上,但侧优势分配的标准没有明确规定;单侧和双侧放置在抗抑郁效果上同样有效。1970年引入单侧治疗的d'Elia接受了左半球是“优势半球”这一假设,但后来的研究者更加谨慎。

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