Kyle N L
Hacker Clinic, Lynwood, California.
Psychiatr Clin North Am. 1988 Sep;11(3):367-81.
Studies of lateralization and specialization of brain function have increased our understanding of emotional processes in the brain. It has been said that the way in which we understand the emotional interrelatedness of brain layers and segments may have important effects on human society. Earlier studies of brain function, especially of limbic effects, suggested a dichotomous state of affairs between the phylogenetically older brain and the newer cortical areas--between affect and cognition. Such concepts are considered here in the light of specialization studies. From the beginning hemispheric laterality research has implicated emotionality and emotional pathology. It also appears that some limbic functions may be mediated in a lateralized fashion. Neuropsychologists have directed much work toward localization of function from its earliest stage; since the 1960s an emphasis has been on "mapping" of cortical functions in terms of psychopathologic disabilities. Various disability groups have been studied in this way, and it may be concluded that neuropsychologic measures are sensitive to changes in cerebral functioning and may have effective lateralizing and localizing ability under specified conditions. Studies of limbic effects in the brain emphasize their importance in emotional behavior but also their interrelatedness with other structures, for example, the frontal and temporal lobes, and particularly the right hemisphere. Studies of commissurotomy (split-brain) patients tend to bear out these relationships. In split-brain subjects the marked reduction in affective verbal and nonverbal behavior reflects the interruption of transcallosal impulses that normally permit emotional infusion of cortical structures to take place. These effects include verbal, visual, and auditory patterns that mediate the ability to decode complex nonverbal patterns and may result in a reduction of "inner speech," that is, symbollexia. They may further lead to a condition of "functional commissurotomy" in psychiatric patients with presumably intact brains. It would also appear that lateralization may be variable in terms of inhibitory and facilitative effects; emotional factors may play a part in this variability in some clinical cases in which functional or reactive features predominate, for example, in alexithymia. Ideas of hemispheric specialization have been extended to other areas of individual and social behavior. Creative ability has been understood by some authors to be a product of the relatively dynamic relationships existing between specialized areas of the brain.(ABSTRACT TRUNCATED AT 400 WORDS)
对大脑功能的偏侧化和专业化研究增进了我们对大脑中情感过程的理解。有人说,我们理解大脑各层和各部分情感相互关系的方式可能会对人类社会产生重要影响。早期对大脑功能的研究,尤其是对边缘系统作用的研究,表明在进化上较古老的大脑与较新的皮质区域之间——在情感与认知之间——存在一种二分状态。本文将根据专业化研究来探讨这些概念。从一开始,半球偏侧性研究就涉及到情感性和情感病理学。似乎一些边缘系统功能也可能以偏侧化的方式介导。神经心理学家从最早阶段就将大量工作导向功能定位;自20世纪60年代以来,重点一直是根据精神病理障碍来“绘制”皮质功能图。通过这种方式对各种残疾群体进行了研究,可以得出结论,神经心理学测量对大脑功能的变化很敏感,并且在特定条件下可能具有有效的偏侧化和定位能力。对大脑中边缘系统作用的研究强调了它们在情感行为中的重要性,同时也强调了它们与其他结构,如额叶和颞叶,特别是右半球的相互关系。对胼胝体切开术(裂脑)患者的研究往往证实了这些关系。在裂脑受试者中,情感性言语和非言语行为的显著减少反映了胼胝体间冲动的中断,而这些冲动通常允许情感注入皮质结构。这些影响包括言语、视觉和听觉模式,它们介导了解码复杂非言语模式的能力,可能导致“内心言语”减少,即符号性失读症。它们可能进一步导致大脑假定完整的精神病患者出现“功能性胼胝体切开术”的情况。似乎偏侧化在抑制和促进作用方面也可能是可变的;在某些以功能或反应性特征为主导的临床病例中,如述情障碍,情感因素可能在这种变异性中起作用。半球专业化的观点已扩展到个体和社会行为的其他领域。一些作者认为创造力是大脑特定区域之间相对动态关系的产物。(摘要截选至400字)