Hoppe K D
Hacker Clinic, Los Angeles, California.
Psychiatr Clin North Am. 1988 Sep;11(3):303-15.
The results of an experimental study on commissurotomy (split-brain) patients and normal control subjects illuminate the difference in creativity. The surgical disconnection of transcallosal interhemispheric exchange and of any access or communication between the two hemispheres creates in commissurotomy patients an outstanding lack of creativity which could be demonstrated on a lexical, sentential, global, affective, and EEG-analysis level. In contrast to split-brain or alexithymic people, expressive-creative persons verbalized their presentational symbolization and imagery of the right hemisphere which was transformed via corpus callosum to the left hemisphere, called symbollexia. Thus, creativity can be understood as the opposite of alexithymia. The hypothetical concept of creativity as hemispheric bisociation was supported by EEG findings, suggesting an inhibition and lack of inner speech between the two language centers in alexithymic people versus a higher interhemispheric coherence level in expressive-creative persons. Further on, the difference of expressed feelings of anxiety and hostility suggests a restrictive set of rules and of early superego components in commissurotomy patients in contrast to expressive-creative people who empathically experience and verbalize their anxiety about death and are open to the experience of their being in the world as an act of creation. Finally, the vignette of a creative patient whose left hemisphere was overflooded by affects and imagery, expressed in her pictures, illuminates the importance of a balanced transcallosal symbollexia and hemispheric bi-sociation in psychotherapy.
一项关于连合部切开术(裂脑)患者和正常对照受试者的实验研究结果揭示了创造力方面的差异。连合部切开术患者中,胼胝体间半球交换以及两半球之间的任何联系或交流的手术切断,导致了明显的创造力缺失,这在词汇、句子、整体、情感和脑电图分析层面都能得到证明。与裂脑或述情障碍的人不同,有表达创造力的人会将他们右半球的表象象征化和意象用语言表达出来,这些通过胼胝体传输到左半球,称为符号阅读障碍。因此,创造力可以被理解为述情障碍的对立面。脑电图研究结果支持了创造力作为半球双关联的假设概念,这表明述情障碍的人两个语言中枢之间存在抑制且内心言语缺失,而有表达创造力的人半球间连贯性水平更高。此外,焦虑和敌意表达感受的差异表明,连合部切开术患者与有表达创造力的人相比,存在一套限制性的规则和早期超我成分,后者能共情地体验并表达对死亡的焦虑,并且对作为一种创造行为的在世体验持开放态度。最后,一位创造性患者的案例,其左半球被情感和意象淹没,并通过她的画作表现出来,这说明了在心理治疗中平衡的胼胝体符号阅读障碍和半球双关联的重要性。