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情感韵律及其对语言、抑郁、记忆和情感神经学的影响。

Affective Prosody and Its Impact on the Neurology of Language, Depression, Memory and Emotions.

作者信息

Ross Elliott D

机构信息

Department of Neurology, University of Oklahoma Health Science Center, Oklahoma City, OK 73104, USA.

Department of Neurology, University of Colorado School of Medicine, Aurora, CO 80045, USA.

出版信息

Brain Sci. 2023 Nov 9;13(11):1572. doi: 10.3390/brainsci13111572.

Abstract

Based on the seminal publications of Paul Broca and Carl Wernicke who established that aphasic syndromes (disorders of the verbal-linguistic aspects of communication) were predominantly the result of focal left-hemisphere lesions, "language" is traditionally viewed as a lateralized function of the left hemisphere. This, in turn, has diminished and delayed the acceptance that the right hemisphere also has a vital role in language, specifically in modulating affective prosody, which is essential for communication competency and psychosocial well-being. Focal lesions of the right hemisphere may result in disorders of affective prosody (aprosodic syndromes) that are functionally and anatomically analogous to the aphasic syndromes that occur following focal left-hemisphere lesions. This paper will review the deductive research published over the last four decades that has elucidated the neurology of affective prosody which, in turn, has led to a more complete and nuanced understanding of the neurology of language, depression, emotions and memory. In addition, the paper will also present the serendipitous clinical observations (inductive research) and fortuitous inter-disciplinary collaborations that were crucial in guiding and developing the deductive research processes that culminated in the concept that primary emotions and related display behaviors are a lateralized function of the right hemisphere and social emotions, and related display behaviors are a lateralized function of the left hemisphere.

摘要

基于保罗·布洛卡和卡尔·韦尼克的开创性著作,他们证实失语综合征(语言交流方面的障碍)主要是左半球局灶性病变的结果,传统上“语言”被视为左半球的单侧化功能。这反过来又减少并延迟了人们对右半球在语言中也起着至关重要作用的接受,特别是在调节情感韵律方面,而情感韵律对于沟通能力和心理社会幸福感至关重要。右半球的局灶性病变可能导致情感韵律障碍(韵律缺失综合征),其在功能和解剖学上类似于左半球局灶性病变后出现的失语综合征。本文将回顾过去四十年来发表的演绎性研究,这些研究阐明了情感韵律的神经学,进而使人们对语言、抑郁、情绪和记忆的神经学有了更完整、更细致入微的理解。此外,本文还将介绍偶然的临床观察(归纳性研究)以及偶然的跨学科合作,这些对于指导和发展演绎性研究过程至关重要,这些研究最终形成了这样的概念:基本情绪及相关表现行为是右半球的单侧化功能,而社会情绪及相关表现行为是左半球的单侧化功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21db/10669595/cca53a4efeb0/brainsci-13-01572-g004.jpg

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