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病变的前后位置与人格:对尾状核假说的支持。

Anterior-posterior locus of lesion and personality: support for the caudality hypothesis.

作者信息

Black F W, Black I L

出版信息

J Clin Psychol. 1982 Jul;38(3):468-76. doi: 10.1002/1097-4679(198207)38:3<468::aid-jclp2270380302>3.0.co;2-8.

DOI:10.1002/1097-4679(198207)38:3<468::aid-jclp2270380302>3.0.co;2-8
PMID:7107910
Abstract

Investigated the effects of discrete brain lesions on MMPI performance in well-matched samples of patients with anterior and posterior injuries. Because of the nature of the samples and careful matching for potentially confounding variables, particular emphasis could be given to the study of brain-behavior relationships. Patients with posterior lesions produced a significantly more abnormal composite MMPI profile, had a consistent tendency to produce elevated (70+) individual MMPI scales, and had individual profiles that were universally rated as abnormal using standard criteria. The differential MMPI patterns exhibited by these two samples were compatible with traditionally held clinical hypothesis with regard to distinct personality differences secondary to focal lesions in the caudal plane. It is our conclusion that lesion caudality does have a differential effect upon MMPI performance when factors such as cognitive, motor, and sensory defects are controlled adequately. The implications are that this effect is locus specific and is not necessarily related to the degree of other neurobehavioral impairment, as has been hypothesized previously.

摘要

研究了离散性脑损伤对前部和后部损伤患者匹配良好样本中明尼苏达多相人格调查表(MMPI)表现的影响。由于样本的性质以及对潜在混杂变量的仔细匹配,能够特别强调对脑-行为关系的研究。后部损伤患者产生的综合MMPI剖面图明显更异常,有产生升高的(70分以上)个体MMPI量表的一致倾向,并且使用标准标准其个体剖面图普遍被评定为异常。这两个样本所表现出的不同MMPI模式与传统上关于尾侧平面局灶性损伤继发的明显人格差异的临床假设相符。我们的结论是,当认知、运动和感觉缺陷等因素得到充分控制时,损伤的尾侧性确实对MMPI表现有不同影响。这意味着这种影响是部位特异性的,并且不一定如先前假设的那样与其他神经行为损伤的程度相关。

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