Gainotti G
Schweiz Arch Neurol Neurochir Psychiatr. 1976;118(2):215-29.
A systematic study of the emotional behavior of right and left brain-damage patients was conducted on large groups of patients with unilateral cerebral lesions. The incidence of "catastrophic reactions" was found to be significantly higher among the left brain-damaged patients, whereas "indifference reactions" were significantly more frequent in the group with right-sided lesions. The depressive-catastrophic reactions of left brain-damaged patients seemed due chiefly to marked difficulties in verbal expression, while the indifference reactions of the right brain-damaged patients were highly correlated with neglect phenomena for the opposite half of the body and of space. The meaning of the emotional reaction shown by left brain-damaged patients seems easy to understand, if we consider that these subjects are affected by aphasia and by a paresis of the right hand. More surprising and paradoxical is, on the contrary, the emotional behavior of the right brain-damaged patients. The hypothesis is advanced that the indifference of these subjects may be only apparent, and due to a strong need of denying illness. The prevalence of denial of illness among the right brain-damaged patients could be due to the "non verbal" functional organization which is supposed to be characteristic of this half of the brain.
对大量单侧脑损伤患者进行了一项关于右脑和左脑损伤患者情绪行为的系统研究。结果发现，“灾难性反应”在左脑损伤患者中的发生率显著更高，而“冷漠反应”在右脑损伤组中更为频繁。左脑损伤患者的抑郁性灾难性反应似乎主要是由于言语表达方面的明显困难，而右脑损伤患者的冷漠反应与对身体和空间另一半的忽视现象高度相关。如果我们考虑到这些受试者患有失语症和右手轻瘫，那么左脑损伤患者表现出的情绪反应的含义似乎很容易理解。相反，更令人惊讶和自相矛盾的是右脑损伤患者的情绪行为。有人提出假说，认为这些受试者的冷漠可能只是表面现象，是由于强烈的否认疾病的需要。右脑损伤患者中否认疾病的普遍性可能归因于这半脑所特有的“非言语”功能组织。
