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Abstract
Several lines of inquiry provide converging evidence for a critical role for the right
cerebral hemisphere in negative affective experiences. This research includes the
assessment of affective consequences of both focal cerebral lesions and pharmacological
inactivation of one or the other hemisphere, as well as experimental and physiological
techniques assessing differential hemispheric activation. The specific nature of right
hemispheric involvement is conceptualized as a tendency to become activated by aversive
experiences, and once activated, to process stimuli in a manner consistent with the
right hemisphere's more negative affective tone. A theory of right hemisphere involvement
in depressive affect is presented in detail and its relevance to clinical phenomena,
e.g., the co-occurrence of depression and pain, and sex differences in depression,
is examined, as is congruence with cognitive theories of depression.
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References
- Differential lateralization for positive versus negative emotions.Neuropsychologia. 1979; 17: 693-698
- Differential lateralization for positive and negative emotion in the human brain: EEG spectral analysis.Neuropsychologica. 1985; 23: 745-755
- An investigation into the observed sex differences in prevalence of unipolar depression.J Abnorm Psychol. 1981; 90: 1-13
- Morphine and beta endorphin inhibit release of noradrenaline from cerebral cortex but not of dopamine from rat striatum.Nature. 1978; 271: 559-561
- Resting EEG alpha and asymmetry of reflective lateral eye movements.Nature. 1969; 223: 975-976
- Cognitive therapy of depression: New perspectives.in: Clayton PJ Barnett JE Treatment of Depression: Old Controversies and New Approaches. Raven Press, New York1983: 25-36
- Cognitive Therapy of Depression.Guilford Press, New York1979
- Chronic pain as a variant of depressive disease: The pain-prone disorder.J Nerv Ment Dis. 1982; 170: 381-394
- Severe localized pain associated with depressive syndrome.Br J Psychiatry. 1963; 109: 741-745
- Evidence for sex-related differences in cerebral organization.in: Wittig MA Petersen AC Sex-Related Differences in Cognitive Functioning. Academic Press, New York1979: 121-141
- Laterality: Functional Asymmetry in the Intact Brain.Academic Press, Orlando, FL1982
- Hemispheric differences in discriminative reaction time to facial expressions.Ital J Psychol. 1978; 5: 159-169
- Antidepressant effects of unilateral electric convulsive shock therapy.Arch Gen Psychiatry. 1974; 31: 673-675
- Pain and unilateral cerebral lesions.Cortex. 1984; 20: 369-375
- Sex differences in patterns of EEG asymmetry.Biol Psychol. 1976; 4: 119-138
- Analgesia to painful stimuli in affective illness.Am J Psychiatry. 1979; 136: 1148-1151
- Role of the dominant hemisphere in the regulation of emotional states.Hum Physiol. 1975; 1: 394
Delis DC, Robertson LC, Efron R (186): Hemispheric specialization of memory for visual hierarchical stimuli. Neuropsychologia 24:205–214.
- The comparative efficiency of intelligence and vigilance tests detecting hemispheric change.Cortex. 1965; 1: 410-433
- Difference in the vigilance performance of the right and left hemispheres.Cortex. 1973; 9: 259-265
- Differing emotional response from right and left hemispheres.Nature. 1976; 261: 690-692
- The basic clinical theory of rational-emotive therapy.in: Handbook of Rational-Emotive Therapy. Springer, New York1977
- Brain stem modulation of spinal pain transmission neurons.Annu Rev Physiol. 1978; 40: 217-248
- Gender, hemispheric specialization and psychopathology.Soc Sci Med. 1978; 128: 155-162
- On certain aspects of the localization of the cerebral system regulating and determining emotions.Biol Psychiatry. 1979; 17: 677-698
- The neurology of depression: Cognitive and behavioral deficits in depression and resolution after convulsive therapy.Arch Neurol. 1985; 42: 289-291
- Emotional behavior and hemispheric side of the lesion.Cortex. 1972; 8: 41-55
- Neuropsychological effects of electroconvulsive therapy.J Clin Psychol. 1977; 33: 798-806
- Precis of the neuropsychology of anxiety: An inquiry into the functions of the septo-hippocampal system.Behav Brain Sci. 1982; 5: 469-534
- Cognitive task effects on hemispheric blood flow in humans: Evidence for individual differences in hemispheric activation.Brain Lang. 1980; 9: 78-92
- Sex and handedness differences in cerebral blood flow during rest and cognitive activity.Science. 1982; 217: 659-661
- The varying response to pain in psychiatric disorders. A study in abnormal psychology.Br J Med Psychol. 1954; 27: 48-60
- Lateral dominance in the perception of size and pain.Q J Exp Psychol. 1970; 22: 503-507
- Lateral eye movement and hemisphere asymmetry: Effects of question type, task type, emotional type, and individual differences.Cortex. 1985; 20: 543-556
- Mechanisms underlying hemispatial neglect.Ann Neurol. 1979; 5: 166-170
- Right hemisphere dominance for mediating cerebral activation.Neuropsychologia. 1979; 17: 315-321
- Blockade of a 5-hydroxytryptophan-induced model of depression with a potent and selective 5-HT receptor antagonist (LY53857).Biol Psychiatry. 1985; 20: 592-597
- Evidence for focal impairment from lesions of the right hemisphere.Brain. 1975; 98: 317-332
- Electrode placement and the effect of ECT on mood and memory in depression.Can Psychiatr Assoc J. 1969; 14: 463-471
- The cerebral basis of lateral asymmetries in attention.Acta Psychol. 1970; 33: 193-201
- Depression and hemispheric functions: changes associated with unilateral ECT.Br J Psychiatry. 1978; 132: 560-567
- Evidence for sex differences in right-hemisphere dominance for emotions.Neuropsychologia. 1980; 18: 361-366
- Right hemisphere interference during negative affect: A reaction time study.Neuropsychologia. 1984; 22: 479-485
- Human cognition and lateralization of cerebral function.TINS. 1979; (Sept): 222-225
- Selective factors in memory: II Affective disorders.Psychol Med. 1972; 2: 248-253
- Effect of depression on the speed of recall of pleasant and unpleasant experiences.Psychol Med. 1975; 5: 173-180
- The Working Brain: An Introduction to Neuropsychology.Basic Books, New York1973
- Learned helplessness: Theory and evidence.J Exp Psychol. 1976; 105: 3-46
- Electrode placement and cognitive change with ECT: Male and female response.Am J Psychiatry. 1981; 138: 384-385
- Information processing and the cerebral hemispheres.in: Handbook of Behavioral Neurobiology. vol 2. Plenum Press, New York1979
- Pain threshold and tolerance of right and left hands.J Comp Physiol Psychol. 1970; 71: 83-86
- Pain measurements in right-left cerebral lesions.Neuropsychologia. 1985; 23: 123-126
- Lateralization of norepinephrine inhuman thalamus.Science. 1978; 200: 1411-1413
- Sex differences and personality factors in responsivity to pain.Percept Mot Skill. 1985; 61: 383-390
- Depression, Pain and Hemispheric Activation.1987 (in preparation).
- Systemic structural analysis of the electroencephalogram of depressed patients: General principles and preliminary results of an international collaborative study.Neuropsychobiology. 1978; 4: 207-228
- Conditioning, sensitization and kindling: Implications for the course of affective illness.in: Post RM Ballenger JC Neurobiology of Mood Disorders. Williams & Wilkins, Baltimore1984: 432-466
- A self-control model of depression.Behav Ther. 1977; 8: 787-804
- Mood disorders in stroke patients: Importance of location of lesion.Brain. 1984; 107: 81-93
- Chronic pain and depression: Does the evidence support a relationship?.Psychol Bull. 1985; 97: 18-34
- Hemispheric asymmetry in the expression of positive and negative emotions.Arch Neurol. 1982; 39: 210-218
- Chronic pain and depression: A clinical and family history survey.Am J Psychiatry. 1980; 137: 118-120
- Frontal and parietal electroencephalogram asymmetry in depressed and nondepressed subjects.Biol Psychiatry. 1983; 18: 753-762
- The catecholamine hypothesis of affective disorders: A review of supporting evidence.Am J Psychiatry. 1965; 122: 509-522
- Possible pathophysiological mechanisms in subtypes of unipolar depressive disorders based on differences in urinary MHPG levels.Psychopharmacol Bull. 1981; 17: 90-91
- Right hemisphere lateralization for emotion in the human brain: Interactions with cognition.Science. 1975; 190: 286-288
- Sensitization to cocaine stimulation in mice.Psychopharmacology. 1977; 52: 185-190
- Overview: Toward a dysregulation hypothesis of depression.Am J Psychiatry. 1985; 142: 1017-1031
- Altered lateralization of cognitive processes in depressed women.Am J Psychiatry. 1983; 140: 1340-1344
- Behavioral and EEG effects of intracarotid sodium amytal injection.Ada Neurochir. 1964; 12: 230-239
- Lateral brain function, emotion, and conceptualization.Psychol Bull. 1981; 89: 19-46
- Lateral brain function, emotion, and conceptualization.Psychol Bull. 1981; 89: 380-383
- Right hemisphere activation during stress.Neuropsychologia. 1977; 15: 697-700
- Right frontal lobe activation and right hemisphere performance: Decrement during a depressed mood.Arch Gen Psychiatry. 1981; 38: 169-174
- Inescapable shock, neurotransmitters, and addiction to trauma: Toward a psychobiology of posttraumatic stress.Biol Psychiatry. 1985; 20: 314-325
- Experimentally induced pain in patients with depressive disorders.Acta Psychiatr Scand (Suppl). 1974; 255: 121-133
- Pain as a symptom of depressive disorders.I. Relationship to diagnostic subgroup and depressive symptomology.Pain. 1983; 15: 19-26
- Pain as a symptom in depressive disorders. II. Relationship to personality traits as assessed by means of KSP.Pain. 1983; 17: 377-384
- The effectiveness of tricyclic antidepressants in the treatment of coexisting pain and depression.Pain. 1979; 7: 331-341
- Psychobiological markers in coexisting pain and depression: Toward a unified theory.J Clin Psychiatry. 1982; 43: 32-39
- Tactual sensitivity as a function of handedness and laterality.J Comp Physiol Psychol. 1961; 54: 665-669
- The origination and destination of pathways involved in pain transmission.in: Textbook of Pain. Churchill Livingstone, New York1984: 88-99
- Effect of suggestion on experimental pain response parameters.Percept Mot Skill. 1965; 21: 675-683
- Encoding and decoding nonverbal cues of emotion.J Pers Soc Psychol. 1975; 32: 1068-1076
Article info
Publication history
Received in revised form:
February 11,
1987
Received:
November 25,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.