Is There a Causal Link between the Left Lateralization of Language and Other Brain Asymmetries? A Review of Data Gathered in Patients with Focal Brain Lesions

Emotion: An evolutionary model of lateralization in the human brain

Since several reviews have recently discussed the lateralization of emotions, this chapter will take into account the possible evolutionary meaning of this lateralization. The organization of the chapter will be based on the following steps. I will first propose that emotions must be considered as a complex adaptive system, complementary to the more phylogenetically advanced cognitive system. Second, I will remind historical aspects and consolidated results on the lateralization of emotions. Then I will discuss the phylogenetic aspects of the problem, trying to evaluate if emotional asymmetries concern only humans and some nonhuman primates or are part of a continuum between humans and many phylogenetically distant animal species. After having reviewed various aspects of emotional lateralization across different animal species and (more specifically) in nonhuman primates, I will propose a general model of hemispheric asymmetries in the human brain, based on theoretical models and empiric data. Theoretical models stem from the influence that the presence or the absence of language can have on concomitant hemispheric functions, whereas supporting neuropsychologic data have been gathered in patients with unilateral brain damage.

Hemispheric asymmetries in the control of upper limb movements

This chapter deals with the unique human abilities of using tools, imitating others' gestures, drawing, and building complex items. Herein, after a brief overview of clinical manifestations and assessment of disorders of tool use and imitation (upper limb apraxia) and of the impairments in drawing and assembling multipart objects (constructional apraxia), brain asymmetries are discussed mainly starting from the neuropsychologic studies on patients with focal brain lesions, although both upper limb apraxia and constructional apraxia are often observed during the course of neurodegenerative diseases. Although no room is allowed here for a full discussion of brain-behavior relationships, relevant functional neuroimaging findings in healthy individuals are considered. The data presented in this chapter clearly demonstrate that tool use, gesture imitation, and "formative" activities (i.e., drawing and assembling) require the interplay of several brain areas and neural networks distributed over both hemispheres. Nonetheless, gesture processing exhibits a quite strong lateralization to the left hemisphere in typical right-handers. As regards "formative" activities, the neural networks in both hemispheres seem to provide complementary contributions, although the left inferior parietal lobule might play a specific role. The convergence of gesture processing and "formative activities" in the parietal lobes might be related to their considerable expansion in our species and could suggest that some shared basic, still unknown, computational processes allowed the development of these skills in modern humans.

Does the right hemisphere retain functional characteristics typical of the emotional adaptive system? An evolutionary approach to the problem of brain asymmetries

The right and left hemispheres host two complementary adaptive systems with a right-sided prevalence of automatic and unconscious processing modes, typical of the 'emotional system', and a left-sided prevalence of propositional and conscious processing modes typical of the 'cognitive system' The principal right hemispheric syndromes (and the functioning modes typical of this hemisphere) are, indeed, characterized by automatic and unconscious processing modalities. Thus, the unilateral neglect syndrome discloses a defective automatic (and spared intentional) spatial orienting of attention; face and voice recognition disorders are due to disruption of mechanisms that automatically generate familiarity feelings and anosognosia seems due to the unconscious loss of personal significance attributed by the patient to the pathological event. Since emotions were the only adaptive system existing before the development of language (which is provided of a strong capacity to develop and shape cognition), the persistence in the right hemisphere of mechanisms typical of the emotional system strongly supports an evolutionary model of brain laterality. (160 words).

A historical approach to models of emotional laterality

In this paper I discuss the main models that have tried to explain brain asymmetries for emotions. The first models, based on clinical observations, proposed either a general right hemisphere dominance for emotions (the'right hemisphere') model or a different specialization of the right hemisphere for negative and of the left hemisphere for positive emotions (the'valence' model). In more recent times new models, based on partly modified versions of the previous ones have been proposed. The revised version of the 'valence' model, labeled the 'approach-avoidance' model maintained that hemispheric asymmetries are not related to the valence of the emotional stimulus but to the motivational (approach vs avoidance) system that is engaged by that stimulus. On the contrary, revised versions of the 'right hemisphere' hypothesis proposed graded versions of this model, maintaining that only some kinds or some levels of emotions are clearly right lateralized. One version of these models (the'emotion type hypothesis') assumed that only elementary basic emotions should be subsumed by the right hemisphere, wheres more complex social emotions should be subtended by the left hemisphere. The other version (the 'schematic level of emotion hypothesis') assumed that the right hemisphere should subsume only the basic 'schematic' level of emotions, characterized by an automatic and unconscious processing, whereas the more propositional and conscious 'conceptual' level could be less lateralized or subsumed by the left hemisphere. This last model is supported by the obsevation that the right hemisphere reveals a modus operandi (i.e. a prevalence of the 'automatic' over the 'intentional' and of the 'unconscious' over the 'conscious' functional processing) that is typical of the 'schematic level of emotions.

Is Anosognosia for Left-Sided Hemiplegia Due to a Specific Self-Awareness Defect or to a Poorly Conscious Working Mode Typical of the Right Hemisphere?

This review aimed to evaluate whether the association between 'anosognosia for hemiplegia' and lesions of the right hemisphere points to a special self-awareness role of the right side of the brain, or could instead be due to a working mode typical of the right hemisphere. This latter viewpoint is consistent with a recently proposed model of human brain asymmetries that assumes that language lateralization in the left hemisphere might have increased the left hemisphere's level of consciousness and intentionality in comparison with the right hemisphere's less conscious and more automatic functioning. To assess these alternatives, I tried to ascertain whether anosognosia is greater for left-sided hemiplegia than for other disorders provoked by right brain lesions, or whether unawareness prevails in tasks more clearly related to the disruption of the right hemisphere's more automatic (and less conscious) functioning. Data consistent with the first alternative would support the existence of a specific link between anosognosia for hemiplegia and self-awareness, whereas data supporting the second option would confirm the model linking anosognosia to a poorly conscious working mode typical of the right hemisphere. Analysis results showed that the incidence of anosognosia of the highly automatic syndrome of unilateral neglect was greater than that concerning the unawareness of left hemiplegia, suggesting that anosognosia for left-sided hemiplegia might be due to the poorly conscious working mode typical of the right hemisphere.

Why the use of ideographic codes does not improve communicative skills in patients with severe aphasia?

In his target article, Morin claims that ideographic codes are exceedingly difficult to use. In my commentary I will show that the use of Bliss symbols does not improve the communicative abilities of aphasic patients with severe language disorders. This failure to remediate communication disorders may result from disruption of inner language allowing to translate ideographic codes into spoken language.

Which components of famous people recognition are lateralized? A study of face, voice and name recognition disorders in patients with neoplastic or degenerative damage of the right or left anterior temporal lobes

We administered to large groups of patients with neoplastic or degenerative damage affecting the right or left ATL, the 'Famous People Recognition Battery' (FPRB), in which subjects are required to recognize the same 40 famous people through their faces, voices and names, to clarify which components of famous people recognition are lateralized. At the familiarity level, we found, as expected, a dissociation between a greater impairment of patients with right ATL lesions on the non-verbal (face and voice) recognition modalities and of those with left ATL lesions on name familiarity. Equally expected were results obtained at the naming level, because the worse naming scores for faces and voices were observed in left-sided patients. Less foregone were, for two reasons, results obtained at the semantic level. First, no difference was found between the two hemispheric groups when scores obtained on the verbal (name) and non-verbal (face and voice) recognition modalities were account for. Second, the face and voice recognition modalities showed a different degree of right lateralization. All groups of patients showed, indeed, both at the familiarity and at the semantic level, a greater difficulty in the recognition of voices regarding faces, but this difference reached significance only in patients with right ATL lesions, suggesting a greater right lateralization of the more complex task of voice recognition. A model aiming to explain the greater right lateralization of the more perceptually demanding voice modality of person recognition is proposed.

Some historical notes orienting towards brain mechanisms that could underlie hemispheric asymmetries

The first minor aim of this synthetical historical survey consisted in showing that the discovery of the internal organization of language within the left hemisphere has been mainly determined by theoretical models and cultural factors, whereas the discovery of the left lateralisation of language and of the right lateralization of emotions and of other cognitive and perceptual functions has been mainly determined by empirical observations. A second more relevant aim of the survey consisted in discussing historical and more recent data suggesting that the different lateralisation of language and emotions has influenced not only the asymmetrical representation of other cognitive, affective and perceptual functions, but also (thank to the shaping influence of language on human cognition) of asymmetries regarding more general aspects of thought (such as the distinctions between 'propositional vs automatic' and 'conscious vs unconscious' ways of functioning). In the last part of the review, these data will be included in a more general discussion, concerning the brain functions that could be subsumed by the right hemisphere for three main reasons: (a) to avoid conflicts with the language mediated activities of the left hemisphere; (b) because of unconscious and automatic aspects of its non-verbal organisation or (c) due to the competition for cortical space determined by the development of language within the left hemisphere.

Intracerebral Electrophysiological Recordings to Understand the Neural Basis of Human Face Recognition

Understanding how the human brain recognizes faces is a primary scientific goal in cognitive neuroscience. Given the limitations of the monkey model of human face recognition, a key approach in this endeavor is the recording of electrophysiological activity with electrodes implanted inside the brain of human epileptic patients. However, this approach faces a number of challenges that must be overcome for meaningful scientific knowledge to emerge. Here we synthesize a 10 year research program combining the recording of intracerebral activity (StereoElectroEncephaloGraphy, SEEG) in the ventral occipito-temporal cortex (VOTC) of large samples of participants and fast periodic visual stimulation (FPVS), to objectively define, quantify, and characterize the neural basis of human face recognition. These large-scale studies reconcile the wide distribution of neural face recognition activity with its (right) hemispheric and regional specialization and extend face-selectivity to anterior regions of the VOTC, including the ventral anterior temporal lobe (VATL) typically affected by magnetic susceptibility artifacts in functional magnetic resonance imaging (fMRI). Clear spatial dissociations in category-selectivity between faces and other meaningful stimuli such as landmarks (houses, medial VOTC regions) or written words (left lateralized VOTC) are found, confirming and extending neuroimaging observations while supporting the validity of the clinical population tested to inform about normal brain function. The recognition of face identity - arguably the ultimate form of recognition for the human brain - beyond mere differences in physical features is essentially supported by selective populations of neurons in the right inferior occipital gyrus and the lateral portion of the middle and anterior fusiform gyrus. In addition, low-frequency and high-frequency broadband iEEG signals of face recognition appear to be largely concordant in the human association cortex. We conclude by outlining the challenges of this research program to understand the neural basis of human face recognition in the next 10 years.

Over-reliance on English hinders cognitive science

English is the dominant language in the study of human cognition and behavior: the individuals studied by cognitive scientists, as well as most of the scientists themselves, are frequently English speakers. However, English differs from other languages in ways that have consequences for the whole of the cognitive sciences, reaching far beyond the study of language itself. Here, we review an emerging body of evidence that highlights how the particular characteristics of English and the linguistic habits of English speakers bias the field by both warping research programs (e.g., overemphasizing features and mechanisms present in English over others) and overgeneralizing observations from English speakers' behaviors, brains, and cognition to our entire species. We propose mitigating strategies that could help avoid some of these pitfalls.

Hemispheric asymmetries for emotions in non-human primates: A systematic review

A systematic review of investigations evaluating hemispheric asymmetries for emotions in primates was undertaken to individuate the most consistent lines of research allowing to check the hypothesis of a continuum in emotional lateralization across vertebrates. We reviewed studies on the lateralization of emotional expression (N = 31) and perception (N = 32) and of markers of emotional activation (N = 9), trying to distinguish those which had given respectively more consistent or more conflicting outcomes. Furthermore, we tried to identify the most strongly supported model of emotional lateralization. The most consistent results were obtained in studies investigating asymmetries in emotional expression at the facial level and in the perception of emotional facial expressions, whereas the most disappointing data were obtained in investigations evaluating possible neurophysiological markers of lateralized emotional activation. These results supported more the hypothesis of a continuity between humans and non-human primates than the more general hypothesis of a continuum between humans and all vertebrates. Furthermore, results supported more the 'right hemisphere' than the 'valence' model of emotional lateralization.