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Biomedical subjects

C Trevarthen

Publications and source records attributed to C Trevarthen.

8 recordsLinked to original sources

Voluntary emotional facial expressions in patients with focal cerebral lesions.

This study investigates the voluntary production of emotional facial expressions in 43 brain-damaged and 9 control subjects. The expressions of right- and left-hemisphere lesion groups did not differ significantly, but those of the anterior lesion group were impoverished relative to the posterior lesion and control groups. Deficits of voluntary expression were dissociable from impairments in "non-emotional" facial-motor functions, dysphasia, and unilateral neglect.

Aphasia

A musical assessment of psychiatric states in adults.

In music therapy, joint musical improvisation of therapist and subject provides the framework for a spontaneous and intimate, non-verbal interaction. This study shows that such an interaction can be used to reveal the subject's capacity for emotional contact with another person, the nature of this contact and how well it is sustained. We examine the musical interaction in first music therapy sessions using a model of analysis specially developed for this study. A comparison between 15 schizophrenics, 15 depressed patients and 15 clinically normal controls revealed significant differences. The findings, which take into account subjects' musical background and perceptual functioning, have implications for the diagnostic use of music therapy in adult psychiatry.

Adolescent

Reactions of patients with focal cerebral lesions to success or failure.

Multiple measures were used to investigate emotional reactions to card sorting in patients with focal cerebral lesions and in matched non-brain-injured controls. Spontaneous facial expressions of patients with anterior lesions were impoverished, relative to the posterior group, on a quantitative index of facial movement. This deficit did not appear to be attributable to group differences on lesion variables, or degree of cognitive deficit. There were also indications that a "non-emotional" facial-motor deficit was not the primary cause. The marked anterior deficit for facial movement was not, however, associated with equally pronounced deficits on qualitative, self-report and heart rate indices of emotional response. Right hemisphere patients differed from left hemisphere patients on only one qualitative measure of emotional reaction, but this may have been due to the stronger negative reactions of dysphasic patients. Left unilateral neglect was not associated with reduced emotional response.

Achievement

The tasks of consciousness: how could the brain do them?

According to Darwin's theory of evolution by natural selection, the existence of mental operations proves their usefulness. Darwin called himself a mental materialist. This is one scientific theory of consciousness. Human consciousness has three useful aspects: awareness, intentionality and sharing with others. All have simple equivalents in animals. The latter two are neglected in neurophysiology and experimental psychology. Developmental, neuroanatomical and neuropsychological evidence shows that the human brain has innate structures of awareness, intentionality and interpersonal sharing. Human life depends on interpersonal cooperation. We may have a conscious self, but consciousness of others is essential in us. Studies of commissurotomy patients demonstrate the elaborate interconnected neural organization of consciousness and provide evidence of underlying and necessary levels of motivation, perception and motor integration below consciousness. Additionally, they show that awareness may be split into two different modes. These regulate one another during development and are complementary in culturally sophisticated adult life. One hemisphere, usually the left, has responsibility for expressing ideas and purposes in language. The other responds to the phenomenal context and the subjective situation. Both have human experiences and purposes. Both still collaborate in a unified intentional system after commissurotomy. Infant studies reveal that language develops out of an interpersonal mental process. This seems to control development of thinking. Thus notions of the newborn as an isolated amoral id, and of the infant as an egocentric discoverer of the object concept, must be rejected. Cultivation of moral awareness and a sense of purpose guided by meanings and values depends on innate organization of the human brain for interpersonal consciousness.

Awareness

Perceptual, semantic and phonetic aspects of elementary language processes in split-brain patients.

Patients with total forebrain commissurotomy were examined on three tests of elementary linguistic ability. We found that the right hemisphere was dominant for the visual recognition of words when no semantic or phonetic decoding was required. The left hemisphere assumed control of behaviour when written words had to be matched semantically to pictures, though the right hemisphere was also competent at this task. On a test of rhyming, the left hemisphere was not only dominant, but was vastly superior to the right which displayed little, if any, ability. We suggest that the two hemispheres are basically differentiated with respect to their generative, constructive capacities in language, as in other functions of intelligence.

Adolescent

Metacontrol of hemispheric function in human split-brain patients.

Four commissurotomy patients were tested for ability to match tachistoscopically presented stimuli with pictures in free vision, according to either structural appearance or functional/conceptual category. Patients were given ambiguous, structural, or functional instructions on any given run to trials with simultaneous double stimulus input to the two cerebral hemispheres. With ambiguous instructions, appearance and function matches were performed by the right and left hemispheres, respectively. When instructions were specific, appearance instructions tended to elicit appearance matches and right-hemisphere control. When function instructions were given, left-hemisphere control and function matches tended to be elicited. In three of the four patients, however, there was a significant number of dissociations between controlling hemisphere and strategy of matching.

Aptitude