PubMed · 5012614
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S Page. 1972. Interpersonal expectancy effects: studies with three psychiatric samples.. https://doi.org/10.2466/pr0.1972.30.1.139
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The amygdala and orbital prefrontal cortex (PFo) interact as part of a system for affective processing. To assess whether there is a hemispheric functional specialization for the processing of emotion or reward or both in nonhuman primates, rhesus monkeys (Macaca mulatta) with combined lesions of the amygdala and PFo in one hemisphere, either left or right, were compared with unoperated controls on a battery of tasks that tax affective processing, including two tasks that tax reward processing and two that assess emotional reactions. Although the two operated groups did not differ from each other, monkeys with unilateral lesions, left and right, showed altered reward-processing abilities as evidenced by attenuated reinforcer devaluation effects and an impairment in object reversal learning relative to controls. In addition, both operated groups showed blunted emotional reactions to a rubber snake. By contrast, monkeys with unilateral lesions did not differ from controls in their responses to an unfamiliar human (human "intruder"). Although the results provide no support for a hemispheric specialization of function, they yield the novel finding that unilateral lesions of the amygdala-orbitofrontal cortical circuit in monkeys are sufficient to significantly disrupt affective processing.
Depression is characterized by functional insufficiency of the right hemisphere combined with its physiological overactivation. This paradox can be solved in the frame of the general concept of brain laterality. According to the present assumption, the left hemisphere organizes any information in an unambiguous monosemantic context, and this process requires an additional activation of the brain cortex in order to restrict natural relationships between objects and events. On the contrary, the right hemisphere organizes any information in the polysemantic context based on the simultaneous capture of the numerous natural relationships between elements of information. In healthy creative subjects this process does not require additional physiological activation of the cortex. In depression the physiological overactivation of the right hemisphere reflects the unsuccessful effort to overcome its functional insufficiency.
Massage therapy (MT) is an ancient form of treatment that is now gaining popularity as part of the complementary and alternative medical therapy movement. A meta-analysis was conducted of studies that used random assignment to test the effectiveness of MT. Mean effect sizes were calculated from 37 studies for 9 dependent variables. Single applications of MT reduced state anxiety, blood pressure, and heart rate but not negative mood, immediate assessment of pain, and cortisol level. Multiple applications reduced delayed assessment of pain. Reductions of trait anxiety and depression were MT's largest effects, with a course of treatment providing benefits similar in magnitude to those of psychotherapy. No moderators were statistically significant, though continued testing is needed. The limitations of a medical model of MT are discussed, and it is proposed that new MT theories and research use a psychotherapy perspective.