Right hemisphere language ability: 1. Clinical evidence

Evidence from a variety of clinical sources concerning the nature of language processing ability within the right cerebral hemisphere (RH) is reviewed. It appears that the RH is severely deficient with respect to the expressive functions of speech and writing, but it may possess a significant ability to comprehend language. It has been suggested that the ability of the RH in this respect may be extensive, but the generality of conclusions drawn seems to be suspect. Evidence from patients with left hemisphere damage suggests that in some circumstances the RH may ‘take over’ the performance of language functions from its inoperative partner. Further work should help clarify the conditions under which this takes place. The theory that reading in deep dyslexia is mediated by the RH is also reviewed. The idea that the RH is able to encode print stimuli into semantic but not phonological representations, and the possibility that it is selectively able to process imageable nouns, are two aspects of this theory that are consistent with other sources of evidence concerning RH language ability. However, support for the theory is far from unanimous, and the contradictory evidence is noted.     

Right hemisphere participation in reading

This study examined whether the right hemisphere's contribution to lexical semantic processing is greatest when it is "disinhibited." Skilled reading may require the controlled modulation of interhemispheric interaction: the left hemisphere (or some other control mechanism) may regulate the subprocesses of reading by selectively "inhibiting" and "disinhibiting" right hemisphere function. Right-handed undergraduates concurrently performed two tasks: a lateralized semantic or rhyme task and a verbal memory task. It was hypothesized that right hemisphere reading processes would be disinhibited when the left hemisphere was "occupied" with the memory task. This hypothesis was supported for a subgroup of subjects who showed evidence of inhibition of right hemisphere function (i.e., left hemisphere dominance for lexical processing) when the lateralized semantic task was performed alone. Across subjects, there was a strong correlation between the degree of left hemisphere dominance in the single-task semantic conditions and the degree of disinhibition of right hemisphere function in the dual-task semantic condition.     

Impairment of auditory perception and language comprehension in dysphasia

Men with chronic focal brain wounds were examined for their ability to discriminate complex tones, synthesized steady-state vowels, and synthesized consonant—vowel syllables. Subjects with left hemisphere damage, but not right hemisphere damage, were impaired in their ability to respond correctly to rapidly changing acoustic stimuli, regardless of whether stimuli were verbal or nonverbal. The degree of impairment in auditory processing correlated highly with the degree of language comprehension impairment. The pattern of impairment of the group with left hemisphere damage on these perceptual tests was similar to that found in children with developmental language disorders.     

Right hemispheric dysfunction in nonverbal learning disabilities: social, academic, and adaptive functioning in adults and children

This review addresses recent research on social and nonverbal learning disabilities. Involvement of right hemispheric dysfunction in these disabilities has been hypothesized, as studies with adults have suggested that documented right hemisphere damage may lead to deficits in social skills, prosody, spatial orientation, problem solving, and recognition of nonverbal cues. Studies of children purported to evidence nonverbal learning disabilities are reviewed and compared with the results from studies of adults with right hemisphere damage. Specific subtypes of nonverbal learning disabilities are reviewed, including the nonverbal perceptual-organization-output subtype, Asperger's Syndrome, Developmental Gerstmann Syndrome, left hemisyndrome, right hemisphere syndrome, and right parietal lobe syndrome. Finally, implications and future research needs are addressed. The need for a diagnostic nosology and improved and validated intervention techniques is stressed as is early identification of these types of specific nonverbal learning disabilities.     

Processing the emotions in words: The complementary contributions of the left and right hemispheres

A dual-process model is suggested for the processing of words with emotional meaning in the cerebral hemispheres. While the right hemisphere and valence hypotheses have long been used to explain the results of research on emotional stimulus processing, including nonverbal and verbal stimuli, data on emotional word processing are mostly inconsistent with both hypotheses. Three complementary lines of research data from behavioral, electrophysiological, and neuroimaging studies seem to suggest that both hemispheres have access to the meanings of emotional words, although their time course of activation may be different. The left hemisphere activates these words automatically early in processing, whereas the right hemisphere gains access to emotional words slowly when attention is recruited by the meaning of these words in a controlled manner. This processing dichotomy probably corroborates the complementary roles the two hemispheres play in data processing.     

Apparent shift in visual field preference after unilateral stroke

Patients with either a left- or a right-hemisphere stroke lesion scored higher in tasks of word-picture matching and of nonverbal shape matching when information was presented tachistoscopically (120 msec) to the visual field (VF) projecting to their undamaged hemisphere. Left-hemisphere stroke patients (n = 13) were dissociated from right-hemisphere stroke patients (n = 15) by low word recognition from memory and by low right VF but nearly normal left VF accuracy in word-picture matching or shape matching; the former appeared to rely upon processing of word meaning by the right hemisphere. In contrast, right-stroke patients had higher right than left VF scores in both tasks, and their discrimination of nonverbal shapes via the right VF was not different from that of controls (n = 15). Preferred processing by the VF projecting to the undamaged hemisphere appeared as a shift in perceptual asymmetry but may indicate, in support of a "direct access" model, that each hemisphere responds more or less efficiently to word and to nonverbal shape discriminations.     

Metaphoric advertisement comprehension: The role of the cerebral hemispheres

Currently little is known about how implicit processes (i.e., cognitive processes that consumers are unaware of) are utilized as consumers read metaphoric advertisements. The field of cognitive neuroscience can help marketers better understand consumers' implicit processing by examining how each cerebral hemisphere uniquely contributes during metaphoric advertisement comprehension. A right hemisphere advantage has been demonstrated during metaphoric language processing; however, it is unclear how each hemisphere of the brain processes metaphors used in advertisements. This study combines the fields of marketing and cognitive neuroscience to investigate the hemispheric processing of metaphoric advertisements. Through the use of the divided visual field paradigm, participants read metaphor, literal, or neutral slogans and responded to related target words presented to either the left visual field‐right hemisphere or the right visual field‐left hemisphere. As predicted, there was a right hemisphere advantage, compared to the left hemisphere, for metaphoric slogans. Additionally, greater facilitation was evident in the right hemisphere for literal slogans compared to metaphoric slogans. Metaphoric messages were also remembered better than literal ones. These findings provide an in‐depth account of how consumers implicitly process messages, suggesting an important role of the right hemisphere during the comprehension of both metaphoric and literal messages. Copyright © 2011 John Wiley & Sons, Ltd.     

Lateralized hemisphere activity in relation to personality and degree course

Personality dimensions of Psychoticism (P), Extraversion (E) and Neuroticism (N) were related to multiple measures of lateralized hemispheric processing in order to test the predictions of right hemisphere overactivation in E, right hemisphere underactivation in N, and left hemisphere under- activation/overactivation in P. It was also predicted that architecture students would be characterized by right hemisphere activation and language students by left hemisphere activation. Lateral eye movements, verbal and nonverbal dichotic listening tasks, and Block Design and Digit Span subtests of the WAIS were assessed in 43 undergraduates, together with personality and degree course. High P scores were characterized by fewer rightward eye movements and hence reduced left hemisphere activation, while high N scores were characterized by poorer Block Design and superior Digit Span performance. These results which indicate a relationship between Psychoticism and left hemisphere underactivation are in conflict with the finding of Raine and Manders (1988) (Br. J. Clin. Pschol. In press) overactivation in those with high schizoid personality scores, a discrepancy which may be resolved by the notion that P reflects a different form of psychosis-proneness to other schizoid scales.     

Reduction of left visual field lexical decision accuracy as a result of concurrent nonverbal auditory stimulation

To investigate whether concurrent nonverbal sound sequences would affect visual-hemifield lexical processing, lexical-decision performance of 24 strongly right-handed students (12 men, 12 women) was measured in three conditions: baseline, concurrent neutral sound sequence, and concurrent emotional sound sequence. With the neutral sequence, Naveteru, Roy, Ovelac, and Steinling (1992) had observed a right greater than left cerebral blood flow, and an opposite pattern with the emotional sequence. In the present study, the neutral sound sequence induced a significant accuracy reduction for lexical decisions to stimuli presented in the left visual field. It is hypothesized that RH activation in response to neutral sounds interferes with the limited lexical processing resources of that hemisphere.     

Hemispheric asymmetry in a perceptual priming task: evidence from patients with unilateral brain damage.

The present study examined the relationship between unilateral brain damage and the effect of nonverbal perceptual priming using a picture-fragment completion task. Subjects consisted of 11 left brain-damaged patients, 8 right brain-damaged patients, and 10 healthy normal controls. The mean score of normal controls was significantly higher than those of left and right brain-damaged patients. Although there were significant effects of priming in all the groups, a significant difference in amplitude of priming effects was found only between right brain-damaged patients and normal controls. The correlation between amount of fragmentation at which there was identification and priming effect was not significant. We conclude that the right hemisphere is more involved in perceptual priming of form than is the left hemisphere, and form-dependent processing in the perceptual priming task has an asymmetrical distribution in the right and left hemispheres.     

An investigation of bilateral asymmetries in electrodermal activity

Research in cerebral laterality supports the idea that functional differences between the left and right hemispheres exist with respect to cognitive style and perceptual ability. Related research, which has examined autonomic nervous system (ANS) correlates of cerebral laterality, suggests that a component of the ANS, electrodermal activity (EDA), is also lateralized. Some findings in the literature report the occurrence of bilateral asymmetries in phasic and tonic EDA as a function of a left or right hemisphere preference for information processing. This experiment used normal male subjects who were either left or right movers in a test of Conjugate Lateral Eye Movement (CLEM). This selection procedure served to maximize a subject’s preference for either a right or left hemisphere mode of information processing. Bilateral EDA was recorded continuously while subjects performed a visual recognition task using word (left hemisphere) and shape (right hemisphere) stimuli. The data do not support the contention that performance on a procedure chosen to selectively activate a given hemisphere elicits asymmetric tonic and/or phasic EDA. The results show no significant difference in the frequency of elicited skin conductance responses under either of the experimental conditions. Bilateral tonic EDA rose continuously over time and did not vary in either hand as a function of task. The present results fail to offer support for either of the hypotheses which argue for I) increased contralateralexcitation with selective hemispheric activation, or 2) increased contralateralinhibition of the EDR with hemispheric arousal.     

Reorganization of the cerebro-cerebellar network of language production in patients with congenital left-hemispheric brain lesions

Patients with congenital lesions of the left cerebral hemisphere may reorganize language functions into the right hemisphere. In these patients, language production is represented homotopically to the left-hemispheric language areas. We studied cerebellar activation in five patients with congenital lesions of the left cerebral hemisphere to assess if the language network is reorganized completely in these patients, i.e. including also cerebellar language functions. As compared to a group of controls matched for age, sex, and verbal IQ, the patients recruited an area not in the right but in the left cerebellar hemisphere. The extent of laterality of the cerebellar activation correlated significantly with the laterality of the frontal activation. We suggest that the developing brain reacts to early focal lesions in the left hemisphere with a mirror-image organization of the entire cerebro-cerebellar network engaged in speech production.     

Hemispheric specialization in reading and word recognition

Three experiments dealing with hemispheric specialization are presented. In Experiment 1, words and/or faces were presented tachistoscopically to the left or right of fixation. Words were more accurately identified in the right visual field and faces were more accurately identified in the left visual field. A forced choice error analysis for words indicated that errors made for word stimuli were most frequently visually similar words and this effect was particularly pronounced in the left visual field. Two additional experiments supported this finding. On the basis of the results, it was argued that word identification is a multistage process, with visual feature analysis carried out by the right hemisphere and identification and naming by the left hemisphere. In addition, Kinsbourne's attentional model of brain function was rejected in favor of an anatomical model which suggests that simultaneous processing of verbal and nonverbal information does not constrict the attention of either hemisphere.     

A new approach to cerebral asymmetry: RT differences in simultaneous bimanual finger movement during verbal and nonverbal tasks

This study was aimed at testing a new approach for examination of functional laterality based on hemispheric specialization. The subjects had to perform verbal (words/nonwords) and nonverbal (similar/different patterns) discrimination. The separation of the two hemispheres during information processing was realized by requiring a simultaneous response of both index fingers. The obtained over-all reaction times (RT) were faster for verbal than for pattern tasks. Considering the RTs for solely the particular, faster response of one or the other index finger, the right index finger turned out to be faster on verbal tasks whereas the left one dominated on pattern tasks. According to the hypothesis that the faster hand indicates the more active (contralateral) hemisphere, it can be assumed that words are responded to more quickly when processed in the left hemisphere. On the other hand, patterns are responded to more quickly when the right hemisphere is active. These results suggest that each hemisphere may be capable of processing verbal and nonverbal material; the speed of information processing, however, is faster in the more adept one.     

Auditory evoked potentials and sex-related differences in brain development

Auditory evoked potentials (AEPs) were obtained to probe tones which were delivered during the presentation of complex verbal and nonverbal auditory stimulation to 3-month-old infants. Significant sex-dependent AEP amplitude asymmetries were found. Females produced higher-amplitude responses from the left hemisphere and males produced higher-amplitude responses from the right hemisphere during both the verbal and nonverbal presentations. No significant AEP asymmetries were obtained in an independent group of infants that received only the probe tones. These findings are consistent with theories and behavioral data suggesting differences between males and females in the development of language and spatial functions.     

Task relevant effects on the assessment of cerebral specialization for facial emotion

Hemispheric specialization for processing different types of rapidly exposed stimuli was examined in a forced choice reaction time task. Four conditions of recognition were included: tacial emotion, neutral faces, emotional words, and neutral words. Only the facial emotion condition produced a significant visual field advantage (in favor of the left visual field), but this condition did not differ significantly from the neutral face condition's left visual field superiority. The verbal conditions produced significantly decreased latencies with RVF presentation, while the LVF presentation was associated with decreased latencies on the facial conditions. These results suggested that facial recognition and affective processing cannot be separated as independent factors generating right hemisphere superiority for facial emotion perception, and that task parameters (verbal vs. nonverbal) are important influences upon effects in studies of cerebral specialization.     

Right hemisphere comprehension of verbs in patients with complete forebrain commissurotomy: Use of the dichotic method and manual performance

The paradigm of dichotic listening was used to investigate verbal comprehension in the right, so-called “nonverbal,” hemisphere. Verbal commands were presented to the right and left ears in the simultaneous (dichotic) paradigm. There were striking instances, especially when the left hemisphere was occupied with some extraneous task, in which the right hemisphere understood the verbal command and executed the appropriate motor responses. In those instances the left hemisphere gave no overt response. Although the left hemisphere was usually dominant, it can be nevertheless concluded that not only can the right hemisphere understand verbal commands but can also express itself manually by executing actions more complex than object retrieval or pointing. As has been known for some time, the blockage of the ipsilateral pathway seems so complete during dichotic listening in the commissurotomy patient that there is no report of the words in the left ear—only of those presented to the right. At the same time there is normal report when words are presented to the left ear alone. It was found in the present study, however, that this model is too simple and only applies to the verbal response paradigm of dichotic listening. Under circumstances of dichotic presentation where the stimulus in the left ear (ipsilateral pathway) is necessary or important to the left hemisphere for completing a task, words from both pathways are reported. One may conclude that there exists a gating mechanism in each hemisphere that controls the monitoring of each auditory pathway and the degree of ipsilateral suppression.     

Right hemisphere sensitivity to arousal and depression.

Several lines of evidence show impaired right hemisphere function in depression. Lateralized simple reaction time tasks show impaired left visual field responses both in normals experiencing a depressed mood and in patients with mild unipolar depression. One interpretation for these findings is that depression impairs right hemisphere function by interfering with right hemisphere arousal and vigilance mechanisms. In order to test this hypothesis, subjects receiving either depression or relaxation mood suggestions performed an uncued reaction time task that has been shown to be sensitive to right posterior brain damage. Level of alertness was varied by contrasting uncued blocks with blocks in which targets were preceded by a warning tone. The results showed the predicted slowing of left visual field responses in the depressed mood, but only in women. The effect was significant only for the uncued blocks. The left visual field impairment was significantly larger during depression than in the relaxation state, but a smaller left visual field slowing was present in women in the relaxed state as well. These results may be consistent with the notion that depression interferes with right hemisphere function in part by influencing right hemisphere arousal mechanisms.     

Tactile gap detection and language lateralization

Recent work suggests that hemispheric language lateralization might be related to the fine-grained temporal discriminations that are required for linguistic processing (Nicholls, 1996). Studies concerning tactile processing have also shown a significant left-hemisphere (L-H) advantage for tactile gap detection (Nicholls & Whelan, 1997). We hypothesized that language and tactile processing are both preferentially processed by the left hemisphere because it is specialized for tasks requiring fine-grained temporal resolution. Thirty-two participants (16 right and 16 left handers) were tested for both linguistic processing (using the Fused Dichotic Words Test (FDWT)) and tactile gap detection. Both right and left handers showed a significant L-H advantage for both language processing and tactile gap detection. The present study supports recent claims that language lateralization is attributable to the left hemisphere's better suitability to process tasks that require fine-grained temporal resolution.