Lateralization of temporal lobe dysfunction and verbal encoding

The contribution of encoding deficits to verbal-learning difficulties known to be associated with temporal lobe dysfunction was investigated. Auditory and visual false-recognition tasks, which assess verbal encoding strategies, were given to patients with left-temporal-lobe (LTL) and right-temporal-lobe (RTL) surgical excisions and to a group of normal controls (NC). On both auditory and visual tasks, LTL patients made significantly more false-recognition errors than the other subjects on related, but not unrelated, words in the test list. The findings indicate that LTL patients are able to initially encode verbal material and that a breakdown in information processing occurs at a later stage. On the auditory tasks, the performance of RTL patients did not differ from that of NC subjects. However, on the visual tasks, RTL patients, as compared to both LTL and NC subjects, made fewer false-recognition errors. The performance of RTL patients, in contrast to LTL patients, could be interpreted as a reduced encoding of the visual attribute of verbal material. Another possible explanation considered was difficulty in familiarity discrimination.