Accessibility navigation


Right hemisphere language functions and schizophrenia: the forgotten hemisphere?

Mitchell, R.L.C. and Crow, T.J. (2005) Right hemisphere language functions and schizophrenia: the forgotten hemisphere? Brain, 128 (5). pp. 963-978. ISSN 0006-8950

Full text not archived in this repository.

To link to this article DOI: 10.1093/brain/awh466

Abstract/Summary

This review highlights the importance of right hemisphere language functions for successful social communication and advances the hypothesis that the core deficit in psychosis is a failure of segregation of right from left hemisphere functions. Lesion studies of stroke patients and dichotic listening and functional imaging studies of healthy people have shown that some language functions are mediated by the right hemisphere rather than the left. These functions include discourse planning/comprehension, understanding humour, sarcasm, metaphors and indirect requests, and the generation/comprehension of emotional prosody. Behavioural evidence indicates that patients with typical schizophrenic illnesses perform poorly on tests of these functions, and aspects of these functions are disturbed in schizo-affective and affective psychoses. The higher order language functions mediated by the right hemisphere are essential to an accurate understanding of someone's communicative intent, and the deficits displayed by patients with schizophrenia may make a significant contribution to their social interaction deficits. We outline a bi-hemispheric theory of the neural basis of language that emphasizes the role of the sapiens-specific cerebral torque in determining the four-chambered nature of the human brain in relation to the origins of language and the symptoms of schizophrenia. Future studies of abnormal lateralization of left hemisphere language functions need to take account of the consequences of a failure of lateralization of language functions to the right as well as the left hemisphere.

Item Type:Article
Refereed:Yes
Divisions:Faculty of Life Sciences > School of Psychology and Clinical Language Sciences
ID Code:13924
Uncontrolled Keywords:schizophrenia, language, laterality, pragmatics, BRAIN-DAMAGED PATIENTS, FORMAL THOUGHT-DISORDER, HOMO-SAPIENS PAYS, EMOTIONAL PROSODY, COMMUNICATION DISTURBANCES, AFFECTIVE CONTEXTS, FACIAL EXPRESSION, NEURAL RESPONSE, SPEECH PROSODY, COMPREHENSION

Centaur Editors: Update this record

Page navigation