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·
i
1\
IDEi'TIFICATIO N OF FACl·\LEXPRESSiONS BYEPII.EPTICAt\'O NON-:\"EUROLOGICAI.SUBJECTS
by
{t)lI.Wish~rt,B.A.
:\thesis.l'uomiuC'dtothe School
o r
Gr:adu3te. Studies in partial Ialfillmeetot
the~.. requirementsfor the degreeof .M:LSleror Srienee
~
.
..
Department ofPSYfhoiog}"
~lt'morf:tll 'nin:'fsityofXcwfoundland
~1:l~'HIS8
. ' \
• 'Pe rmi s sio n has been qranted
"to th e National',Library of '" ';:'g a n a da "t o .ic r o f lllll.th i s th e s 1e and to lend"or,s e ll .copiesof t.he f11l11. . '
Thell;;t l1.or
(~oPyri9ht
own:r)has r e e er-ve d ol'be'r pUbl~at ion rights: lnd nei t er the' t'tIesis no r extens.ve ext.racts"fr o m it may be printe d
or"
otherwise re p r od u c e d without his/herwrittenpermission. --
ISBN
L'autorisaUon"a.eteaccord~e
a
Ill, BiJ:l,liotheque na ti o nal e du Canada de lIa1cro f il mer ceeee'thes e'ee,de "preter'ou de vendredes exelllpl airos du film.L'auteur.(titulair~ du dro it
d'auteur) -a e re s e rv e· los autres droitsde pUblication:
ni Ill, t.hese. ni de longs extraits de celle-ci ne. 'doi v e n t etre imprill'l~8,,:OU
au t r e me,n t rep r od ui ts,fI:.~na"'"son aut o r l s a t l on.ecrite .. "'.'
,
0-315'-45432'";6
v,
The first goalof thisthesis1\':\$to determinewhetherIHl'\,.i llUS findings regar din g,facial expre ssion precessing:lmon~I'\Irological subjectscouldbereplicatedwith::Lmodified experimentalset-u p.Till' secondgoat-wasl~deter mineiftherew~reanY,dirriculti'cs-ollthe task unique toepileptics. subgroupsofepileptics,orchrodfcnilyill patient s.
" " "
Epileptics,ehronlcillness controlsubjects(dlnbcfics]~IH~uon-
.~ .
patient,controlsllbjyc;tsidentifiedfaci~l'expressio ns,'andtheirnecumcy andlatencywere measure d.Expressions were presente dIor100 msItoone dSU3.1hcrm fieldat.ntime.Th e presen t ati onfor mat wasdesignedtoIll-It-d thesubj ects'style of processin g,that,iswheth er ornot theyprocl:',<'ic(1the emotional .expressicns independently of-the non-emotional Inclnl,' characte ristics. Subjectsweretested:following bothneut ralillSlrlll.'lillll~
andlnst r uc tlonsintendedtop~ovokeanxiety.:
PreviousrelatedFi ndings with non-nl!uco[?gicalsubjccts-were ,replil"atedinpartwiththe-p rese ntexperim entalset-u p.A tendencytoward a right. hemisph./l'{'(!~flvisual field) superiorityemcrgl!d indl'py lltlt'ni J)' of
~otN\t ialinteractingfactorssuchas expression valence,subjl!t lgcudor nud group..The expressions,inorderofdecreasing nccumcy,were,surpris('d,
"
" ,
happy,sad andfearful. Inorderof increasinglatency they wure happy, ' surp risedand sad.It wasimpossible to analyselatencydatarU! rcarful.:
expressions.Xon-neu rologieu l.subj eetsappearedtousebothindependent
'. ,
lindrll'pen~(tnlstyles of proe cssin g the cx pr Cl;sio n wit hrespecttQthe Inec dimension.
Tbe~ew~rcnolenoughepilepticswith~el)..dcfinedfocitofor m
stlbgroup~
based~n l:J.tl'n.liz~tion
'and nat ure ofthe
focus.Thus epileptics were subclassified accord ing to seizure type (complex partial versus -,prim a ry gene ralized) :U~d.i\ccor d in g:to whethe r"they'scored,like :leompat isongroup ofpsychiatric paticii'ts(PSYIOfofnon-psychiatr ic subjectsINonPSY) on thePersonalIkh3.viorlnvento ry.
Grou~
differedii]...age'a ndyc~ofcdu~a.tionsotheerred 01these variablesWiUremoved
using analysis
o f
ec varia nce.No abnor malities inhemisphericasymmetry, 3rcllrac y,.1:l.tcn~Y or'style [e.g. independence versus depend en ce] of I'xjHt.'SSion id l'n tiricat ion could be lIuributed to.~pileptics. epile prie subg roups orehronic alfyillpeople . Howeverthe groupsappea.red~oreact Ilirrercnll ytotheanxiety inductio n. Non-pa tie nts, diabetics andNonPS Y epilep ticsmain ta inedorTmprovcdtheir accurac yof iden t ir)'ingha ppy expressio ns, whereas PSYellil;p t ics'cecumeydeercased . Nol.!irrl·rences betw een seizuretyp e subgri.up sI·mcq; cd.Thus it m:lYbemore~!ltrulto grou p epilepticsaccordingtoPerson",I'Beh:l\·iorInventory scoresthan - :l.ccording.toseizuretype'wh.enlr yingtoisola tethose vulnera bletothe errcclsoranxiety ontheprocessingorIa cinlarrectinrorin3.tio n..»
1"'J,~ttotn3Dk BobAda meefor'$u~rt\'i~ingthistht-si.... ;11111 Christine Arir UendDavidIt.ar tforbeingonth(,.:<IIP\'f\·i."Or~·eommittec.I wouldalsolik~tothankhoke andHuntley Wi...hart,P:l.triri:a Mur ray:11101 Del! Hohma nnfot theirhelpthroughoutthetimethellll'lli"
":I."
I",illr;. .
.prod uced. The following peopleaL<;odeserver{,l'(linilifl~ for their rontribu.t i~ns10thisthesis.They~relisted.inebronologicnlorder.S:llIy.
Kuehngavemesomeu;erul·3dvi.e~onwritiJlg,andDnleGruHlY·;lIulntlwis, helped n:'e-:;'it h the wordtproccssing.Gillt'llKirouac l'cli,t.riblllt·c!HII' stimuli, and PalSharpe mad ethesfidcs..'NriiWi!'h nr tandIlulJt lt,),
.
/.
..wishartobtained thecomput erwhichoperated theequip ment.!l.11l ~r :l. ~·
Thomas spent manynightsprogrammiogtilis computer,and!'l·il1..t:'gS;\·
ca mein(: ,) ': 1his~arat}onto.,hoot.;itup.AI~.WilitfandMike Shcrrirk len ttbcotherrquipment,~nd~brvinOldfordgot itallrunning.Drs.
SadlerandFa rid,helpedwith.r,e(f llitingsubj~ls.Thesubjee tsdevoted their time'and pa tience.Dean Perry help ed wit hsubdass if)'ing the epileptics.Graham Ska nesandAbeRosshelpedwith the dat aannlY:il'!l.
~ Finan:i:llsuppor tcamefromthe SchoolorGraduateStudies-andth Departmentor Psychology atMemo rialUniversit y orNewfoundland..
7
Contentl.
Introduction .
Prolo gue ,: .
Helllilpheric-u JPltry of e:llotional.:
upr u l1 0n idlntification .
Ideutificatioll4 0f part icular facial expre I3to nl :.. . . ..• . . . . ... .. . Facial exp ull i on.pr clce8l ing-It yle.•.
Theimpa ct.ofmoodonperformance.•. . . Effe ctl of lIizun foc ul0.11. hemisphert c
asymmetry .
Ethc tlof..hure fOCUI onlItyle of proCl8ltng facial exprelsions ..
Some emot i onal characte r ilttciof epile pticiand their relat i onshipto ident ifying facial exprellll1o Ul...
....10 ...:10
... . .11.
. .15 .16
· 24 .
. ....27
..28..
.
~...38
H~~:;:::~~i~ . ~: . H~~i~~h~;i~X~~~~i;:~; ..
facial expre . . ioD identificationaeong DOD-neurologicalnbjlCt B _... . .•....•... ~:3 8 Hypothllh.2.Accura cy andlatency of facial e:I:pnllion iden t if i cat ioDamoDg
non-ne~rolog~calnbjectl ... .. .. .. ... . . ... . .3 9
:~:~~:g
3:o~~:~:;o~:~:~i::b~::~: :~~~~ . . ..
.39HJPClthlih 4.Cr oup diffenDc"in hemil pher l c ie:r=etq... of facial exprulion
~~::~:~~:i~~nG·;~~~·di;~~'~~~~~~' i~' ~~~~~:~; ....
40-'andlatenc yoffacialexpre lli oD
ident ifi cati on. .. . .:....:- ..40 .
:~::::~~; :~y~:~~p diff~~~~~~~ . ~~
.~:~~~~~on
:41\Hypothuh7.Groupdiffere nces
in :
rupons eto aUlat y induc t i on. . 41
";"" ..49
.. .
Met.hod 43
~::~:;::: : :: :\ :
" -: :::::::::::: :: :. : :" :'
Materials •." ~ " 411
Experimentalset-up.. . .46-
Procedures. . . : 47
Pre limi na r y condition1.Fat "id en t i fic ation :49 Prelimill.uy cond i tioD2.Gender
identifi ca tion...
.Preliminarycondi t ion 3.Col or
.idljDt i ficat i on ..,. ..-. 50
Experime ntalconditiODll. • .•.• • • ••• • •50 Comple tion'of quest ionnaires. ," 52
Me th odologi calCo nsiderations. ', ..54
.\ .
De.signCop siderat ioDs.. . . 57
Sta t1stiealAn'a.lyaes 62
General designand missingda t a, 62,
Pat i ent grollpings.", ..63
Ba ck gr ounddifferen cesandAnalysisof _ Covar i a n ce... '. ' ..." .. 64
Tn t aSs~lllpti~~. . ....67
".:Re s u l t s, '.68
Hypothe s es 1.HelD i s p"he r i c aSJlll1lletryof f~c1alexpressil;\ll id e ntif i c a:tion among
non- n euro l ogi c a l nbjectli ' ..68
Hypothnis 2.Accuracy and lat enc y of fac1al -expresBton"iden tificationamong non-neurol ogi calsUbject8..." ., ..68 Hypotheo183. "Fa c rn expressionprocees ing etyle among non-neurological.sUbjects.. . ".69 Hypothu88 4.Group differenc88in
bemispheric asymmetry of facialexpression
id en tifi c a t i on . . ,74
Hypothe sis5.Groupdifferenc esiil accu ra cy and latencyof facia l exp re lllion
identification,. . ...75
Hypo thu il6. Groupdifferencuillfacial..
expJ:ul1on procell ingItyle. . ..76
Hypo t hu il 7. Groupdi fhrenctl in'r ee poD-1e 'toanxietyi.lld~ctiOtl.• . ... . . ... ... .:...:...78
~:~~D~:~;r~::u~:~~~~~ :~tatl-T~~~~ . ~~~~~.
76allpOn to neutral·facu.: 77
}.Ilal ylelfor difference! ilLaccura cy and
'.latlncy.. . . ." -, : ..77
D~fflrenclIin accuracyudlat l ncy &!Iloug·
NPC;·DC ud E. ... . . :78
DU'.fereucelin acc uracy and latlncy&!Ilong NPC,DC,CPSaDdpes... . . . •"..1"••• • • • • •"."81· Difhreuceliu accuracyatd'l a t eu cy"amoug. NPC.DC.NonPSYudPSY • ". ,.".83 Further"analYlel ....". ." "87
Preliminarycondit ionl __. . 90
Dhculli on. . ... . ..•92
HJpothOlIl1and,,:Hemispherica8Ymetry offacialexprlll10nid'lltific~tiouamong. non-ne ur ological au~epilepticsubjects _.92 Hypothll ie2.Accuracy,and latflDcyof _facialupreee10nident i fica tioll atlong
non-nlurologi ca llubjIC tl... . ..•'...•.•. •'. ..96 Hypothllh3.Facia l~xprea,!ionpr.oc' lI in g Ityll.amongnon-ne l1rologi c i!.l l!Iu.bj ects... . . .97 Kyp o t b uie 6 and6.Group ditfe re ncu in accurae·y.'tat ene r and Ityle of be ial ".
exprllJsionprocell i ng ... •.102
Kypoth ll h 7. Group difference I1nrllpoD"
to.ilUX1ety inducti on . .t03
ConclusioJls" ".". " " " " . Refe re nc l e
Append i c es
. .111 .:.,. 114 .123
Li,stof,Tables
,r;ble'1:v';,ria.blesin the'presentIIIperime~t. . .... 58 Ta b le 2. !lean ageandeducat i onfor_e..!chgroup. .',.66 Table3.Id en t if i c at i on'of-part icu l a rf~cial expreSlli onBbynon:"neuro log icalBubjectll in"the "".
orthogonal (ne'Jtral. ill6tructioue) con:d1tion,". "... ."~70. '...: Tab l e 4..Res idu a laccuracyfor eachIIxpressionin . .th','orthogonalCOllll.ltl'.one(N
=
51) :..... . . . -,Table 5.Ratillg!of sslected·aurasby PSY and NonPSY,
ep.ilept 1cl!... . , 109
Lb tof Figur..
Figurl1.PrO~Ill "ir.bstJl.. ...18.19 .Figur"2.Accuracyaer e.. cond"iti onlforea c h
expressi onamong1:.o n-nea r ol ogi cal" s ub j ec t s. . . .."72 .figurII3.Late"uc]aerOB8condition I among'
non-neurologi'cdo;"Jbj e c t l - ....•73 .Figurl
4..'
Ident1ficaU ouothapPJ,U prlllll loZlIby"h"PC,DCan~E groups in theorthogonalcondi t ionl
~ithuutr"l (0::) &.lI.d ande ty(OA)instrtlctions.. . .79 Figu re5.Idlntit1cit.ti~nof happy np re u ionll by. NPC,DC,P~S'and CPS groupsintheor t hogo nLl co ndi t i on swit h"neut r a l (ON)and au1ety(OA) inllt r ucti oDlI :.•.. .".•_..; ~.,. ..82 figuree."Identifica.t i OD ofhappy.exprellslonsby KPC,DC,PSY andJl onPSTgr oups illthe or tbogonal condi tio n. with Dlu't n l (Olf)and ande t y (01.)
ins truct lo n.. . ... . . . "... •.84
...<.
/
. .
...:..List·of Appendices: AppendixA..
Pflrsona.~ Belia~i.or :In~en~ory
.123;.. Appendix'B. Ana Quest.ioD ,n'a1re.: '. ,..150 Appendi x·C .Perllcnal BackgroundQUIIIlItionnaire .. 164 Appeudix
D , .
Coneent Form. . . .~l1ia-'- Appundi:l: E.Demographic informationandteo'toIlcorel!';17'o":Appendix F.MANOVA'table.s,/ ' : ' ~.175
" .
.
'\ '
ix
."." \.
'0 _
Cert:l.i!,int erict alchanges in·e~otton . b~~'\Viorand,tho ught
·hu c.I>I-enl\.ltrihUI~loLli.ciIIubgroli pofepilepticswho haw: eOIn.plex p::lfli:."1seiaurcsICP S) .Alt hn"ghth~:lUributio n is contro,-crsia( ther ehas~ IWt'l\some consensusthat<'lmepS)"in'!;en,l i.sch:tr:'lrlcriz('t! by:I.~i.gh inti.IINlet·orsomeemotlonal'problem s. Themain purposeorthep;('!;~n t
•~t1..1ris10'I';:llllill('tile pcrrOfrn:lIlCCOr (>pill'ptir nnd('QUlTOIsubjectson:I.
, ; ,;" .'i''':~'''' ; """?"",,r'k . : F"i,1. .tP,: ";;". "
is~'" .or ., "',"'
il1ll'",1:1II1.cha norls
or
nonvcrb alcommu nicat ion (E k man/;.:t-'r('iscn,Hl.' 5).·AsFrij,b(IJ18li )st:\t t'li.,-lilt,P'llCL'S.'>orrccogl~i zingraci~l'xJ,lrl'ssions..
.
.
IOlldw.~uponIIII'~t'lwralproblems ofkno\wing oilierIIlincl"andof:'(>("1;\1
·r"llIl1li;ni(":I.lioil"
Ir.:m1r.
C:inmtl_lC.JlOSSi~ml)·that{'j,il"flIicsor"lIbgrol~ps ufl'l'ill'l'lic:;he ve'emot ion..t1difrieullielii,thesellirtielJlt i~1Il3~' m3llir~1.tll;'IIl",·IVt'S :I.. ~ :I (li~tll·fh:l.Il("C} id~lJtirYi~J; l'lIlot~,":I.1
bri:l.!expressions.TIll,!experimentsinthisthesisweredesigned totestthispOl'.(ibility.
:\ ".:'~\·(llI:I.! (''CX:l.lllill:lliollor.thisidl':l:~hollld '('on~illl'r1,10: ',:
jk"l.plefreeofllt'u relogi<':t1rifO~lemsprocessf3ri:ll
:l rr !'("t'-
I~u~10ecnsidcr in..hlll:~.laL hC~li"p~Fri~~~~IIl:!r)'for:th~'k,(b) thepa~tieul3rf3ri 31' Jllfl-sSi~"S uscd '~'
stimuli,Ie)r~dal express~n
processing style, orth~
'. ,, : ;,tiQl';h;P
'0;p~,,,:~".'m;'io"'1 I "",
cxprcsslcos10P "'''';""
the•. non-emctjonnl-charaeteristies or (:fecs.and [d jtheimpee t ofinternalmood
¥ ' . . . . . . .
• onpl'rcl'P~ionof.crhers'emotions. Oncethe'( h;r3d eristics,'0(.norm~l
L
II,
Incinl expressionldentilie aucnnavebeen1'$I :lbll ~h\'1 1.till'pl·,fn rl\l:\i!l'l'nr
•theepilepticsaadepilepticsubgroupscanbecompan-d toth;'i"fthenon- neurologi-c.i'uhj("M$,inclu dingIt medicalcontrolgroup.tol!ph'Tmint'
Hemisphl'tie:lsvm~!'tr\'!:!!('mot.ion:,l ('xN('<;s;on il!l'nt ifient illll
. \. '
Studies('x:\m!ni ~theq'll'~~ inn~lrIll' misplil' ri ras)"llllllt'l r)'Il:IH' lnferrod itsexisll'nc('\wlwn mOll oh (,ll\i~ pl11'rka ll)' ptl·'H'i,ll· dslimufi nre processedfU:;IC formOTI'n~/"!.ral c1YhyOIW~ilh'orL!H'hrn~lI!h:11lth,l'r;IlIl·r.
l~tha t. case (oneh(.misphcrchas1)('1'1l snidto~how';lll:Hh·;mtagt.«vvrllll\...- oth er. C.('ner:1I1)'',heresearch10bc'd!s('us-<:cdilltill'rol~nwil1gp;lr:lgr:~ ph';
indicatestill.'righthemis phere Isl;llp~rior'10 the.h.rl in.prn('"l,.~~inl!,;f;u'bl
('x:pn'~sio'I;S,
:l.hhnllgh'there·maybe~i~niri<-:1II1
lntoract ions with1!;1'1l<h-r., ' ,,>- '
h:indl,".d~(Oss.alldexpressio nvalence,
'Some'rrsc;lrcher~ have (OllTI!-'Il? sil;llifkant 11l'111is pllt'ri('
~s.YI~metry n~ong '
non-neurclogleal#sUbi~,c's
on tnsksi~I\'fll
...illll;ftH'1:'11expression stimuli(I-li'r~thm~ n&,Safer,1082:'T.h/llllPs/)n;HIRaI. 'l1l1'Y
'.argue thatvarious metho dologic al.fa ctors·
r:a.Il.~'
accountfurtbe vluekofsignificantfindings.
/
~.I"
. . ..
// .
. ',;.' .
:i~':"i,'~Y'ofl;:!.IIu:!.d irrt;l'.nt l:l.<;Ir.sJlbn!lthk j' imnol...UIXO;IM1nclis.,.:\ "":l1 A:.I'Nrel, 1979;I.c~&IJrydc n,'I07Q;Straussk Moseovilcll,10SI; Suber!::
Md";l'cv'~r,1017).IlhaSbeenhypothesizedthatolle.hemisphere may IlIllCt...negativeexpressionsbeuer whereas the et herhe'misplft!'fc processc's
~itive..xpri-s.'iio~:Reuter-Lorenz&.Da vidson,
1 9S1 ).
V~lcnec"lwcifkilyofhemisp~hi~su per iority wascx.a~ ~ncdill.threeQrJhcabove sf.udir-s,hut not su ppor tedina.nyofthem (4Y&.Dryden,Illi O;Strauss&.
M"sC'·tI~ilch.
H18I;Suberi&MeK~\·cr.
10171. .I.
<_~
Further support.forthe,sp~cblization,of.therighl~1misPh crc' '\~.
rurthr-processing orfacial expressions1;3-~comefro mst udiesofsubjects
. . ,' t
with I:lh'r:l.lizcdhr:tin disor.cJcf.lI!<ing\'3rio~scxpenmcntalt:LSksi[Cicoue, .W :lPIlt'tkG~fdnet,lC80;DeKosky ,Heilma n,Do~'e~&.Ya lenstein,
!J18O;.
l\oih
, t:
Taylor,Iqal,;l~rig1\t:l!1l1
&.&br3m,1 ~8~1. ':'1i~";;,
possibilit yof\·1\1('111:('~fll'Ciri<:it}·ofhemisphericsare riorily ....::Is_iu\"\.'oIt ig:l.tyd.int~\'llof
.
~lh~studies. I'rig::l.t:moEt.Prjbram(lg~1fou nil0.0suppo rtIor valence'
~llt'firicilYI whereas,Clconc ct ~.1.-((gaO)foundtll:!t right hemisphere
d:"n:.p;~
;"1\Sassociated withn.nelevatednumberor mis~:Ikcs-with fiapp~'~
.toxJ,r('S>.;"lllslilllUli~
ConOidi ngevidenceconcer n ingvalences~eineity WlL~roundin l-wust udies curriedoutby, Reut er-Loren e andcolleagues[Renter-Lorene&.
" :r ' ":
J):l\'idson,IOSI;Reuter-Lorene.GiviskMoscovit ch,(083 ).Theyused an
'." " ~iond" kl'" p",.iign':~h;'h'
as~'':' (i.0~61 not~,.,~~
. ' f '- . ~-
s '0
.
, .. :~; ". :-"'.
~.
<..
'" ,
,(h:\pp}'or$:\(1)r;'l('(' in onevisual rid,1and:IIlwulr:atr:t:c.·in!Ilt'ulln·r.
Subjects,Wrrl':\.4:1'11'toidr nlirythe,;iih·011whid lU~e:ul' rl's:<i",'r:l..·.·
appea red.'Al leas t:\lIIon grighth:lnd" r"thert"~cti(lns.Iilll;'"fur~"rt."'1
, "
responseswer:....r:\.~lcr·tf)Idl\'is;131 riddpr~...entalions(lr,~:\llbl" 'S:a1;,1ri~1tt visual fieldpresentationsofh:lpp}'Iaees. (;ivcn1I1:ltUli,;l'n"elis "pposit ,·
10lhalfo undby,Cieon;etul.(10801,eud that,,(,vI'ralstudi.'!!1t:t~,"Y il'l,h'(1 nosupportroe.t hevalencespecificityhypoUI~'Sis,therelationsll iphl'lwe~ll hemispher ic supcriQr it.yand expres sionvalencercmainsin'IUtc~lioll.
'In,sulIlmary, a\lhongh ther e,isuncert:lint y:I!luut' SlUlll'isl""""
reg~rd~ng
the1u.';I:il'IIIH.&:L~rmnl~~;y ~r' ra:i:l l e~I);('l't'\i':lI I:ro." ~'i{[;g,
"'''11''. .
eonsistenefes have~Isubeenround. Wlicnl:xpres.~iolld" ll,'c t iflllp'lr~digllls .were
.II~ ,
e\,i:lcn,l"','Icr\·:Ik'IlC(,:"s[N."('iftchl'lllisl)h~ril" SUI~;i~,rilr
;';ll"r g,·,l.. '
.' . . .
,tn Tost sludies.
u:o;.i~g ·
oiberp:lr~diglJ'" (in('hldill~ ~'lIl';"'<Iir.f" rt'"1
,par3dig~l.agl:ner:l.lri~w.hcmlsp1le~ielil.ll>criclrilye41!l'r~L.J.'1,'\:"11,""110:11valeecespcciflelty\\:asinv~lig·atc·d..
Otheri",,>"I':'r....l;arding.thelte~i~Jlheric.::L~Yl1\lIId.ryof r:irial:(.
c~p.r~ssion.Ilroec~illgh.n~l~cllJcenresolved.Forexa mple,d"l!a~ I'Jl:~S ':~ .conti~ued:IStowhejhcrnnyll\'~al1sIIperiority
o r
therightIWlI\isph"j.[~r;,rfacial expressionpro~t'Ssing.isdependent011'il.,slljlerio tilY;rorpro.:,!ssilll!:
otherncn-cmotjonaleharneterlsticsoffaces{l)eKo:o;.ky et:1.1.,WHO;llansd l.'
. > : ..
.'. '
..
:,'',·f
.: ",
..s-.
-,:
' .
. ' -
,\.~I'i r~!ltol~,1080: Ley"'~llrydr/l,.l.9.fI,;Sarl'r,1081:Si~311~'&.M~~vitC'h.
'1081; Sube r!&,Mc~ccyer,1077):
Therc have
31~ ~c:~ ~h:cd findi~'gs
OIl's ex 'dirrcren;~'
in..hf';lli:~pbcE(isuperiorityio'r'racial affeci,i.deniincnlion.L~d:\Vt,.s,Umiltll.and .
f;ic~i.lJiiii (~080J
ro.u: <ta~'i~hi IIC~is;;i~~{~~pt'r'~riiY ~on~
Iemales and.Ilnhemisphere•
di~rcren'cc ;llf'l(t~g
". • male;"0 inspeed'orImai('hi~g expr~sio~s
. ,·1 ,toprc~viollsl):presente dexprc:;.Sj:mlabels 'in,a~}.:nogopuadigrri.O'nUIC, ulhcr'1;;,\u:1
S;'\f~;' i;O~I'I-rO:ln~I'~ rigJ;~ h~lJ~isPh erc supc~io;iiY
aJ ongmai'~~-- ";
,," '0 h,m.Pb.'~'
"dl"" ";~on •. I,m~''; ;", ."";,,y ' 1 , ve ,b~ly
illl,.:iirying
{"~~~~sS;ons ·n.s ·;'~m.c·
or.difrerrill~~ rr~~
iarget~vl!cn s~bj~ets
:••w ••
~;.'i'," . :: ::'. ;:; ::::' , :'::":: ::" ;,,,',, .·,,~~,;iin.' th e f.~m:'Ph"i'
:Il'ylllTlwtryorverbaleUlOii!H1;\1rUllC' tions. Ithasbeenshownth3t left
" ' ,. . .. ' . .. ., I ·
hl;Il'lisph('r.~.da mngedccr l':.'scs'fomIH~hcnsjonortheCIllOii~llalcontentof: wnr{I~J.CironeC.i' :l.l.:l~~;Kolb..~·. T:t~· 19r. I~l),whereasrighthemisphere
~1:1~11:lll;t:'
der;C;ISC'!lu·ndcrsl ;l·I~·dil~g. or
ernotionnltOu'es'orvoice(HeHm:'ln< ':'~('i'{;II'"
K.W~t~n,
loys;':rUlllpkin!t4':"bkcf.'joSS).lIo.weve rIh.nscb.:&:~. l;iri~;1tll{;
(IOSI)f~:~d
Ilo:signific:tlltdiir~r:l'lI.~cs
hihemisphericasymmetr y. ... .
".. -. ' .. .. . .
; . ''. Ior.rt'C'og:.n:~lOnlIIe,I.II.0rrornl'U.lf3I.:~.('rs~ISemotionalw~nd.s
wllia
.semc-(lirr~'r('~ft;\.~~. ,AlsoSehl~ngCf,Se~I~MgCr&~('rsim::,-n(lQ1~~.r undno.
.•'~cllu...ph~titsup,cri~rity with.~mo;~~n31.\'ac"31tone,s;im~li.Thus.even' (.;\ \'illlill
l,xlw·i'iml'nl~'· lisil.r~)in;i.lar
types·O~'_Sii~l\l~i. dis:l.gr.ecm~~t .
has- .
.-,,'
...
..1...
"' J. '
.~
":
15
Insummary,'?ci chas been some agreemen tthat valence, ,specifici tyemerges when expressiondetectionpnrndi~msnrc'l~~d,Right'
hem isph ere superiority-eme rgcs,regardless.ofexp ression\,nIClICl',when other paradigms (includi ngsame-differe ntpar~digmslareuscd."Dobnte has continuedas~.gender dirrer ellc('s inbemisphericilS)'llllllCtf}'
or"
racial express ion processing,t'bc
hemisphe~i~ asymmetry of,'rrlla] umutionu l functions,andtherela tionshipbetw eenprocessingoffn('i a]I'Xpf(~i~'1Iand processing of ot herIacialchar~cter.i~tics,.
".;Id('ntifkatio~
2f
par tl cu.lar~:tc'i~1 ('xpr~<;i<;n~Ithas beenfoundthatcertain expressions nroidcll tificrl·r:l.st~r nndmor encc\lrat('I~'tha notherswhenpresent ed tothe centerofthe visu:i Field,~that'is to both hemispher essi~nuitancollsly~Ithasbeen.Icundlha l theorde rofdecreasing;('curacyandincreasing latency of ldenufienrion
f.,r
_ . .
the following expressionsisasfollows: happl ucss.sur prise,sadIll'S.'; :IIlJIenr,
. ...
' .'.
alt houghthediHl'rcnce.s werenotncccss,a ril)'~iJ;nifjc1'lnt(JIjts('h~lanund Safe( j'9S2;Kirouac and Dore,1933 ).Manda! andPnlcho udh ury (l085}
':iou'n'da simila rpallernexcep~that.Jea r wasidcntified'mo~eaccur-ately tilan surprise.The abovefacial expressions'a;'~those usedjnthe present
,~l •
'0
:<ludy.The pOle-nli:l1inlC~attingIeetcrofsubjectgende rhubeenfound to have nocrr('('l on the
r3~k
orderof accuraeyand/orlatency.inwhichtbe .('xpr($Siollsareidentified(Hirschman.
&.Safer}1082;.
Kirouac&.Dote.Ifl8.1,IQS.I;\bndalk.Pakbcudhury,Hl851.
...:
. . ",.
E~ mannndPriescn(HJ75) descr ibed the Iaceasa rnultlrnessage• syste m. ecmrnunicnting suChinformation"nsag~, sex,~~llI.r3.cteT an,d ill\{'JJigellc;' :ISwellus('molia.n.In theprcscnjthesisthe word·e.x.prcssi6~·
rl'fI' l"S 10the emetjonthefar eportraysandth~word"race"referstotbe. rest.ofthe informationtheface. conveys. MoreoverEkmanandFriesen 1197;' )...heraetceizedpereepricnoffat iltlexpres6ioD'AS:topfOC£"SS ofselective, :ll~t'ntjon.Processin gof bc131 inlorrnetionb3Sbeenin'"csliga.wl.~roma l'C1l'tl jn'attentionpr~:<p('cti,"ebyEtccrr(UIS·I)"She adapted Garner's
!HliG) selectiveattention':lr:Jdigrnfromthe spa.li31perceptio~liter3tu~eto the question oC·t.hl'independen ce~ffaciill identityprocessingand Iaeia l.
.
" ' . '
l·xpn·""'iJ nrr(l('('S..~ing. Thcre~\'crethreeconditionsinthe design.Int~e const antconditio n(C'O:"I.(Inc s;imulus
dimrnsl~~
rema;ned.co nsta ntwhile the ot hervane d:that'f-
one Ince-pcr truyedrll
the expresstcns. In'the• I
('orr~~l:tted ('on~iti~n (C~ J,
thetwodimensionse~varied
..Forexamp~e,
one.Iacc portrayedhappinessandanot her Iace portrayedsadness.In tpe'
or thogon al ('on-dit ion,(OJ. dimensions.were countcrbnlnn ccrlfo r each subject:that is,ench fate portrayedeachexpressio n..
Figure I depicts five'ofG:mrer's (lOiGl conditio n cjrcct patterns.Thesepa tt er nsTen~ctJivedif'f~rentdimension iuternetionIYlws (Herecalle dprocessin g $tyll's):scpnruble(~l'r.l'cnllodiud('p~d\'lIt,llfh 'r Etcoff,1(84 ),integral,eonfigura l,optional separable[here called ollt ionall)' 'ind epend ent ), and asymmetric sopnrnble [here (':,lIed nsynuuetrlcally independent),Alltheprocessingstyles,execpt.optionallyil\lIl'Jwn~lt'nl"an' empiricallybased.Garnerinvestigated;,lIcs('
pro('es.~iJlg
51)'lc5'using'\':)ri011s non-face st im uli. Etcoff tWa ·I),using Iace stimuli, Iound tha t non- ncurol~giealsubjectsused :In.lndcpeudcntprocessingstyt:: Th eotherpt~('('Ssing
styleshatenotyet bee~
demonst ra tedwithfatestim uliamong no n-neurological su bj ects, Because Etcolf'sndnptation of G:lTlIt'r's paradigm isuseful.forunder stnndingtherelat ionship or raceprocessslng and. - ,
expression processing,it will be described iiidetnilin-t he follo wing .parugrnphs.,Eteoff'spa radigmIISCSt\\'l)d\,!?cndcntmeasureslaccumc y nnd latency]and Ia ce stimuli,'In the cxnmplesbelow,Incia l expr ession is~lit.
targetdimensionand face isthe non-targetdimension,
Thebasic assumptionofindependent precessing is th a toneelm attend to the f~tgetdimension without nttcndlng to the-ncn-ta eget dimension.Thus m'ith cr.degree of variationillthenon-t argetdimension (ra ce ) nordegreeofcO\;3r!~tiono'r;;ht'twodim(.'~sions(fac\'lInd.bri:ll
.\
It
, I
/ I
/ 1 1
·1
I~
· 1;
I
f
~
• • s
t>D.~al".;" 0 ,
:;~
i
I 7 ....
'.... If \" I, It
.v ,!!e
-1 1l" 1.::- ,
-, \ ,
' 0f~• • • • • • " t. •
s < ~:
,::c..
~"'~~
.'
·/1
equal aeros s eonst:fnt.,ecrrclated and orthogonal
\
2•
.?~~cIeteney
ron ditio~
T'lle
h:l."!~-·II.'i.~lImPti~~
;'rin;l-gr:llprocCS!ling,isthat whenone :itll'lIds to the t:ugel.dillll'lIsio n, one:',I!iOalt~n~sto the non,t~rgcf·dimension. Th:lt is,theIaeial stimuli areproC~"cdeswholes.I~intcgr~1
/ .
~:. Ilrc.x:~...ingisused,perfoenmnceill the('o~r('lalt'llcondit ionis.bcilila tcd or
im"II-ovcdrel:alivetoth:oatint_~'ceonslan~condition,a~d perrorm:lncein the
ort hogonalconditio n det eriorat es.
relat~ve
to thatin the consta ntcondition.·,r hism:lY arise,iflhesti mu liarc processed3...whol~,beca use thevari3~io~
among expressionsimposc~ by'vnriation inthe'.facesdiffers'~e~oss comlitions. Degreeof-,'nri:ltiollamongexpressions referstohowdirre~ent- eachexpressionisr~omtheothers,thatisthedlseriminabilityor the
. 0_' .
·expressions. The morediseriminnbletile expressions,theeasier they areto- identify, Gre::Lte;tdiscriminnbllityof expressionsis achieved-in the
- . . .
. ..
c?rrcl::Ltcdcondition,ifthe~ti'.flu liare processed::LS~holcs.becauseeach
. . .
expression isportray edonauniqueface. Forc:;xampletheface which portraysthehappy expressionrna)'have alarge mouth anddark eyebrows whereas tJn!sad.face
~lay
havea smallmouth andblonde eyebrows;the ph)'slc'al featu res of the Iaecs increase thedtrrerenee between the expressionsthat theyport ray:Contrast this high levelofdiscriminabilit)'to that in the constant condition,in' which)thcsameface'p~;trays
aJl~I
expressions.Tbe zero
\"3.ri~tion
'in therae~
dimensioniroposcs-tro \'n;int!ou'\" " ,th; '.:''''1
expression.In theconstant condition then, inlormnt ionintho
racedi~eDsioDneith erln~l'Ca.sesnordecreasesth~discrlminability oftill' expressions, when thestimuli are processed aswholes.Thereforeit ismore difficult with such a processing st}"ll!--to.discriminatenndid~lItifyllw expressionsinthe constant condition thanin thecor~elatedcondition, Itis most ~ifficulttodiscriminateandidentifythe expressionsinthe orthogonal . condition, whenprocessingthes'timuliaswholes,becausethe vanntionin the face dimension imposeserror variation onthe expressiondimension,III
.
~ .thisconditioneachof the "facesprescntseach 'of.thc expressions.1"0~, examplea young ;n; n withsmall eyesand an oldwcmnnwith large eyes might · e'ach portray.happyandsadexpressions,If'subjectsareprocessing thestimuliaswholes,thenthe happyand slidexpressions.PO(,~T:lY('dhythe ma,n
a~e
more similarthan usualb~
virtue of being onthysarhcrace.'~hus
the error var iat ion inthe expressiondimension',imposedhy
ib orthogonalva~;;tion
withtherace'dimensi~n
whenthe stimuliar~ pr;~cs.~c'c1
as ;hOlcs,decreasesthe diseriminability of the expressions. With allintl'grai processing style,."performance isbest in',the corrcl~ted condil'~6~.' intermediate in theconstant
-conditi~
andpoorest in theortli~gon:J.1
condition.
\Vitbeo~figuralprocessing,when one. attendstoth~ ' ~n·tget'.
dimension, one alsoattendsto the non-target dimension, as with inti!gral
,
.
':"rcl(';.:.,...;ing.Tho:ditrerenec~~~hat\~iI.!!.!onfig:ll r3 1processingthe-C'0\:3ri3tion Qfinfor m3.:ion in t.h", ecrrelatedeonditjo n is.not usedtoinerecse~timulus .di~rimin:JhjliIY.and performanceisnotreelnreted.Onbcgonalvariatio nof.
Ieee :lhdIaeial"expressioni~form;lti?nstillcausesinterfercn~e'with abili.ty Itlidrnl ir}·the expressions,andtherefore $tillcauses poorperformancein.
't henrlhogoll:lJcondit ionaswithintegralprocessing.Noexpla natio nof •"
conflgumlprocessin g hasbeenadvanced.'Tobe surethatprocessingis (·,:j'lfigura l and not
int ('grlll,.'~t
shouldbe~l(!ar
thatthelaek'~f
Iacilitaticni~
.therorrclntcdeondirionisnot3.eelllng cllect. ,
Garner
('lg7G~
discussedseveraltht'Or~tically ~ible
processing styles, including the.optionallyinde pendentstyle..Thebasicassumpti~Ilof oPtion311~:independen tproccssin~istbat:he subjec tusesinfon:n3tio~~n lhe non-targetdimensiononly when it helpshis.perrorme nee,'~~ari.tioD ofinfcrm at jonintheeerrelescd-eondiuc nisusedtofaciliULteperjcrmence... hutforneitherdimension docs nl'thogon;\1!nterfe~ence'occur, Thoughhe had noI"mpiric:li evidenceIh3t'thisstyle~xisb.
henotedth~t'
itwo~ld
bean ide al
st~'le
hI"{"3ul'e.itwou ldp~ovide ' fo~timal , p~rrorm~nce
acrosscondit ions.
Withnsymrnetricallyindependen tp~ocessing,perrorm~neein
•tlie 'correlllted condition is.facilitated-by the increase in stimulua, diserimina bility.arrcrded b}' the eovaeiatlon of infcrmeticc in the. dimensions. Perform anceisnoterreetedby orthogonalyari:t.tionof
.. .:
)
-infor.m~l ion·with o~,~'ofthetarget dimqnsions [Iaclnl ,expression ,for ,example].ilowevcr~hentheallier dimension (face, for,example]isthe'
target, or thogoD:lI'inte rference occurs.Thllswhendimension ,Iis
nil'
" ' • I _"' , ' " .'\
,t~rgetlthestyle.~f processin~islikeoption~lI~ i~deJ:l('~d~ll tprOrCs.~il~~.
.When dimension2isthe target , the prQ<;rssjngstyleis
i,~tegr:ll.
)In.the present tb ~sis the term "precessingCstyle- W:Ul·.
suJstitllted.for Garner's te~rn'-dim~nsion inter:J.ction~GarnN ;s term seems to imply that -integm l.-, "conligu r nl'", etc. arc unchungiug propertiesofthestimuli,however itmaybe thattheyareehnmeteeistlcs of,
,ort hogona lly\'a,r)'ingdimensions, Boyd en and Gilpin(ID78jfoundthat,at least among
males,,(>~r~rs;on the"~Jai~hing
FamiliarFigu'r~s
Test corrqluted significantlywitherrorsontheStroopTest, 'suggest ing.that males with higherimpulsivity attended to.
thenon.t:lTgetdim;n sionrnore thnn. ~boscwith.lower
'impulsi~'ity,
evenwhendoi~g
so disrupte d'their pc;rorm allce.Thus itsee~reasonabl e to suggest'~hat,'pcrform~nce'o~':ltask sueh:L~
?nrne r's depends more.on theind i~idual'sprocessing'stylethan onthe sti~llllus. Garn er 'ster ms'werecha ngedto accommod ate'tllepossiliility
r ", . . .
.thatlndlvid ualsmightdiffer, intheirmethodofdealing withthe stim}lli.
. The·sty les .9f processi: g cnnihe
ranked -in·. 6~~er " of J~ir
favor ablen esswithrespect too~timizini perforin:J.nccacross conditions.
Thesty les,inorder
' o r
decreasi ngTavorublenessare cptjonully independent ,2-1•
inv~ti g31iJl~ bei31 expressionidennfiea rion,itisuse~ul to det ermine,
~'ht'lhN
subjeets!-Ise anoptimalor lessthanopti malstyleof'processing.; \iso..
ifIaeialexpressionunb~ proc~d '
indept'ndently.of thefacedimt'lIii~n,
this wouidlendc:red~nce ,
tothe!ideathat resear chintoIacial -~)(pr(.'ssi()~
pra<:t'5sing tel15'u~
so,melhing'about"emotion processingin.-gl:neral.#I{not',itwould3ppe~rthatexpressionproce~singis a'spat ia lly,
~ .
. .
'.Hnkcd"process,Irom"which genemlizaricnsto?mot,ionprocessingwo~idbe
more••lifficult.
r
.Till"
~ 2!
mood2!!.()Crf~rml\nce
.BOwt'r ~D811reported3.setoj experimentswhi~hshowedthe t'rrct'l,ofh~' p'n ll":d~··indlicedItl~ en-ru ctionsto stimuli,~peda"ly
:3mblguollssti~uli,h:example,hehypnotic-all}'inducedeitheranger or
h~ppiu('$$
iii"subj cers,3nd then ::lSked thcrn't~.
Iree~iate to
stimulus,8 _ '
'.WlO(dS i~"one. experiment, and to ereate ,stories about Thematic ..-\ppt'rr'''!l!ion'~('jI t('3rd!!in anotherexperiment.TwC? !ndcpendl'utjudges rated,th(' ,;sso<'i:ltl'S:Intistories35augr),.orhappy,andthese ratings
" t.- · . .- ' . ' ." . ' .
"cerrclaredsi~nifi(,l1nt ly"with the inducedmood,ofthesubj ects inbcth. -srudies.. Sincemanymethodological detailsare
mi'ssi~g"rro~:tbe
repor t, it'•• II .' • •
i~.impi:'l$sibleto"~rit!!allyevaluate,the experiments, Extrapolutitrgfrom
Bower's1,l QS1'jJinding.;:,.the inductio n of n
n~gllli~:c' iil~U\I'Sll('l~';lS ;ll~'\il'ty
mayincreasethen~~l"r,
ofanxi~ty-reb.·t('d
01'n\.'~:I,in" 1n'l'r;1~~i:l~;(lnl'
,of.stirquli's~'~h
asIacial('xpr(,s~16n~, ~
. . .Alternatively,if, the.in,crease in anxiety is\"('Q:groat, itmay.
•inte r fere with performance
(He~b:
jgG.I)."llb.tt (UIG,iL not edtim!crfi'~lcllt
perfor ma nceofbothsim ple
and~
complexreeks\\':1.5:l.,,<;ociatr.~;"d'lvn;ed :
.arou sa lus measured phys,iologictll'ly·.'·lie'suggested,'tb at wlren nrousul
. ~ 'I
rea ch edvery highlevels
.
lsuc~as'panic];'.perforrunnee.
would·~lclni(.t:I·11' signif~'l.n tly.1I00H' \' ('rhe couldno.tcl h i.c~lIY·testthishypoth~sisinan,exP('rime~t,
C~rtain"suhjcetsmay-respond morett'anotherstoilll~gilmll}l..
"Inducedanxiety, par ticulurfythosewhoarean~~ielyprOI;~.•They mny;,:ho\~'
'. '(1.grea te r
in('f~ase
innegativeinte;pretatio~s ~l"slimu-li
thont.I!atP~l'{liCI.I'\1
r~r
('om pa ; i;o nsubjects011thebasjsorfiowcr'~ ( lQ8i~1;1-;){lJ
co ng ruenc y hypothesis:Xllern tltiv ely theycouldsho wgrl'~ter p(:j. rornhnC;i;.ltcrferl'l~(:1'
tha nthat predict ed forcornpar fsonsu bjects on the bnsis or'U.l\.' invcrte(i
'; f
hypo thesisIHC'bb",l(1G·I), but.onlyiftheir nnxll't :o; bceorilesvery-"h"igh.·
26..
.
~::"..
~~
ErrflctsQ!~f!i1.11re
focussa hemi~~h~rj.c.a..4rr:met;r · ·
" .. .../Litt le.inrorm ation,exists'r;gar ding'
t~c
effects~~1~~~ ~~:"
-processingorrada.l·infOlmationwi~hiD,thcecntext of the~u<::sdeseeibed above. Neverthdcss evidence doeseJCistIce tbe aller .:1tionor.'other -..;...rsyehologic.:11~biJitiesb~seizure disorders.This~videnee.L~prescnt edin ...
1I1crollowingsc'~tjon~. .( ....
;u.
Fin'din~rromseveral.studies suggest tha.tunila teraltemp or al d:unageimpairsprocessin~ orverbal an'dnonverbal au.ditorystimuli pre5f!nt~to thecon tralesio~:tlear,regardless orthe normalbemlsph etie :Lsym~etryroun'drcrthese.tasks.''I:hisphenomenonisknownas'the lesion erf<'et'[Kim ura:1061; Ma zw cehi'and Parln:\., 10.8; Schu!horr~~nd
<:~I&"I3SS,·1900). Epilept.icswith unib.tcra;lbrain damageevidentusing eourputcriaedtornO&ra~hy,.deetrocn~j1b3los:raphyandclinicalbistor)' are saidtoharea.lesional locus,
. .
' .' andshewa1~'Si~neneete~enir the'"
.Iceus site ...is non-temporal[Moeucchi ctnl.,HlS5),Epilepticswit houtSuchevidence".or brain d3lJlage,but-withcleM cle<:ir~en(';~.ph:llogr:lp~l}c evidence of
·Imibtcl"f1.1epilept icfocus,eresaid toha~canonlcsional locuslMa n uccbiet- -
·at,·IOSS).Among such epileptics,some lunctions'no rm allyper; ormedb) '
~
thelocu;hen.lisphere
a~e
raeilit.1led, and.lunetio es1I~~mal1t perror~ed
by ,·th~.1l0n.locull'hemillPht'rearc perfor med bet terby~or·attr3fte~·to)the Ioeushemisphere.Thishas beencalledtheparadoxe(lect [Mazaucchict-
•I·'· • • ~
al.,1\)85). Thepnradoxandlesionen('cl-shave bc:cn dt'mon$ltatN'·:IOlon-e:
epileptics\\'it~tempon!and
. ,
.:.\-,
, :.'.
,
. '.
uon-tompomlIoc us"ill'"on measures of:"p \·,'d
nttenlio nnl.:and P~f('cptll:ll.t~sks.using;'·"illlpll' ,·("u:'\l . auditory nnd ..
cl;t:lnCOI;~·~t·im\lblion
llll in:kovt:Xlosblo:~·~,-'\mij;' ~!:l~"lu,'('hi
t\:P:UIl1:l,·~n?8; ~ ~~:lZZl!r('hi~i
al.,H18S'1,- Jacob"(HJ80)MI;I
Hunter,~l,it;~:'l;~
:lIld"EU;ingcr (llJ76)
·I~.po!t cd p:'fa~o~-iik~_:crr""cIS
in \"i,,·iol;and Ic:un in g' , .rl'S~cc,t.ivcly:~pafadQ~ . ~r('ct·.!:a.~,,"ot yet brcn,invcstlgeted with('m.ot ion"l~ ,,~i,m'~l,li: \Yh~'J:I ('x:\~ining f:'lrbl ,(,X~rl'~"'i~idl'"liric:\li(}n
illll;Hlg.·~~il('Plics;t1H.,. rll;paHofseizurefoci~,nth('nor malhemispln-riensynunvtry forthetaskd('sefv~s~~:lIninai:ion .·
Etcoff..
pos·n
ccmpnred non-neurologica lcontrol subj Cf'ls l"J>:II.ientswiih
~it,hN
leitorrigbl brain'r1:Ullngc.\lIhj ~,("t:
woreaskt'd.~o
sll r lpicturesoftwoworncu quickly according10irk rrt il)·unsome trials:lllcl according tcrJlr ial'c xpression [hnppy.\' I'['$IISsad) on otlll'r rrfuls..TIll'
,..- . . .
p~tit'llt~with righthemis phere(hm:lg~rou nd it.h:ml10nneudonl)' tu fal"l' .oronlr'tvexpression infhcorthogonalc:of'hlilioii.;1S;vid.t'!l'I'I'.lI.'hr'tlu;.:..
.
.
decreaselJltheiruccuraevnndspeedm thiSeonduion Till>;YoISnola ,,, ,,.,1problem with
</5~'''O''
stnc even""«,hI hemisphere pauentssortedg~~~lrl,~r10f' ",,,I
speed,,,<I
uccurncy according ' to colorandsha peae0 ...conditions Etcorrmft'rrrdthntrlghl bruinr: '(
- J
(
-
...~.::.~
,
..... .:.
.",
-.->,
('Xl!r.:os.;-iorl.:rh'~~.a!inL:..m~y.exist·among'.~_~ift'Pf;~, (!,:"otiOn~l.~nd. h('h :n·io~:JI·prtlhll'fJIS, and def'jcit~ in Iaeial.l!xpr~ion.precessing;' .
Epih·Pli ~~·
difficultiesi~ ~.!()(,CSSing
expressionsm:'lymanirestthe~I\'es
in'.their nceuteey,I:'llpn('yorstyle'(optimal·,·ersus.,sub-optimal) or'racial
.<,xprrssiollidentificntion,cr in thel.'rrer t,oramoodindu('tiori proc~~l.'00.
theirperforman ce.
. Hermann.~~d Whi.tm:'l~~.{1{)8~ 1Te\·~(,Wl!~reportsor..-n~mero~s emotional andbehavioraldi$tur~~nceswhichh~,\·ebeenri~~tly'or!wrongly
'!\l
~tlrib\1! ed1-0~pileptil'Sill gcncrnlorto CPS pnrioutsinparticular.Th,'y,
.
.,identifiedsixproblemtypes:·· SI' XII'l ldysrllnri ion,'psyrhosis.,agl;rl·ssi'l1l.
personality
ch~ngc. tlffct:lh'~
disorder~.n~!
,..generulP,""FhulJ:liholngy (pA52),.General psyahopathoicgy,cove reddisturbnucr-s evidenced fur exa mple h,ypresenceof-n psychiatric diagnosisorahnorma lSf'Or t'Sun psy cho logical ,1l'S!S such ns t~(' ~lin r1t'sola'~ l ll it iph:is~rsullalit ~·Invent ory ortheFearqucsnonnnirc
Thoseproblems,iftheydo rhnr:I('lt'ri'ZI' SOI!.lI"or1\11t'pill'ptits, 1113yberelatedto"ph~;si('nlr;~torsintr insic1,(>('llik llsyorInt' xtrill;k. sol"i:ll andphysicalIactoeslinked~"'it hepilepsy.'l'hcrotl'lltiah.x~ri ll sicrnd.orsill the
.
developmenttoremotional. ,~n'd' hcl~n~'ii'lral'prohlcmsamong~pilcptits ,nnd/orCPS pntients'ineludemedications,lh'cIircsl,yl\' lhnltanonsimposctii..
"" .
''b}'·t1;epresen ceor achron i~medical disorde r [includingunemployment]..''
....
loss of(,O::ltr0~?"l'r one's own body~nd't hesocialstigmanttuched,to.
·_~pilepsI.;, Potc~ti~l'illtrin~ic
factorsin'~lude pr~s~nc-e
of,st.rlJ~tllr~l _
lrrnjn.' ' .,.
.
•..'d:'l~~ge~(i:gree~rseizure control,..;..gl'ilt"ons~t(If epilepsy,dura tion of thl'
"disorder ail,d~eizurc:tHe,(II~rm3.nn&.Whitman;:liJ~,I).-Irlcn.tillc.atiop
or
psychologir all}'vu'ln~~",bleepilepticshas ortce.be~n:'llt('~pteju~ingseizure type.".qinnthe purported'role or~he SQPl~lm(a.lim.biestructure],a~OIlf;
wit hothe r"brainregions,inarre~tive?,ehaviorIKolb:&~\Vh ish:J.\~,_lg8;;),it has beenh}"pothesi~ed'thatepilepticswhose seizures eman,atc.rromncar
.," " .-
.
thisregion ofthebrai~,~.ould,const itut e~hl'psych ologicalrisk'gr/Jup
f
30
. .
(SI:,uk-.\d aOlN'tol31. 1(kl.'i1 These l'PIk-ptlt'Sare usua llyIdentifiedby
presence or CPS However. as discussed
bl'~S
annbutlon ISconlru v('rslalb~311~etherelevant studieshu e
ene
been disconflrmater y ancJjnrlIIelhod olo l';! ~3 I1y,u"3kThesI U(Ii~to be discussedintberollo~ving para~ap'~lsused a v.:uit'I)· oftests.two ofwh~~h\':eresp('('irical~Ydesignedtoexami~ethe
.
. . .emotional and (jrh:l\"iornl-pecbtcms aunbured.to epileptics.Theset\'vo
. . .
!l'~lr;, the,Pcrsonnl-Invcnrory(Beer&Fedio,IlJi i)andthePerson al. Bdlil\'ior Inventory (pOI;Stark-Adnmccetal.,HIS.;)will bedescribed
in
sometit·,nil.'.
Th~r~n311~vcntory
covers18 traitspreviouslyattributed 1.0 l'pilcplies, includtn,l. eup horia, sadness,anger,~ggressioD:obsess}on~~ism,·paranoia,hum('lrl~ness,andeireumsta ntia.lity.Subjects rateIlv eitems per
·tr:lit
~
trueorIalse,and.~ighel~ ~ s~rC'S
indie:l!Cgreat erapplicability of'the trait toth3.1person.St3J'k-Ad3.mecet:i.
(1085) developedthePS I asa modifieatlcn of rhePl'JSOD alIuveatory. Clust er :lIialysis showedtheoi
lestil~ms'onthe PSIr~rmed11catl"gOri';'withyado us numbersor
·itemsin-each:(3.)religiousity.(b) elation,[e].emotionality,'l in cluding"
dt'l'ression),,td),confusion ,~el·dependence on ol hers\
Jrl
anger, IgjhllmorlC'~S~~S~.
·(hl.de('rease~ '
sexual activity, (iJ' ('ompu.lsiyity,,~~)
hypc rgraphia--and(4.;)~l'lingthato~e'sownlife story is·important.·Thl's~
·ill\·.l'nl~ri~ere amongthe tests usedlo~('~ami.ncepilept icsIor psychological.
problems.
~r.
D,~;pr(>;;sion llndnnxlctyarc~1O~lgl!t,',0heC0111UlOllinh'r it'I<)1 '
•associatesofepilepsy. but their exactincidence isnotknown (lIN 11I:l1ln:i.lld .whitrran.1084;Rob ertson,1085),The·illd dence ord('pr~s~i2!\amollg_
epileptics bas beenexamined inatleastfour controlled.studies.AlmostiO per cen t ofepileptics,ns compar edto just ever,10per cvnt orcontrol subjectswit~comotordisorders,hadmean scoresnbovet~lccul-ofr"on thedepression'''t'~'y'ofthePresent 5"" Exumlnntion
Isi,,,d,",
;,,,1 Fenton.HI/ 5),~thePerson al Inventory. Mung.,s( HI82)Ioundvuo si:;i\in~an~differe ncesonthe depression(s~dlltis) 'sl:hsca l"c:'Il11on!;.CPS, psyehiatr-icand neuropsyc hiatric patien ts. Slark~Ada~JlC~.et.ul.(Hlg.",)'.
. .
.compar.ed·theresponsesof) pileptics.(with,'a.rio~sseizure rypes],paticnts.
w~th
ether medicalprobl~mf' .
?nd h('a,lthY adult controls . .o,~.
I,h;'"emotion al" category,which.conta ins items perta ining to de"f{'S.~iol\ ,
'mood~n~s
and,guilt , the epileptics.rnt ('d'the.mselVC~
higi,er than tl.L\' compa risonsubjects, Kcr georgos,Fonagyand Scott (1082)cla..·;siri!!d,
. " .
" .epileptica~dnon-epilepticneurological subjects into psychiat tie riskand non-risk groups.usingthe
ao-uem
Gencr alvl lcal thQuestionnaire.The epileptics inthe riekgroupscored significantly higher.on the del'ft ossi(llI.s~bscale
(nTnong.othe rsUbs('~lcs)
than did theep~lepti~
in .the~on.risk
group.The non-epileptics in thepsychiatr icrisk groupscor~dasIfJ~'ali the (,tlon.epih~pticsinthenon-risk gro upon thedep~ession'sllhs~~lc Inether words;.epileptics who.ehcwed psychiatri c risk were:likelyto lrnve
',;..
- 32
_depression among their.problems. Thus at,le3Stsome epilepticstend to - '). .!>b~ depressjoo which exceeds'tbat of ecmpa riscn subjects on p.~}'chologic 31testing.'
.Ineltlea~tthree studies, attemptsweremade to see i.f
depj.~ion
wes,specifictoanysUb~roup
ofepileptiC: Bear'and redio~. '" '
(l~771.found.th~tdeyr('S5iqn.,as measuredon their.PersonalInventor y,
ehnrueteeizedthe,C,PSpatients intheirstudy,However·without3.seizur~
'control groupcomposed,for'example:ofprimary·g~tier3.1i2edseizure(PG~I.
pllti('.~!~no conclusionsaboutthespecificityof depression toCPS.pat!ents could bemade011thebasisoflh,eirstudy.Kcrgecrgcset·al.(198 2) found thatfocal epilepticswere'110more depressedthan
p es
patients.This howeverwas notmean t tc-beatruetestof depression differencesbetween. ' .I .
('PSend otherseizure p:lti eots'becausethefocalgroup ecntelued asmall
~mb" " <iif'
non-tem poralIce
us,u ;';'
tho~ ,~"' S~" E " m ;."io.,
St:ln~ ageand Fento n(lD7&)fotl~dnoevidenceofspeci ~dtyof.depression 10.CPSpatients ascompa red topatientswithether.s eizuretypes(15
pes
:10,03non-temporalfocal epileptics}. Thusof three st udies invest igating subgroupspl'd ricityofdepression,ani)'one (Stan da geand Fenton,1975) wnsmethodolc,>gir:'lll)··equipped t,odeal withthequestionofspecificity to CPS p:ttients, 'ffhrresultsofthisstudyweredisccnfirmntc ry.
. Ant '!"tristhoughtto becommonamongepileptics,and iscrteu fou nd inr"nju nc lionwith depression{Currie,Hli'a,thfiel.d,Hensonand
-Scott.·i~il;'Robertson,1085). Brodskyandcolleagues.proposedthat .cert ain cases ofintracta bleanxietyarc due10 subictnl {Iopileptiform actiYitl~'They successfully treated tensUfhcascs.of nuxlcl.y with anticonvulsant medi~at.ions (Brodsky, Zunig;, Cns('n:u:,"Ernstorrnnd Sachde\", 108~)" However nnticonvulsantsmay reduce nnxiol.y Ill' somo means~t herthanreducing-'epileptiformaetivit~·,'sothisfindingmust be i~le~retedcautiously. Insummary,thereis someevidencerm a
r~"
con nectionofepilepsywithanxiety nnd depression.
E:xcl.'Ssi~· e emolion£-n;~ponsh'~ncss I~as
been nunbute d~o
CI'Spatients inparticular. Afcording to Dear's(Ini g)hypothesisofsensory- limbichypcrconnec tion,stimulation [kindling f-o flirnbic stnlclurt'smay lower their firingthreshold,leadingto"increased limbic and therefore emotional rcspondin'g(Bear,Schenk and Benson,'1081). Dearoral.'(1081) foun'dthat CPS
p~tients
shcv..:cd-a larger"clccrrcdcrmnlrCJ<pon~
toI~(jlli
" l, _ ' .
neut ral and emotiona lvisualstimulithana healthy adultcon~~o lgro up.
Bear&Fedio (l 97i) foundth; tCP.~patientsscored significantlyhiglJ(~r thanhealt hynorm aladultsandpilii;n tswithneurom usculardisorders011
.
, -\-items perta ining to excessive emotionalityon their Pcrsonullnvcritory.Due to tilelackofa controlgroupwit h,anotherseizuretypein both studiesby Be~rand C'olleag'tlp;,spe<'ificityofthe Iiridings!2.Ct:'Spatientscannotbe inferred.B.ellur, Camacho,I-!~rm:llln ,Kempthorne and~teCannc(11)851 fC?uridno differencesamong~hcir,CPSgroup, epilepticswit houtCPS(non-
3.
" ~ 'I
CPS)arid theirht'althy.ro~lrolgroupsintithe',hu rtrat e orel~lrod~rma.1,"
~.
respon seto :an emolio n:l1lyehs rged film.Differen cesam~ng
groups may·
havl! .~n·obseured
bytfle laekofa.·'homOlcnrou,s epilepticcont ro l'group·
:lnd7~r U :e
use of :Lmxkedlyeinot~nal ~film.
Thus becauseo r
met hodological probl~m~ in.thesestu~ies,"1he ques tio n,of excessive~
·cmoti bnnlecsponstvenessamongepilept ics. or'CPSi~particular remains- npcn.
Bear nnd Fedto (19, 7, usedtheirPersonalInven tory,described l':,rli cr,inannlt.cmpl!odelineate3.CPSpatientb~h:l~iorsyndrome. In their st udy, lilt' CPS'patients scored higher Ih:10 pa tients with
·neurom usculardisordersand healthy:adult controlsuhjt-cls~neach of the I~traitssll n'e):~d
b y
theinvcnlo~y. Howeverthe beha viorsynd rome the}';llIr id nh-dC'n~nolheatt rib utedto CPS patientsirrpar ticular becausethey
.didnetuse3Drpilrplic.rontrolgroup,composed,Iorexample,of
pes
1):llil.'lIts: Using the same questionnaire,~Iung:ls(1982)foundn?signil'ic:lnt
" "
.
.,-: . (
Ilirr~reDI:('Son:ln~'ofthe18 trait,scoresamongCPSpatie nts,psych i3.tric patients endnon.pt<~C'hi3.t~irpa tien ts.Ag3.inthr re~I"asnqinvestigat ion er. .
·
3n?"~her
specificseizuretypegroup,sos~cr ificity
ofthebehavio rs;'ndrometo CPSpaue ntecannotbeinfer red.
,
,
Sterk-Adamecet,3.!.(HlS5)administeredthePerso~ alBehavior Inventory
(pail
to~sampleor70 epileptics,~8dialysispatients(3.C'hroDi~.'iIln(':;.S contro lgroup).'il:!p~'rhiatrypatients(with3.rangeofdiagnoses]
and:U, nonpatjpn ts.Theyfound that an;lmhefofthe ch:'lr:H'tl'fislics supposedto.comprisetheepileptic'orCPSpatient behavior syndrome, actually charaa;rizcd.other medicalpatie nts:'ISwell.Usingj:H'kkJ~Hc discrimin an t3n;\ysistheyfeiiud thatjustover"o ne-thirdofthest'izur~
patients(here calledgro\l~PSY)respondedlike theWI11 I:tlrisllll 'group llf psychiatrypatients onthe.rBtThesubgroupsbased on'seizure1)' p l'Sof CPS,CPS with secondary generalizatio n andPGS did"not diilcr fromr-nch
, _ r ·
?,hcrontheirstor eson nny of lhJinvent or.y's11C:lIl'gOril'l','TJw~cIindings help refutetheno lion tha t"Vi!rptic sin general or CPS pntlen tsin
. - ,
pnrtiflar are ('hara~.:~rized by an nbnonnnl emcrionnl/behnvior ul s}'nJ rome.
Astile prccecdlngpnrngmphs sugg<.:;'t,cnutrovl'[sY surrouuds v
theUSl"ofseizure typediagnosis:IS :Ipredictor\Ofpsy ~hlllogj('alprohll'lIl~
among e1,lilcPlit:S"St :lr.k.A: : l . damet: etnl.U08.iJ nttomptedtoIind ub,d L('t
.
, .
. . 'predictor thanseizurely o hj'siologicnl1}'.hns,·dpsyd,ological'risk among
C~il-"'P:it:S'
Knowingthe'possible':'roleorthe septum. (a~
str uctu re)and,ot h er,nnnto rnically
~('lat:d
str uctures;r:;rrl.ct~I'(' IJCh:lv-,i~r
[Kolb!::Whish'3W,IDS':;), and thefact,t.hatlimbic kindlingpf(,li1l<'eslollg- termbehaviorchangesin animals[Ad am ec andSturk-Adn mee.:HIS:~).llll'l
~eecJ.with o:th erresearchersth atan indicat orof limhit:'epileptifor m nctivity was,nl'£'d ed;,Inthe search forn moninvnsive.ind ic-.ato r,tll(·)' hypothesizedthat an auraorsetof nuras'mightt:h:>rll('l.~ri7.ccpil"lltkswit h
\ .
dirr..rent degrees or limbic in;oln' OlentiE.~eirSl..izu~t?" Therdo;ethey Jl·n:1oped theAur aQu~tionn:l.ire.which_consists or33,descrip; ions of '
:lllr:'l.~rhe t have beenrepor ted intheliterature.The broad a
O
priOri
.
.
.~ . .'('":t!l'gt>ril'Sorauj.~on thequestionnaire'pertainto perceptualchang es,
.
.
oo:aily st'u:>'1Iio ns: t1loughl5 ~nd "emotions,~.The~" admin istered this:
questionnairetothe subjectsofthestudy
describ~ f a~~'f!
JStark-Ada.mec ('I,nl.,HIS!)), ThePSYepilepticgroupwascharactcriz~dbysignificantly highl'~scoresthant1~otherl;ril~pliC's(KooPSYjonsixa\l r~.!hfive"~ich h:l\'~ill fadbeennoproduC'c:dwith"sl:imulationof.thehumuulimbic,syst em.Th<'S<'were(al changes.inHiebrightnessorlight,[b]perceptionoffor~ed image-s,1(.l~h3 n~l'Sinloudness,pitchorquality orsounds,(d)hatredasan
'~JOtion ;w'~';e;;
cpmf'S~Ollt
oftbeblue",(~J dizli~rss. IQ'
mindbe~mes
' ." ; ~ , " '
stuckon a~inglcillc.3, Perrypog,)incr eased the sample shes ofthe Stark-Adamce('I 31,. (l0851~tud)'andfound th3t ag3in.3boulon~thirdor l'pill'pli<"1<scoredlikl' therom~a.ri$Ongroup orpsychiatr ic"p3tienL:>on the PBlfl;h<,:,eI?$'Yt'pi!e"pti ....swereehaeaete riaedh)'signi(jC';nll~-higher scores Ihnnotherl'pilt'pli(,:l on 3 dirrl"r('nt st!toffiveauras.,I,hrce ofwhich have beenreproducedin humanswithlimb~C'stinrulaticn.Th:--£':UHau~aswere (n)percept ion of form ed Images,(b)[amaisvu, (cl percl'ption'of .time speeding up'or,slowingdown,(d)irritabi lity,~and (e)'perception of hummingorbuzzin g~~u.ndso The~\'orkofidentir~'ingdefinith· clim~k aurasi~stillinprogress.and aurasmayprovetobe goodpredictors'of; - ps~'(-hologic31disturb3nce amongt:-pilrptiC'S~
c· ··
O"O ~
.
'~.'~oIio"l ,J:~:":::S:::b:~::O;:"::';:;::;:::';::'::'b::~";~':t,::,i,::~::; I::, ,~
epilepticsas a group
~
to thesubgroupof epilepticswithCPS.A'isotill', ~I
hasbeenUS~d.
inco njunct ionwi~I~';-th("A\lr~'
Q:lb tionnr:it c,toi~h'lInrr
the epilept ics'~thsuch prob le.ms.Hsomcor :lll-or-these grlllips hnve e!J]btion,3,1orbehavioralproblems,theproblemsinn}'manilost lhl'lnSI'IH'S
. . ' r•
.asdiffcrcilces bl?I\\:('ClI,thce c sllbjc('l$:'I ndcontro lsubjectson the,raci:ll l':q)rc ssionidenlifi ea t iontask . Diff('; ellc('s'eouldar iseintheir necurnr-y,
may show poorernceuracy or la-ll'lIcy sl'orc s,.Hl'bt ivcl.n contro l suhj\'('!s.,.' thefnlnr USI:'a lessfavora ble[thntis,int('g~:llorwnfi!il~tal )st ~'ll'or processing Iacialexpressionwilhrespeeltorhe!:It t'dinn-nslon.Dillcrcnce, er nonggro ups cou ld alsoarise,inthe effccl~11auxietyinductio nprtlfl'llllt,.
hasonthei r IH·rfNm:l n{'(',.GIventhe possibilityrhntthey nrcmort'nuxious and emot.ionaily responsive,epileptics orcertainsubgroups of('pilt'p tks
/
.The firstgO:L1of tb is thesisisto ascertain how peopleIeee of nl'lIrolo~:31disorderid('~tiryIeeialerpressjons.~le:l.suresof hemispheric 3syminet rY.·:l.C'(,li~3t}·.bl~ncyand5t)'1eoffacialexpress ionidentificat ion :lre.ohl:'lint'd io determine whetherpre\"ious'related Iindings withsueh subjectsdbhe rcplieatedwiththepresentexpeeimenralset-up.Hypotheses 1,2and3pl'rt:tin'tothisfirstgcnl. Thesece ndgl'J3l.ofthis thesis isto doturmi ne
.
whether';ln~' .
difficultic;i~ .
facia l expression. .
idcutilication. . . . .
cnnb i. I
atlribuh,d to.chronlcnllyillpooplc.~cs·and epileptics).toeJ>ilepti~s
o~
to'slIhgrCl1JI)S'~/~Pii/:,pti~~'
In~ddition
tobt"i~g .
examint'-don11;('vneinblcsaho\·c,li.t
3r~
alsoinvestigalt>dror'dirr~l't'nccs
inthe err~llt 0/3 '.~
• . > ' . '' . '-".
moodind ~cl ionprocedureontheir perform:lnce:1I}'pothcscs'4;6,G and-;
IIvPoI.h~i~ t.- . Il('mi~Ph;ri~ ·~~l'mmetf\' cl r:a~i:l1 expr~ion
id('ntific.3tJon ,;;';on...non·n l'uro!Mie:t1~ub;ectsBased.~theconsensusin theiiteratu re,.itjshypothesisedthat _among righl:h:tndl'd non-neur ological-subjeets,
t~ere
will'be'a righthemisphere edvnntage;n3«Ur:u:y andlatencyforidentification- orell ,expressio ns.
.. ~
~ non-n(,ll ro logi(, :lI . ~uhie('l$/
"
A('('urftc;' is defined:1$the number of umos~1f:\('i:ll ;'xl'fI·ssinn .•
iscorrectly identified, andlatencyrctcrs'10tbciillll'tnkeuto,lIrrurtlldy id en t .ily[a cia lt'xpr<'ssions{ On the basisof findi ngslJ)'lIirsd llllall and Safer(Il:l82 ) and Kirouac. and, ;Da re [Ifl83, 11l8-1}. ilis h}'pntlll'sizl!dthat .among non-neurological subj ectscert ain('~pn'l;.sion;'will.beid,'ulifil',dfasT'-T
aitd more nccurut ely th
.
an others. TI\('('xpn·s.~ions.
inprl·(lk ll',1or.!,-ror decreasing aecumevcndill('rc~singlatcncj-arch:iIlPiJl\'1's,1'1Ir r,rise,s,ullll'';&and tear.
Y (
Hv po lh cS.is;t FlIrt;)1cxpre.<;.<;ionpro~('5singslvlerimll~fTll~ln·IH'lIrf>I()~i('711 s'ubj('cis
• .Ba~~,on.thenndin~byEtrorr (J08-1)thm'healthy-notrual adults processthe Iacial expressiondimension independent lyor1I1l' OUll'T_
:
~tics
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