Disordered emotional processing in schizophrenia and one-sided brain damage

The work concentrates on the problem of human emotions in healthy and pathologically changed brains, mainly in persons afflicted with schizophrenia or with organic impairments localized in one of the cerebral hemispheres. This chapter presents the state of current knowledge concerning the hemispheric lateralization of emotions among healthy people, psychiatric patients, and patients with one-sided brain lesion, on the basis of clinical observations, the results of experimental work, and the newest neuroimaging techniques. The numerous experiments and scientific methods used to assess the hemispheric lateralization of emotions and the discrepancies in their results point toward a lack of consistent theory in the field of hemispheric specialization in the regulation of emotional processes. Particular scientific interest was taken in the emotions of persons afflicted with schizophrenia, either in its early or late stages. This was inspired by the emotional behavior of schizophrenic patients on a psychiatric ward and their ability to perceive and express emotions during various stages of the schizophrenic process. In order to examine the cerebral manifestations of emotional deficits and the specialization of cerebral hemispheres for emotional processes, the author has described the emotional behavior of patients with unilateral cerebral stroke, i.e., patients with damage to the right or left cerebral hemisphere. Overall, the inferior performance of emotional tasks by right-hemisphere-damaged patients compared to other groups might support right-hemisphere superiority for affect perception despite variations in the stimuli used.