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Breaking the binary: Mixed-handedness and its implications for theoretical and clinical laterality research
Annakarina Mundorf1, Sebastian Ocklenburg2,3,4
1Institute for Systems Medicine and Department of Human Medicine, Medical School Hamburg, Hamburg, Germany.
Laterality
|June 8, 2026
Summary
Handedness research should move beyond a simple right- or left-handed binary. Recognizing mixed-handedness is crucial for accurate studies on neurodevelopment, cognition, and clinical outcomes.
Area of Science:
- Neuroscience
- Human Biology
- Psychology
Background:
- Handedness has historically been viewed as a binary trait (right- vs. left-handed).
- This dichotomous approach overlooks or misclassifies individuals with mixed-handedness.
- Existing classifications may lead to biased interpretations in clinical and survival fitness research.
Purpose of the Study:
- To advocate for the recognition of mixed-handedness as a distinct and central category in laterality research.
- To challenge the traditional binary view of human handedness.
- To highlight the implications of including mixed-handedness for understanding neurodevelopment, cognition, and clinical outcomes.
Main Methods:
- This commentary reviews existing literature and empirical evidence.
- It critiques the limitations of binary handedness classification systems.
- It proposes a shift towards a more inclusive model of laterality.
Main Results:
- The binary classification of handedness is methodologically limited and can result in misinterpretation.
- Mixed-handedness is frequently overlooked, leading to a skewed understanding of human functional asymmetry.
- Empirical evidence supports the inclusion of mixed-handedness in laterality research.
Conclusions:
- Recognizing mixed-handedness is essential for advancing the field of laterality research.
- A more nuanced understanding of handedness, including mixed-handedness, can correct biases and improve research accuracy.
- This inclusive approach has significant implications for neurodevelopmental, cognitive, and clinical studies.
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