MSU RETURNING MATERIALS: PIace in book drop to LIBRARJES remove this checkout from —;-a-_ your record. FINES will be charged if book is returned after the date stamped below. My»... FURTHER EXPERIMENTAL EXPLORATION OF THE RELATIONSHIP IBETWEEN HEMISPHERIC FUNCTION AND DEFENSE MECHANISM PREFERENCE By Rita V. Rogan A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Deparment of Psychology 1984 © Cepyright by RITA V. ROGAN 1984 ABSTRACT FURTHER EXPERIMENTAL EXPLORATION OF THE RELATIONSHIP BETWEEN HEMISPHERIC FUNCTION AND DEFENSE MECHANISM PREFERENCE By Rita V. Rogan Ph.D. Dissertation A growing body of literature from both neuropathological and normal subjects suggests a relationship between hemispheric laterality of function and personality. The reported studies of the experimental work in this area with normal subjects are based on the Conjugate Lateral Eye Movement (CLEM) as the primary measure of laterality. Most of these studies have used the Defense Mechanism Inventory (DMI) as the measure of defense choice. Data obtained in a previous study of hearing persons whose first language was sign language demonstrated this pOpulation to be uniquely lateralized. This laterality data was used in the present study to examine a hypothesized relationship between laterality and defense choice. The tachistosc0pic (T-Scope) paradigm was used and a laterality coefficient (LC) was computed as the measure of laterality. Defense choice was measured by a composite score of the DMI. Based on a previous study in this area, it was hypothesized that left hemisphere reliance would be associated with DMI subscales of Turning Against the Other (TAO) and Projection (PRO): whereas right hemisphere reliance would be associated with Intellectualization (INT) and Reversal (REV). This was predicted to be observable in a negative correlation between LC and DMI scores. Use of the T—Scope paradigm also permitted an additional comparison of the relative performances of the separate hemispheres with the personality variables in question. ”A El Potential moderating variables attendant to the grouping of the original study were addressed statistically resulting in an enhanced significant positive correlation between LC and DMI. A negative correlation was predicted, however. Review of related studies suggests that this outcome is consistent with previous findings only when incorporating the complex role of anxiety, and/or emotion in producing hemispheric shifts in activation level. Results also suggested that the separate hemiSpheres may differ in their participation in the Laterality/DMI relationship, with left hemiSphere playing a more integral role in its relationship to reliance upon Intellectualization and Reversal in the subject. Discussion of these relationships suggests that they are highly complex. Simplistic or dichotomized understandings of these isses are not adequate to the data. Theory and directions for future research are also discussed. TABLE OF CONTENTS Introduction 1 Factors Affecting Lateral Dominance 2 Hemispheric Function 8 Personality 20 Neuropathology 20 Neuropsychological EXperiments With Normal Subjects 28 Summary 44 Present Study . 46 Research Questions Asked in the Present Study 48 Hypothesis I 49 Hypothesis II 52 Hypothesis III 55 Hypothesis IV 57 Method 59 Results 65 Discussion 69 AAppendices 86 References 107 FURTHER EXPERIMENTAL EXPLORATION OF THE RELATIONSHIP BETWEEN HEMISPHERIC FUNCTION AND DEFENSE MECHANISM PREFERENCE by Rita V. Hogan, M. A. Michigan State University Philosophers have pondered for centuries the enigmatic relationship of mind, body, thought and action. Personality theorists have troubled over these relationships in terms of cognition, affect, behavior and neurophysiology. In 1964 Reyher said, "At the present time linkages between neurophysiological, intrapsychic and behavioral processes are virtually unknown, and will remain unknown until a method is developed that will produce phenomena in which these linkages are observable and in which the component processes are manipulable." (p. 107) We are, twenty years later, still studying neuropsychological phenomena with no direct link between substrate and function; between neuron, idea, plan and execution. In these last two decades however, advances have not only been made, but the field of neuropsychology has burgeoned into one of the most rapidly growing sciences of the twentieth century. Many of these advances have come with the rapid growth of diagnostic technology and the subsequent power to reproduce Imeuxpanatomy and neurophysiology in the "hard copy" of nuclear imaging. Many more have been the result of the rapidly growing body of literature on the f1u1ctdons of the two cerebral hemispheres. It is the purpose of this study to further explore the question of whether a relationship exists between substrate and function. Specifically, the goal will be to evaluate whether the two cerebral hemiSpheres differ in their participation in the personality of the individual. Factors Affecting Lateral Dominance [ Data from studies of neuroanatomy reveal that the two cerebral hemispheres differ in structure (Geschwind & Levitsky, 1968: Witelson & Pallie, 1973). And a growing body of research on unilateral brain damage (Geschwind, 1970; Milner, 1971), split-brain patients (Gazzaniga, 1970; Gazzaniga & Sperry,1967), clinical anaesthesia of the brain (Wada & Rasmussen, 1960) and from performance of non-brain injured persons on psychological tests (Kimura, 1973; Studdert-Kennedy & Shankweiler, 1970; White, 1972) has provided substantial evidence that the right and left hemispheres perform different Specialized functions in tdgher-order psychological processes in nearly all right-handed persons. Specifically, the left hemiSphere is considered to be specialized for verbal language functions; the right for perceptual, visuo-Spatial and emotional flumtions. More recent research has suggested that the two hemispheres differ in overall cognitive strategy as well, with left being more suited to analytic, sequential problem solving and organization methods, while right is more ruilistic, global and simultaneous in its approach to mentation (Springer & Deutsch, 1981).) Finally, a considerable body of research has accumulated to support differences between the hemiSpheres in both the comprehension and expression of emotion (Campbell, 1982). These structural, functional and cognitive differences between the hemispheres may be related. Recent radioisotOpe studies raise the possibility that the anatomical organization of right hemisphere may be congruent with its particular conceptual skills (Gur, et a1, 1980). The right cerebral cortex appears to have a higher relative concentration of white matter as compared to the left hemisphere. Tucker (1981) points out that this finding is supportive of earlier clinical observations that "the receptotOpic distribution of information across the cortex is focal and discrete in the left hemisphere, but more diffuse and generalized in the right hemisphere" (p. 38). Each hemisphere's pattern of organization at a neuronal level then, may be uniquely suited to its preferred cognitive operations. In Tucker's view the left hemiSphere's more focal and discrete organization seems compatible with the more analytic cognitive strategy associated with it: and the right hemisphere's more diffuse and global organization is consistent with its holistic cognitive strategy, due to the high degree of interconnection among.regions within the right hemisphere. These structural differences are also observable over time. Major structural differences observed between the hemispheres of the adult are reportedly observed as early as the neonate stage, in the same relative distribution (Marie, 1975). While major structural differences appear to be relatively stable, functional specialization varies over the course of development and is thought to settle by completion of maturation in established hemispheric dominance for Specific functions and stable patterns of hemiSpheric functioning within individuals (Lenneberg, 1987). Although stable hemispheric patterns of function endure in adult individuals, there are wide ranging differences ACROSS individuals in the degree of hemispheric specialization and/or sharing in the subserving of these functions, as they are traditionally understood. This wide range of individual differences is manifest in structure as well. Levy (1983) says, "Human brains differ at least as much as human faces." (p. 465) While certain statistical regularities exist in observations of the right hander's brain and its normative functioning Levy further notes, "a quite substantial minority differs from the group-typical pattern." (p. 465) Studies also suggest that various factors influence individual differences in reliance on the strategies of one or the other hemisphere, or "hemisphericity" as Bogen calls it. These factors include handedness, gender (Levy, 1978), bilinguality (Vaid 8 Genesee, 1980), early cerebral damage (Lenneberg, 1967), culture (Zook & Dwyer, 1976) and language deprivation (Curtiss, 1977). Three other factors which have been observed to affect hemisphericity were evaluated in a previous study by this author (Rogan, 1983). These were: 1) bilinguality, 2) deafness, and 3) the natural acquisition of a visuo—spatial language (i.e., sign language). Bilinguality and Hemisphericity or In a review article Vaid 6 Genessee (1980) summarized the literature as: "...generally supportive of the hypothesis that hemispheric processing of language in early bilinguals resembles the pattern characteristically noted in Imonolinguals, but that late second language (L2) acquisition engages the two hemispheres differently." (p. 435) These differences are also reported by Sussman, et al (1982) in their study of hemispheric specialization in bilinguals. Rogan (1983) summarized these as: 1. Bilinguals D0 lateralize to the left for language; 2. Bilinguals are LESS left lateralized for language than are monolinguals: 3. Right hemiSphere's participation in L2, especially for second languages acquired in adulthood, appears highly likely. 4. As a group the bilinguals clearly revealed a high degree of variability in hemispheric language representation compared to the consistent patterns of left hemiSphere dominance for the single language of monolinguals (p. 10). Deafness And Hemisphericity A small but solid literature suggests that pre-lingual deafness is also a facun~affecting lateral dominance, with lessened laterality being the observed Phenomena. This observation has been based on case reports of neuropathology (Fbizner, et al., 1983) as well as eXperimental studies of lateral function (Poizner et al., 1979). LThe issues attendant to deafness which bear directly on any research conducted using this population are extensive and complicated.) They are also beyond the scope of this paper. To include them in full explication at this juncture would be distracting. Because they are foundational understandings regarding any psychological research of this population however, two appendices (Appendix A and Appendix B) are provided which overview this basic information. The body of this paper will merely reference these variables as they are relevant. The reader who is not conversant with these issues is cautioned, therefore, to review these documents before proceeding, to assure their understanding. [The deaf have come under the scrutiny of neuroscience because of their L/ natural usefulness in evaluating one of the major explanatory hypotheses regarding the nature of lateral dominance - the importance of the cortical region known as the left temporal plane, which is larger than the corresponding region of the right hemisphere (Geschwind 8 Levitsky, 1968). This anatomical difference had been thought to provide a biological basis for the specialization of the left hemiSphere for language. Left hemisphere in this view is seen as having a greater capacity to process auditory stimulation, which may be required for optimal analysis and manipulation of the highly complex input of human language. Persons who are deaf obviously do not process auditory stimulation of the complexity of speech. Congenitally deaf persons never did. Deaf persons were thought by researchers therefore to provide an excellent test of this biological theory of lateral dominance for language. If this theory is correct, such persons, when suffering left hemisphere damage, should not manifest aphasic symptoms seen in hearing right handed persons suffering similar damage. They would be eXpected to have acquired either no dominance or, right hemisphere dominance for language. Such an expectation makes case reports of deaf persons who have suffered left hemisphere damage particularly interesting. 3 These case reports were summarized by Hogan (1983): These observations of existing reports of left hemiSphere damage in Deaf persons suggest that complete right dominance for language does not result from auditory deprivation, and that left lateralization is greater for sign that is dependent on a spoken language than that which is independent of it. Complex auditory stimulation does not appear to be a necessary ingredient for left lateralization for spoken language (p. 144). (Experimental investigation of asymmetries in deaf persons have been conducted primarily in the visual mode and have also suggested unique laterality patterns in these persons. In normal subjects such studieS'have been conducted in various ways. The objective of investigators is to lateralize inputs - to present stimuli to only one hemisphere. One of the oldest of these methods takes advantage of the natural split in the visual pathways. In humans this split divides our visual world into two fields, each of which projects into the hemisphere on the opposite side. If the visual pathway on one side is stimulated (via stimuli in one visual field) for a very short time before conjugate lateral eye movement can change the field by scanning (under 200 msec.), it allows investigators to compare the abilities of the separately stimulated hemispheres. While other methods have been used, this tachistoscopic presentation, as it is called, seems to be the most frequently used. Classic patterns of cerebral specialization in neurologically normal right handed hearing persons show a right visual field/left hemisphere advantage (LHA) for language stimuli and a left visual field/right hemisphere advantage (RHA) for faces, geometric shapes, dot localization and other visuo-spatial stimuli (Poizner & Lane, 1982). Though few in number, experimental studies of the hemiSpheric functioning of otherwise neurologically normal deaf persons are heuristic. They typically consist of visual tachistoscopic presentation of words, visuo-spatial and sign language stimuli. Summarizing these studies Hogan (1983) says, "Consistent with the clinical literature, left lateralization for language is possible without complex auditory stimulation, but the resulting patterns of hemispheric specialization are different from those in which it is present." (p. 53). Specifically, deaf subjects when compared to hearing, tend to be left lateralized for words, but not significantly so, whereas hearing subjects produce greater asymmetries (Poizner et a1 1979). These findings were based on comparisons of groups of hearing and deaf subjects. A related observation has been that within their experimental groups, the individual scores of deaf persons were marked by a high degree of variability. Considering this occurrence in their experimental study, Neville 8 Bellugi fr}. M (1978) further examined the data on the basis of the language acquisition IX 35'; history of their deaf subjects. They found that non-signing, non—speaking deaf WWW- , \fi___~ ‘7‘—*-._1__‘~~_ subjects were not lateralized for visual spatial tasks while those deaf subjects who were native signers (whose parents were deaf and used sign as their primary (I L_ . mode of communication) showed evidence of significant_LEFT lateralization. This function however, is within the traditional domain of RIGHT hemisphere in hearing right handers. The authors concluded in that study, "both biological and experiential factors, such as language acquisition and the MODE of language acquisition, interact in determining the functional organization of the brain." (p. 254) It is important to note that their deaf subjects were either non-lateralized persons who learned neither Speech, nor Sign language via natural acquisition: or those left lateralized (for verbal stimuli) subjects who learned Sign language naturally in their family home. It was not the bilingual status of these deaf persons that had been addressed methodologically, rather whether they had acquired ANY formal language naturally.) Further controlled studies of these two groups of subjects were suggested by the authors. If language acquisition variables do contribute to the unique cerebral organization of these deaf subjects, then it would also be desirable to evaluate the contribution of this variable to the neuropsychological functioning of persons who have normal hearing, thereby eliminating the contribution of the deafness itself. ( With regard to the first non-lateralized group, it is neither possible nor desirable to set up a controlled study in which either deaf or hearing children were deprived of language in order to evaluate the contributions of this language deprivation experience to their subsequent cerebral organization. One case has been reported however, in which these circumstances tragically occurred naturally in the life of one hearing child, Genie (CurtiSS 1977). Careful and lengthy observation of Genie over several years from early adolescence to adulthood produced the picture of a woman who was deprived of language, was right handed (lateral dominance had occurred), and who had acquired language during adolescence. Her language skills (acquired after the posited critical time for dominance for language) had the limits characteristic of left hemidecorticates (was telegraphic and without passive negation, complex syntactic functions, etc.). Her right hemisphere was electroencephalographically active during language tasks and her scores on standardized measures of right hemisphere functions were higher than any recorded. Therefore under these conditions of early language deprivation, that language which was acquired was subserved by right hemisphere and did not include complex syntactic functions. This suggests that in the default of left Specialization during a time critical for this outcome, the right hemisphere will subserve this function, but will do so less competently. While as stated, several physiological measures suggested right hemiSphere involvement in response to these non—language tasks, at the behavioral level Genie's performance of traditional right hemisphere tasks was higher than any recorded in the literature, either on children or adults. Neville & Bellugi's subjects were language deprived also. AS noted above, their performances showed an equality of competence across both hemispheres. Data are not available to evaluate whether Genie's right hemisphere is solely responsible for producing these traditionally right hemisphere Skills. We therefore cannot assume that her performance was unaided by the contribution of left hemiSphere. Nor can we assume that her neuropsychological functioning as a result of language deprivation is not Similar to that of the Deaf language—deprived subjects. Language deprivation of the nature experienced by these few reported individuals however, has produced a Significant effect on their neuropsychological functioning. The second group of deaf subjects in the Neville 8 Bellugi study were those who had learned sign language as their native language —— from their parents. They demonstrated a LEFT hemisphere advantage for visuo-spatial material. It would be useful to investigate whether this neuropsychological uniqueness could be attributable to the visuo—spatial language acquisition rather than to their deafness. This group of subjects does have an analogue in 10 the hearing population. It is the hearing children of deaf parents whose first naturally acquired language was Sign language. Study of this population therefore, would permit experimental evaluation of the contribution of this unique first language and subsequent bilingual eXperience. Replicating the most advanced tachistoscopic methodology for Sign stimuli employed by Poizner, et al. (1979), we did this in a previous study (Rogan, 1983).‘ Groups of hearing subjects, whose first naturally acquired language was sign language, were compared with hearing subjects who had learned sign language after adolescence (to evaluate the contribution of acquisition of a visuo—spatial second language after dominance had been established): and with normal non-signing, hearing control subjects. The first group of native signers therefore had the same language acquisition experience as the deaf native signers in Neville 8 Bellugi's 1978 study - they learned Sign at their parents' knee. Because this previous study figures centrally and foundationally in the present endeavor, it will be reviewed in more detail. _) / Visuo-Spatial Language Acquisition and Lateralityj- Foundation Study In four experimental conditions, stimuli were tachistoscopically presented to these 30 subjects who were equally represented across the three Experimental Groups: Native signers, Late-learn signers and non—signing controls. The four types of stimuli were English Words, Oriented Lines, Moving Signs and Static Signs. (Appendix C contains a complete technical description of the method used in that study.) All three Groups were compared on Words and Oriented Lines only, whereas the two signing Groups were also compared on tasks involving the two Sign 11 language stimuli. Each experimental condition included of 40 trials (20 stimuli randomly distributed and appearing once in each visual field) in which subjects were asked to identify what they saw. They did this verbally for words, in Sign for signs, and by point identification with the dominant hand for line orientation. Instructions were also given in the language being tested. Accuracy of identification per hemifield was the dependent variable. Subject responses were recorded by Signing interpreters for all experimental conditions. All subjects completed a one and a half page questionnaire before beginning testing. Test sessions for subjects eXposed to all four Experimental Conditions were approximately 1 1/4 hours with a ten minute break during the session. For the Control Group about 3/4 of an hour was required. Order of Experimental conditions was counterbalanced. Two short paper and pencil personality measures (The Defense Mechanism Inventory, Gleser & Ihilevich, , 8 the California Personality Inventory) were given to subjects with completion instructions. These were taken home and mailed back within the week in self addressed, stamped, anonymously coded envelopes. All subjects returned their questionnaires promptly. 0n English words and Oriented Lines it was expected that the late-learn signers and non-signing controls would perform comparably, demonstrating LHA for words and RHA for Oriented Lines, since there is nothing about learning sign language late in life which would be expected to alter traditional dominance patterns. It was also expected that if, as suggested by earlier studies, early bilingual experience involving one visuo-spatial language does affect laterality patterns, then a reduction in reliance on left hemisphere for the processing of verbal stimuli would be obtained in native signers. Additionally, the native 12 V . 1A ‘0- \ *‘ signers Should be less left lateralized for words and LEFT lateralized for oriented lines. Late learn signers were expected to Show a RHA for signs consistent with late acquistion of a second language: and native signers were expected to show a left hemiSphere trend for signs. Finally, motion was expected to engage both hemiSpheres equally in native signers. These were the laterality patterns observed by Poizner 8 Lane (1979) in their use of this method comparing Deaf subjects and non-signing hearing controls. The laterality patterns of the hearing native signers were consistent with the prediction that a visual—spatial first language experience, without auditory deprivation, is sufficient to produce Significantly different patterns of asymmetry. There was no Significant difference between the groups in overall accuracy, suggesting that any differences which did occur were not due to varying processing abilities among the groups. Because of the experimental design (all three groups compared on only two experimental conditions, with only two groups compared on all four experimental conditions) preliminary analyses were conducted separately. In comparing the two Signing groups in the two Sign language conditions, analysis of variance revealed a Significant interaction effect of EXperiment X Hemisphere X Group (F(2) = 5.13, p = .013) indicating that the groups performed differently across eXperimental conditions. Analyses of the performances of the two groups on Static Signs alone revealed a significant Hemisphere by Group interaction (F(l) = 7.13, p = .0156), and t-tests performed on the mean scores of the separate hemispheres of these two groups revealed a highly significant RHA for both Groups 1 (t corr (9) = -3.50, p =.007) and 2 (t corr (9) = -5.06, p = .001). Figure 1 reflects the mean percent correct scores for each hemifield across all groups in all conditions tested. These differences between hemifields were greater for 13 Group 2, the late learners of Sign (-2.80), than for Group 1 (-1.10), the native signers. Comparing the mean LC's calculated for each subject, this difference between Groups 1 and 2 was significant (t pooled (18) = -2.04, p = .05). These findings were consistent with the prediction that acquisition of a second language after adolescence results in greater involvement of the right hemisphere in processing that language. In processing moving signs an RHA was also produced by both signing groups. This was not a significant RHA for the Native signers (t corr (9) = -.88, p= .399), whereas it was significant for Late learners (t corr (9) = -2.49, p = .034). Again, as expected, the greater reliance on right hemisphere processing was found in the group that had acquired this second language after adolescence. Insert Figure l Both signing groups showed the patterns of RHA for processing Sign stimuli reported for the deaf and hearing signers in previous studies (McKeever, et a1, 1976: Manning, Goble, Markman, & LaBreche, 1977: Neville & Bellugi, 1977; Poizner 9 Lane, 1972) including the study from which this methodology was drawn (Poizner, et al., 1979). The Native signers produced a right hemisphere ratio (.882) of nearly the same magnitude as the Deaf SS in that study (.90). The strong RHA for late learners is not only consistent with the patterns of hearing signers who were used as Controls in previous studies, but as ASL is a second language for this group their RHA is consistent with the laterality patterns for second language processing of bilinguals who acquired that language after 14 .mmeamHEoL >3 co museum Ham wo momcogmmu mmcHH pmquHuo Ewan QCw>QE >H axm HHH .axa mxmmu HmucmhwuoaXm spew Ham ooouuoo ucmouoc coy; .H magmas H T? c0 q 3 3331 3331 Jtha swam owumum mpuo3 HH .axm=u. H .wa m an m; an .3 on 1: U. 3U. 3W 3 3 , ri.oe \ I \ I .xxwesxxxxx 7/ ,. [n.0m \ I/7 / r|.oo ‘1 On [I ow .. II mHouucoo wcwummx - . . .- m dsouu mumcwam mung mafiwmm: m dsouu mumcmam o>aumz wcwummx sasuodsaa 3331103 Juaoiad uqu H asouo adolescence (Vaid G Genessee, 1980). The underlying theoretical conceptualization of non-dominant hemisphere Specialization in processing of a late acquired second language, was supported by this finding. The results of this study of the processing of Sign received further validation by a post hoc analysis of subject's performances on complex versus simple signs. This was an analysis which Poizner had performed on the scores of his deaf SS to evaluate Kimura's (1974) findings that left hemisphere is better able to function in the processing of complex, but not simple movements. The native signers of this study showed a score nearly equal to that of the Deaf Ss of the Poizner et al. (1979) study. More germane to this discussion however, are the results of the eXperimental conditions containing the English words and Oriented Lines. There was an overall EXperiment by Group by HemiSphere interaction (F(3) = 3.63, p <.05), for the three groups compared on these two tasks indicating that stimulus type played a role in the varying performances of the hemispheres of each of the groups. Subanalyses of group performances on English Words revealed that the Non-Signing hearing controls reached the expected significant LHA for words (t(9) = 3.12, p = .012). Though the group of Native signers produced an LHA, as predicted, this difference between the performance of the two hemispheres did not reach Significance (t(9) = .67, p = .522). Their performance on this task is similar to the laterality response pattern to English Word stimuli, found repeatedly in Deaf subjects: a reduction in the difference between the hemifield scores, with only a tendency toward left hemisphere superiority which usually does not reach significance (Poizner 8 Lane, 1982: McKeever, et a1, 1976; Phippard, 1977; Suter, 1982: Manning, et a1, 1977; Neville, et al, 1983). 15 Further analysis of the ways in which the separate hemispheres performed on this task revealed that while the left hemispheres of both native signers and non signers were comparable in their processing ability of words (t(18) = .96, p = .348), the right hemispheres differed in a way which approached significance (t(18) = 1.90, p = .074), with a mean percent of correct responses of non-signers of .3850 and of native signers of .5300. This difference did not exist between the two signing groups however, with both right (t(18) = .46, p = .649) and left hemispheres (t(18) = -.45, p = .660) of each group performing with comparable accuracy. The way in which signers tend toward reduced laterality for processing words when compared to non—signers then, is in a greater capacity of the right hemisphere accuracy rather than a lessened capacity of either hemisphere. This additional capacity of right hemisphere tended to be the strongest for the native signers. Subanalyses of all groups' responses to Oriented Lines,resulted in a Group by Hemisphere interaction (F(2) = 6.07, p = .0067), indicating that this stimulus type was responded to differently by the hemiSpheres of each group. The t-tests for correlated means of hemisphere scores Show these differences to be significant for the late learn signers (t corr(9) = -2.41, p = .039) and the non-signers (t corr(9) = —4.47, p = .002) and in the direction of the expected RHA. While the difference score of the relative performance of right and left hemispheres of the native signers was not significant (t corr(9) = 1.25, p = .244), it was in the opposite direction (+.90), suggesting native signers have a somewhat more competent left hemisphere in this visuo-spatial task. On the basis of comparisons using LC'S for each subject as the dependent measure, highly significant differences were found between the non-signing control Subjects and the native signers, as predicted. This is consistent with the 16 reports of performance of Native Signing Deaf Ss studied by Neville (1977), Phippard (1977), Neville 8 Bellugi (1978), Neville (1980) and Neville, Kutas and Schmidt (1982). Those Deaf subjects who had no naturally acquired formal language, where this variable could be controlled, showed a RHA for visuo—spatial and language skills while those who had acquired sign naturally produced a LHA for these same skills (Phippard, 1977: Neville 1977: Neville, 1980). The laterality pattern of the hearing native signers then, was like that of the native signing Deaf subjects previously studied. Finally, post hoc analysis of the performances of the individual hemispheres revealed that the native signers and the non—signers differed significantly in the efficiency of left hemisphere for processing visuo-Spatial material, (F(l) = 9.16, p = .0054) with the left hemisphere of native signers reaching the highest efficiency of all groups on all stimuli (mean = .6950). Once again then, the reduced laterality was NOT produced by a decline in performance of either hemisphere, but rather by an increase in performance capacity of left hemisphere. Based on these data, when left hemisphere is able to process visuo-Spatial material it gives its best performance. Overall, groups differed from each other in hemispheric performance not only by direct comparison on separate eXperimental conditions but also in their hemispheric shifts across tasks. The non—signing controls Showed a strong and complete shift of hemisphere superiority across the two experimental conditions in the expected and previously reported directions for right handers. The Late learn signers, while better overall than non—signers, shifted hemisphere superiority in performance significantly across all four eXperimental 17 conditions, in the predicted directions previously demonstrated by Deaf persons who had acquired sign later in life. The Native signers, with insignificant hemispheric trends only, demonstrated symmetry across all but one experimental condition: static signs, in which they produced the previously demonstrated RHA for this stimulus type. Hemispheric functioning is clearly differentially affected by visuo-spatial first language SXperience in hearing persons, resulting in a reduced laterality in processing all stimuli when compared to both Late learning Sign users and Non-signing controls. This study demonstrated that first language eXperience is sufficient to produce this pattern previously reported in deaf SS and inferred to be a result of the absence of auditory stimulation. The author concluded: ...if these performances are correctly inferred to be a function of a totally different organization of neuropsychological functioning in this group of hearing native signers, it is the result of their unique first language experience. (p. 127) and finally, Perhaps the most significant contribution this study has made is in identifying a new experimental population which offers this unique laterality pattern as well as skill in a unique language. That sign language can be processed simultaneously with a Spoken language adds to its potential to contribute much to our understanding of the interrelatedness of the two hemispheres. And this population permits methodological 18 consistency of language mode from instructions, to stimuli, to response. Rogan (1983, p. 144) One of the most intriguing areas of correlational work on cerebral function to have emerged is that relating personality to the conscious and unconscious determinants of behavior. The uniqueness of the hemispheres in specialized function and in style of mentation has been coupled with the observations that individuals differ in their degree of reliance on the processing capacities of the two hemispheres. This has led analogically to the question of whether these stable differences in hemispheric functioning across individuals may be related to cognitive style: a stable problem solving trait which also varies across individuals. Furthermore, the question arises whether the cognitive style an individual characteristically relies on in approaching problems may be intrinsically related to the unique hemispheric functioning patterns of that individual. And finally, in what way then, may these be related to the most general descriptor of the individual, personality? 19~ Hemispheric Function and Personality NeurOpathology Not unlike the hemispheric research itself, that which examines the relationship between hemispheric function and personality components has been eXplored via many sources of data. Primary among these personality components have been emotion and cognition. The clinical sources of data from reports of unilateral brain damage, hemiSpherectomy and unilateral electroconvulsive shock have provided a foundation of observations of impaired and spared behavioral function. Unilateral Brain Damagg Though clinical reports of unilateral brain damage are among the earliest sources of observation of impaired behavioral function, the contribution of damage to the right hemiSphere to more than motor function has been only recently recorded. This is due to several factors, but the comparative subtlety of functions which are impaired when the right hemisphere is compromised is likely the strongest contributor to this lag in recorded neuropsychological understanding. This data base is nonetheless the earliest to suggest that emotions are differentially mediated by the two cerebral hemispheres. Ross (1981) summarized the range of impaired emotional functions resulting from right hemisphere damage in his categorization of the "Aprosodias". These include impaired recognition of emotion in the communications of others, as well as an absence of color, affect and emotional tone in both verbal and gestural expression of the impaired individual. 20 Hemispherectomy, Reports of the sequelae of hemiSpherectomy (removal of one of the cerebral hemispheres) in adults have also contributed to the inferential relationship between emotion and the separate hemispheres. A case which exemplifies this clinical literature regarding the removal of the left hemisphere is reported by Smith (1974) as E. C. Immediately following the removal of his left hemisphere, E. C. was unable to answer questions with meaningful speech, but he was able to clearly articulate "expletives and short emotional phrases." (p. 469) Smith observes the differences in removal of left hemisphere in this case, compared to reports of the removal of the right hemisphere: Loss of personality values or bizarre behaviour reported after similar cases with right hemiSpherectomy (Gardner et al., 1955). however, was not observed in E. C. Affective reactions and general behaviour I have observed before and after hemiSpherectomy were apprOpriate, and consistent with his wife's report of no noticeable change in emotional responses or in a basically well-balanced personality. (Smith, 1974, p. 470) In spite of the loss of most expressive language, emotion and personality remain essentially the same without the help of the left hemisphere. To quote from another case history of one 10 year old patient who eXperienced removal of the left hemiSphere: ...personality characteristics such as humour, boredom, love 21 and frustration are readily exhibited by right hemisphere in a pattern reported by the parents to be substantially the same as before surgery. (Gott, 1973, p. 1086) The observations are different when right hemiSphere has been removed. Gardner (1955) summarizes the observations of ten adults after removal of their right hemiSphere: With one exception...they became dependent, regressive and ineffective people. Systematic psychological tests demonstrate that in most of these subjects intellect per se is not the outstanding deficit, for vocabulary and verbalization appear to suffer the least and memory and more complex integrations involving insight, emotional control, initiative, constructive ideation, and imagination that hemiSpherectomy takes its toll. (p. 501) Removal of the right hemiSphere appears to result in flat unemotional speech, whereas removal of the left hemisphere results in an absence of meaningful speech, leaving none but the most emotional of speech. Uni-Lateral Electro Convulsive Shock Documented sequelae of unilateral electroconvulsive shock treatment have added to this construction of right hemisphere's contribution to emotional aSpects of personality. The work of V. Deglin, a Russian neurophysiologist who had tested a large number of patients after electroconvulsive shock treatment (ECT), stresses the importance of lateral considerations in depression. His 22 studies suggest that right hemisphere unilateral ECT may be more effective in treating depression than bilateral administration. Unilateral right ECT resulted in his characterization of the "left hemisphere person", who becomes more talkative with a richer and more varied vocabulary while also becoming less expressive. Similar changes in the receptive mode are observed. Natural sounds of coughing, ocean waves, etc., are often unidentifiable to these persons. There is an inability to Sing. Visual impairment was observed in an inability to notice essential missing details as well as an inability to see the overall gestalt of an image. Emotional outlook was easygoing and cheerful, suggesting that the left brain is optimistic and cheerful (Deglin, 1976). Deglin suggests this result reflects that the left hemisphere is more active as a result of) being freed from competition with the right. In contrast the "right hemisphere person"'s (left unilateral shock) emotional outlook becomes negative, morose, pessimistic about the present and future. S/he typically complains of not feeling well. Speech activity is greatly reduced, using far more mime or gestures with sharply diminished vocabulary. Speech is limited to simple sentences of isolated words. Understanding of Speech is similarly limited. S/he shows a lack of attention to speech that is not very loud, while his hearing for non-verbal sounds is excellent. S/he is more attentive to natural sounds such as the surf than he would be if both hemiSphereS were working fully and music is readily recognized. Deglin suggests that it is the lack of competition from the left hemisphere that improves performance on these tasks. Such were the observations of the sequelae of unilateral electroconvulsive shock. Split-Brain Patients 23 Myriad observations of the unusual behaviors of Split brain patients from immediately following surgery to long term post recovery have produced a wealth of theories to describe the relationship between mind and body, brain and behavior. Split brain surgery, or Commissurotomy, consists of surgically cutting the corpus callosum which connects the two cerebral hemispheres. As early animal studies of commissurotomy had shown minimal consequences of split brain surgery on healthy organisms, it was not until the mid 1960's that the Nobel Prize winning work of Roger Sperry illuminated not only the importance of the corpus callosum in humans, but of the separate cerebral hemispheres in behavioral function and consciousness. Of particular interest to personality theorists were the accounts of some of the bizarre experiences of the disconnection patients. One patient, for example, reported finding his left hand struggling against his right when trying to pull his pants on in the morning. One hand was pulling them up while the other hand was pushing them down. On another occasion the same patient was angry and forcibly reached for his wife with his left hand while his right hand grabbed the left to stop it (Gazzaniga, 1970). Though these experiences subside with time resulting for the most part in coordination of the two sides of the body, the obvious conflict stirs Speculation on how this may be related to neurotic conflict. Galin (1974) believes that these phenomena provide a neurological validation for Freud's notion of an unconscious mind. He points out that right hemisphere's mode of thought is consistent with Freud's description of the "unconscious" and suggests that the functioning of an isolated right hemisphere is Similar to processes that are repressed, unconscious, and unable to control behavior directly: "Certain aSpects of right hemisphere functioning are congruent with the mode of :0- u ..- u a. 5“ .57. .4 ~- cognition psychoanalysts have termed primary process, the form of thought that Freud originally assigned to the system ch (unconscious)." (p. 576). Illustrative of this are the extensive use of images, lessened awareness of time and sequence, and a limited language not unlike that of dreams and slips of the tongue. As his theory is fashioned, Galin (1974) believes that there are several ways in which an ordinary person could function as though they had been surgically disconnected. Each hemiSphere is exposed to the same sensory input, though it effectively receives different input because each emphasizes only one aspect of a message. The left will attend to the verbal cues, and the right will attend to the non-verbal cues. Using the classic example of the schizophrenogenic parent, he says, "Imagine the effect on a child when his mother presents one message verbally, but quite another with her facial expression and body language; 'I am doing it because I love you, dear', say the words, but 'I hate you and will destroy you' says the face. (p. 576)". He believes that during such moments of disconnection, the left hemisphere governs consciousness while mental events in the right hemiSphere continue a life of their own and act as a Freudian unconscious, as an independent reservoir of inaccessible cognition, which may create uneasy emotional states in a person. Speculative though this theory may be, no clinician can miss the implications of the report by Gazzaniga G LeDoux (1978) of P.S., one of their Split brain subjects. P.S. was tested with pairs of visual stimuli presented via bilateral tachistosc0pe. The picture falling into each visual field was thus processed by the hemisphere opposite that field. P.S. was asked to use his hands to point to pictures that were related to what he had seen flashed on the screen from among several placed in front of him. His right hand pointed to a 25 picture related to one that had been flashed in his right visual field (to left hemisphere) and his left hand pointed to a picture related to one that had been flashed to his left visual field (right hemisphere). When a snow scene was presented to the right hemisphere and a chicken claw was presented to the left, P.S. quickly and dutifully responded correctly by choosing a picture of a chicken from a series of four cards with his right hand and a picture of a shovel from a series of four cards with his left hand. The subject was then asked, 'What did you see?’ 'I saw a claw and I picked the chicken, and you have to clean out the chicken Shed with a shovel.' In trial after trial, we saw this kind of reSponse. The left hemisphere could easily and accurately identify why it had picked the answer, and then subsequently, and without batting an eye, it would incorporate the right hemisphere's response into the framework. While we knew exactly why the right hemisphere had made its choice, the left hemiSphere could merely guess. Yet, the left did not offer its suggestion in a guessing vein but rather a statement of fact as to why that card had been picked." (Gazzaniga G LeDoux, 1978, p. 374)) While the Split brain data is enticing, as Kinsbourne (1983) points out, "The brain is known to be integrated". In normal persons this is true. Given the methodological problems attendant to drawing from brain damaged or 26 surgically resected populations only, it is important to note the data drawn from eXperimental studies of the neuropsychological function of normal persons in exploring these relationships between laterality and personality. Studies of the relationship between hemisphericity and personality style as seen by defensemechanism in neurologically normal subjects have begun to emerge in the experimental literature. 27 Neuropsychological Experiments With Normal Subjects Studies of the relationship between hemiSphericity in neurologically normal subjects and various personality components have begun to emerge in the experimental literature. These studies have relied primarily on Conjugate Lateral Eye Movement (CLEM) as the measure of hemisphericity. Such characteristics as anxiety (Gur 8 Gur, 1975: Krikorian 8 Rafales, 1982), hypnotizability (Bakan, 1969: Gur 8 Gur, 1974), psychosomatic complaints (Gur 8 Gur, 1977), cognitive style (Smokler G Shevrin, 1979) and defense mechanism clusters (Gur G Gur, 1977: Shevrin, Smokler 8 Wolf, 1980; Krikorian 9 Rafales, 1982) have been found to be related to hemisphericity as measured by CLEM. Measures Conjugate Lateral Eye Movement The measure itself has come through an interesting evolution. The early observations of neurologists (Mott 8 Shafer, 1890; Penfield & Roberts, 1959) indicated that electrical stimulation of various Sites in one of the cerebral hemiSpheres could result in a turning, or orienting, of the eyes in the direction of the opposite Side. This led to the assumption that systematic observations of the directional eye movement of individuals in their response process to certain questions, could be used as a suitable method of measuring the hypothesized contralateral activation. Kinsbourne (1973) had suggested this interpretation of the CLEM phenomenon and further, that a right-left distribution of eye movements may reflect a distribution of actual cognitive function between the cerebral hemiSpheres (Kinsbourne, 1972). In 1964, Day 28 noted that direction of eye movement to the right or left is consistent for a given individual, so that most persons can be classified as either Right-movers, or Left-movers. An individual makes about 75% of his CLEMS in one or the other direction. Numerous studies have since demonstrated the association between direction of lateral eye movement in response to questions requiring either verbal or visuo-Spatial content (Gur G Gur, 1977). While Ehrlichman 8 Weinberger (1978) argue that the link between CLEM patterns and hemispheric activation remains unproven (consistent with Reyher's (1964) critique of the substrate/function inferences) they do acknowledge that studies of individual differences in CLEM patterns have produced a fair degree of stability and consistency in their correlates. This question however is complicated by the many conditions that influence CLEM. The relationship between direction of eye movement and question content is not a direct left hemisphere/verbal, right hemisphere/visuo-spatial relationship. Individuals differ in their reliance on the processing capacities of the two hemispheres as indicated earlier. Women and left-handers tend toward less lateralization. This individual characteristic pattern of response is also influenced by the eXperimental situation. Gur (1975) demonstrated that though the characteristic reSponse pattern will be more directly related to the problem type of the question when the examiner is behind the subject, a greater percentage of eye movements, indicating reliance on the preferred hemisphere, is observed when the experimenter is facing the subject -— regardless of problem type. According to Gur: The direction of eye movements in response to questions appears therefore, to be determined by at least two factors: 29 in s. u H ‘l a 4 t \F < v F I (a) problem type and (b) characteristic use of a certain hemisphere by a given individual. Gur (1975, p. 755) The author suggests an interpersonal SXplanation that: Anxiety, according to Sullivan (1953), is closely tied-up with interpersonal relationships and tends to stand in the way of an appropriate problem—solving or need related behavior. Gur (1975, p. 756) Later studies (Gur 8 Gur, 1977) added supportive data to this interpretation, resulting in a concept of "hemisphere activation bias" as the phenomenon underlying the tendency to "use" a certain hemisphere in the face-to—face situation, regardless of its greater or lesser ability to handle the specific type of problem. CLEM then, can measure both the pattern of hemisphericity, in the reliance of an individual on the processing style of the hemisphere which is better able to handle the type of material in question. Or, when the "pressure" is on, CLEM can reflect an exaggerated reliance on the preferred hemisphere of the individual, believed to be due to the influence of anxiety. This may not be the hemisphere best able to handle the material in question and may, therefore, occur at a cost in accuracy. Though the mechanism of this phenomena may not be fully understood, its existence has contributed to some of the earlier and 30 continuing questions about the reliability of this measure of hemisphericity. CLEM As An Index Of Personality Concurrently with Day's work as a clinical psychologist, the connection between hemispheric activation bias, as measured by CLEM, and personality, evolved (Day, 1964). In the course of his practice, he noticed that patients tended consistently to look to the left or to the right when answering questions. Further work suggested that the direction of these lateral eye movements might be associated with certain personality characteristics (Day, 1967). Supportive data was published a few years later by Paul Bakan (1969). In advance of Kinsbourne (1973) he proposed that the eye movements are related to hemispheric asymmetry. He saw CLEM as symptomatic of an easier triggering of activity in the contralateral hemisphere. These two lines of inquiry - that of the relationship of CLEM to hemispheric function and the relationship of CLEM to personality, have generated the body of literature supporting a consistent relationship between the phenomenon of CLEM and the previously cited personality traits. The experimental link between hemisphericity and personality characteristics rests heavily on this link. Defense Mechanism Inventory: a Measure of Defense Cluster Experimenters in this area of research, have relied heavily on one particular measure of personality, the Defense Mechanism Inventory (DMI) (Gleser 8 Ihilevich, 1969). Because of this, the demonstrated relationships between laterality and personality are heavily based on the DMI as well. The DMI yields quantitative measures of five basic defense mechanisms: Turning Against the Other (TAO), characterized by Gleser 31 and Ihilevich (1969) as dealing with conflict "through attacking a real or presumed external frustrating object" (p.52): Projection (PRO), characterized by "SXpression of aggression toward an external object through first attributing to it, without unequivocal evidence, negative intent or characteristics" (p. 52); Intellectualization (INT), (formerly called Principalization), characterized by dealing with conflict by "invoking a general principle that 'splits off' affect from content and represses the former" (p. 52): Turning Against the Self (TAS), characterized by "directing aggressive behavior toward S himself" (p. 52); Reversal (REV), characterized by repression, denial, negation and reaction formation: defenses which deal with conflict by "responding in a positive or neutral" (p. 52) way to a frustrating object. Concurrent predictive validity of the DMI was demonstrated by Gleser 8 Sachs (1973). However, validity findings of another study (Vickers G Hervig, 1981) which compared three defense measures: the DMI, the Coping Operations Preference Enquire (COPE), and the scales developed by Jaffe and Naditch (JGN), were equivocal with a trend toward similar patterns of correlation between defenses Within instruments. The authors observed that "Overall, the pattern of correlations for the DMI was broadly Similar to those found in the other two instruments (p. 635)". 32 Gleser 8 Ihilevich (1969) reported correlations between TAO and PRO subscales of r = .63, and between INT and REV of r = .54, in the original Out—Patient sample. subsequent studies have replicated high correlations among these scales. Gleser G Sachs (1973) reported corre = .63 between TAO and PRO: and corr = .51 between INT and REV. And Vickers 8 Hervig (1981) report correlations between PRO and TAO and between INT and REV of r = .97 and r = .96, respectively. Several experimental studies are not only representative of the literature, but the state of the art of these findings, as well. ~ Studies of Hemisphericity and Personality in Normals The first of these studies by Gur & Gur (1975) exemplifies the methods used by almost all of those that follow. CLEM served as their measure of laterality, using the criteria suggested by Bakan (1969) of greater than 70% of eye movements to the left to classify left—movers, more than 70% to the right as right-movers, and all others, bi—directionals. The experimental paradigm with experimenter facing the subject, was used. This is considered to produce the greatest anxiety, Twenty—eight right-handed male undergraduates subjects were then grouped as either left-movers (N=12). right—movers (N=8), or bi-directionals (N=8). Preference of defense mode was measured by the Defense Mechanism Inventory (DMI, Gleser 8 Ihilevich, 1969). When compared on each of these five defenses, the three groups differed on only three. On both PRO and TAO the right—movers (left hemisphere users) were Significantly higher than left-movers (right hemiSphere users), but they were only significantly higher than bi-directionals (less lateralized) on TAO. These findings were consistent with the author's expectations in that persons using TAO and PRO are seen as individuals who externalize conflict acting against the environment. These defenses require more cognitive verbal elaboration. Left-movers (right hemisphere users) were significantly higher than right-movers (left hemisphere users) on REV only, but did not differ significantly from bi-directionals. These findings were also consistent with the author‘s predictions in that REV is seen in an individual's immediate denial of reality, internalization of conflict, and repression of emotions evoked by 34 external stress, and reaction formation. This was seen as consistent with expectations of how right hemisphere involvement would be manifest in personality» Smokler G Shevrin (1979), in an elegant study, compared laterality patterns of persons with hysteric personality styles to those with obsessive-compulsive personality styles. While they relied on CLEM in the Experimenter facing Subject paradigm as their index of laterality, they used a more clinical approach to their assignment of personality type. Reasoning that a strongly left hemisphere dominant individual might appear as one who "analyzed virtually everything in a piecemeal, analytic manner even in Situations in which this might not be advantageous." (p. 949) they observed how closely such an individual would fit the traditional description of the non—pathological Obsessive—Compulsive personality type: 1. Having a strong tendency to repress disturbing affects, 2. Tending to treat everything in an ideational way even when inappropriate, 3. Favoring a logico-deductive approach to problem solving, rather than a concrete stimulus-bound approach. Similarly, they reasoned a strongly right hemiSphere dominant individual would seem to deal with situations in a global, holistic manner, relying little on analytic strategies. Such an individual would fit closely the classic description of the hysteric personality style having: 1. Strong tendency to repress disturbing ideas, 2. A tendency toward emotional lability, 3. A tendency to solve problems in a stimulus bound, concrete way, rather than using logic. 35 The authors cite Freud and Charcot as the generators of the long history of clinical observations of such personality types. Based on these considerations, a screening for personality style was completed using responses to six projected Rorschach cards (I, III, IV, VI, IX, X) in which 316 right-handed undergraduate subjects of both sexes were asked to write down everything they saw in the card. The card was flashed again for 3 minutes and the Subject was asked, "What about the card made it look like whatever you saw? (p. 950)". They were also asked to amplify their description of each percept. Subjects were then asked to self administer the WAIS Comprehension subtest. Subject protocols were judged by trained clinicians, using a list of definitive projective characteristics for obsessive-compulsive and hysterical personality styles drawn from Schafer's (1954) work. Their objective was to identify individuals with the personality styles -— not merely cognitive by-products of left, or right hemiSphere function -— of either hysteric, or obsessive-compulsive type, as these are defined and implemented in the clinical setting. Though 316 subjects were screened and so grouped, only 75 subjects were actually run due to the unavailability of subjects after the end of the academic semester. The final number run were 26 Hysterics (8 male, 18 female): 15 Obsessive style (7 male, 8 female): 33 Controls (23 male, 10 female). The data were analyzed using a repeated—measures analysis of variance for unbalanced designs with sex and personality style as the two between-subject factors, and procedure and content of question as the two within-subject factors. Percent right-looking scores, determined by dividing the number of right eye movements that could be scored by the total number of movements that could be scored, were used for this analysis. 36 Results revealed a significant effect for personality and no effect for sex. Highly significant differences in CLEM were seen between hysteric and obsessive-compulsive groups. The authors concluded that hysteric personality style was highly correlated with left looking (right hemisphere user) CLEM, and that obsessive-compulsive personality style was highly correlated with right looking (left hemisphere) CLEM. These authors see in their results an avenue for observing the relationship between personality as defined in psychoanalytic terms and current knowledge of laterality. They appear therefore, to be searching for a way to observe a posited interface of dynamic (intrapsychic) and cognitive (cortical) processing. They rebut the possibility of criticism of their method as merely itself reflecting "manifestations of right or left hemisphere functioning in projective tests (p. 953)" by arguing that the criteria used are separately defined for several reasons: First, they are generated from a theoretical and clinical tradition totally separate from research in neuropsychology and psychobiology. The conceptualizations and assessment of obsessive—compulsive and hysteric function relied on presently were postulated well before and almost indisputably separately from most empirical knowledge of how the left and right hemispheres function. (Smokler 8 Shevrin, 1979, p. 953)) While this is true of the assessment measures themselves, it is not altogether true of their theoretical underpinnings, at least not to the extent that the work of Freud is concerned. Though the knowledge of the differential functioning of the individual hemispheres was absent during Freud's era, the 37 anx- avl' a. .- ‘Q manifestations of these differences in functioning may have been observed and attributed to different neurological explanations. For instance, left hemiSphere functions, as we know them today would have been seen as secondary processes, or higher cortical functions: whereas right hemisphere functions could have been seen as less corticated, primary process functions. If one's view of Freud's earlier work is Similar to that of Pribram 8 Gill (1976), then one cannot assume his conceptualizations of personality to be grounded on anything but his work as both a clinician AND a neuropsychologistIpsychobiologist. It may be that intrapsychic phenomena, a la Freud, are not so easily "separately defined" (Smokler 8 Shevrin, 1979, p. 953) from neuropsychological phenomena, and therefore are the meat of an unnecessary struggle for distinction. The results of this study Show that a Significant portion of subjects with hysteric personality styles were left-movers in the face—to—face questioning paradigm. Subjects with obsessive—compulsive personality styles tended to be Right Movers. This suggests that to the extent that CLEM can be seen as an index of hemiSpheric activation, hemisphericity may be integrally related to personality structure, as measured by these more dynamically oriented methods. The authors emphasized that their efforts were to evaluate the relationship of laterality with personality structure, avoiding the criticism that they may be, "...no more than manifestations of right or left hemisphere functioning on projective tests. (p. 953)" In counterpoint to these however, Smokler 8 Shevrin (1979b) extended their study and, using 41 of the same subjects in groups of Controls (N=21, 14 men, 7 women), Hysteric (N=14, 5 men, 9 women) and Obsessive-compulsive (N=6, 4 men, 2 38 women) personality style, compared both their scores for field independence and DMI defense clusters in an effort to replicate previous correlational findings. They found no significant relationship among field independence, as measured by the Rod and Frame Test and the Embedded Figures Test: hemiSphericity, as measured by CLEM: or defense cluster, as measured by the DMI, thus failing to replicate the results of Gur G Our (1975). The Authors consider and reject such possible explanations as "lateral eye movements provide a poor index of hemispheric lateralization", concluding that "insofar as the main differentiation between hysterical and obsessive personality styles is often based upon dynamic as well as cognitive characteristics, it might be useful to consider the possibility that these dynamic factors may have considerable Significance with respect to lateralization." (pp. 201-202) No relationship was evidenced between personality style and DMI defense cluster either however, raising validity questions about the DMI. A recent study by Krikorian and Rafales (1982), while providing data supportive of the existence of a relationship between DMI defense clusters and directional CLEM, highlights further the tenuousness of this relationship. Observing that previous studies (Gur et al. 1975, Hiscock, 1977) suggested that varying levels of arousal can disrupt asymmetrical LEM patterns, they manipulated the arousal level of the stimulus. They did this not by manipulating the interpersonal pressures, as had Gur, Gur 8 Harris,(1975) (they had the EXperimenter out of the room), but rather by varying the intrapsychic sources of presumed emotional arousal (by varying the degrees of emotionally arousing question content). Three arousal levels were used: low, moderate and high: with either verbal or spatial content. An example of high verbal arousal is "Tell me how you feel when someone tells you that you are no good." and high Spatial arousal, "Visualize and describe the most upsetting photograph of the 39 Vietnam War that you have seen." (p. 374) Consistent with the design of Smokler G Shevrin, subjects were grouped by defensive style, while hemisphericity, as measured by CLEM served as the dependent variable. Group assignment was made by computation of a composite DMI score for each subject. The authors derived this composite DMI score using several factors observed in previous studies. These included: 1. Previous studies produced high intercorrelations of two pairs of the DMI scales.used both the high intercorrelations of two pairs of the DMI scales. 2. TAO was highly correlated with PRO and INT with REV. 3. The Gur G Gur (1975) study reported that one pair, TAO and PRO, correlated with Left-movers, while REV, one of the other pair, correlated with Right-movers. The authors therefore, subtracted the sum of INT and REV scores from the sum of TAO and PRO scores. Subjects were classified according to defensive orientation as, Projectors - those with positive DMI composite scores (TAO + PRO > INT + REV), and Rationalizers -— those with negative DMI composite scores (TAO + PRO < INT + REV). By this method Sixteen subjects were identified as members of the two experimental groups, Projectors and Rationalizers. Comparisons were made across groups and arousal levels and between the proportion of initial, cumulative and frequent CLEMS recorded for subjects. There were no significant effects for sex, or order of item presentation. Significant main effects were found for question type and emotional level. Only at the moderate arousal level was there an increase in leftward movement (right 40 hemisphere activation), which was unrelated to content. An overall asymmetry (right movement to verbal: left to spatial) was maintained at this arousal level. Krikorian and Rafales assumed that left hemisphere processing did not decrease, rather relative right hemiSphere activation was enhanced. Therefore, the moderate arousal effects were strong enough to override any sub group effects. While further analysis of the effects of defensive style grouping Suggested that these interacted with eye movements, the findings were nonetheless ambiguous. The Our 8 Gur (1975) study observed higher REV in left-movers, while Krikorian and Rafales (1982) obtained that relationship only under conditions of high arousal. However, while Gur 8 Our (1975) observed right-movers scoring higher on TAO 9 PRO, the Krikorian e Rafales (1982) group (considered comparable) of positive DMI composite scores, Showed "little rightward responding." The authors suggest that their use of "emotion as an additional factor" (p. 379) may explain the discrepancy. Several other factors may have contributed as well. Selecting subjects on the basis of style of defense clustering could have two potential effects on the outcome measured by CLEM. First, if indeed, as suggested by Shevrin, Smokler 8 Wolf (1979), life SXperiences are a powerful variable in the development and use of various defenses, it would be possible that the effect of these experiences could produce a defensive pattern which, if activated by stress, could override a neurological preference in some individuals. Selecting subjects on the basis of their matured characteristic defensive styles could produce groupings which are confounded by the work of such an uncontrolled independent variable: the effect of psycho-social experience. For example, if a bright female were neurologically inclined toward greater reliance on right hemisphere processing, 41 but was also motivated by the rewards of a special relationship with her father to excel in academic pursuits and logico—deductive reasoning she might appear to be reliant on intellectualization as a defense, while neuropsychologically she was right hemisphere dominant. Additionally, Our 8 Gur (1975) suggest that the DMI is a poor differentiator of defense style in bi-directional subjects. Grouping subjects by DMI Scores then offers no information regarding the percentage of bi—directionals whose CLEM scores are contributing to overall findings. Krikorian and Rafales give us a clue to overall laterality of subjects by saying that "In general, the major predictions were confirmed. Under low-arousal conditions subjects responded with leftward eye movements to spatial items and rightward eye movements to verbal items. To the extent that LEMS reflect contralateral hemiSpheric activation, these results confirm the well-established ideas concerning specialization of verbal and non-verbal processing modes between the hemispheres. (p. 377)" This suggests that their total sample was heavily comprised of Right Movers, whereas the Gur 8 Gur (1975) study by design, compared the defense clusters of BOTH right—movers, left-movers AND bi-directionals. According to Gur, Gur 8 Harris (1975), in analyzing individual performances, greater differentiation in the E facing the S paradigm did not produce cross—over from left to right movement, rather an increased reliance on a "preferred" direction was observed. Based on the report in that study, in a low arousal (E behind S) condition, 86% of subjects can be predicted to function bi-directionally, with that percentage shifting to 29% in the E facing the S condition. This Bi-directional population behaved much less predictably in their responses to the DMI, tending not to be differentiated easily from either the left—movers or the right-movers, however being closer in DMI scores to the :right-movers. One could predict that 29% of any sample then would be comprised 42 r — :a .nc =vb. n». V ~ ‘~ of Bi-directionals who would tend to produce DMI scores which were much closer to those of right—movers. If grouped on the basis of DMI scores only then, it is possible that an overrepresentation of Bi—directionals would be seen in a group of "Projectors". If this were true, a dependent measure based on CLEM could be skewed by the less lateralized performance of bi—directional subjects. As the discrepancy between Gur 8 Gur (1975) and Krikorian G Rafales (1982) hinges on the relationships of these groups, the contribution of this variable could be at work. While these studies suggest a relationship between characteristic defense style as measured by DMI and laterality as measured by CLEM, the interpersonal, intrapsychic and methodological plasticity of the laterality measure appears to contribute a substantial amount of ambiguity. Additional clarity might be gained by the use of a different measure of laterality - one which measures the Trait of laterality as minimally affected by these moderating variables. Control for these three sub—groups of subject hemiSphericity, (RHA, LHA and Bi-directional performances) then could help to evaluate the contribution of this variable to the subsequent relationship of hemisphericity to defense clusters via DMI. This information may possibly be clouded by the important, but nonetheless obfuscating effects inherent in the fluidity of the CLEM in the studies to date. 43 Summary In summary then, based on clinical reports of the effects of cerebral damage, the removal of an entire hemiSphere, the effects of commissurotomy, unilateral ECT and neuroanatomy as well as reports of experimental studies of neurologically normal subjects, stable differences in the cerebral hemispheres exist. These differences are structural, functional and cognitive. Individuals differ in their characteristic degree and direction of hemiSphericity, or reliance on the two separate hemispheres. These differences in hemisphericity are influenced by handedness, gender, bilinguality, early cerebral damage, culture, language deprivation, deafness and acquisition of a visuo—Spatial first language. The same avenues of research have combined to establish a relationship between hemisphericity and the personality factors of cognition and emotion. While the underlying mechanism of this relationship is as yet unclear, the relationship between the hemiSpheres and their personality correlates is relatively consistent. The characteristic cognitive strength of the left hemiSphere is logico-deductive, analytic, sequential, and verbally mediated thinking, whereas the thought process of the right hemisphere is strongest in visuo-spatial, holistic, imagoic and gestalt functions. At the emotional level a picture develops of the operation of the left hemisphere (without full or normal contribution of the right hemisphere) resulting in a consciousness that is easy—going, cheerful and inclined to deny catastrophic and painful realities. The right hemisphere, when unaided by the processing of the left hemisphere, tends to result in the presence of morose, dysphoric, painful and despondent affect. 44 An effort to integrate these relationships into a meaningful whole suggests that an individual's characteristic reliance on the processing strategies of one or the other hemisphere would be intrinsically related to their characteristic mode of problem solving, cOping and defending. Studies of these potential relationships support such an understanding, but these efforts are still in the germinal stages of inquiry, grappling with complex methodological issues and constraints. Specifically, the plasticity of CLEM, and its apparent sensitivity to various demand characteristics of the experimental setting, has contributed to questions concerning its predictive validity. Groupings baSed on defensive style do not permit control of the unpredictable response patterns of bi-directionals. The interrelationship of potentially offsetting psycho—social eXperiences is totally unexplored. Further exploration of the contributions of interhemispheric participation in cognitive processing would elucidate suggestions that such participation may also be contributory. Further inroads could be made by pursuit of some "next steps" to a better understanding of these issues therefore, by: 1. Introduction of a less plastic measure of laterality than CLEM. 2. A methodology which permits exclusion of the unpredictable effects of bi—directionals from comparisons on the laterality measure. 3. An opportunity to investigate the relative contributions of unique psycho-social experiences. 4. A population that is varied in its relative reliance on right hemisphere, while stable in its reliance on left hemisphere. 4S Ulla - vu- a ..-. ~ s. s. Present Study The present study examines the relationship between hemisphericity and characteristic defensive style while building on the previous literature in several ways. It builds on the existing literature by retaining the DMI as the measure of defense. It modifies previous paradigms by using a measure of laterality other than the CLEM. A visual measure of laterality, the tachistoscopic presentation of verbal stimuli, was employed, with accuracy of identification constituting the dependent variable. The "foundation study" (Hogan, 1983) referred to earlier in this discussion (Rogan, 1983) was used as the laterality data base for several reasons. First among these in methodological significance are those related to validity. An Alternative Measure of Laterality. The breadth of the original study produced sufficient data and methodological control to strengthen the validity of the laterality measure used. Levy (1983) and Hellige (1983) addressed in considerable detail the methodological pitfalls inherent in doing normative research of lateralization. The majority of the issues they raised and suggestions they made for offsetting these problems were incorporated in the base study. These included: - A Hemisphere by Task interaction analysis. - A Hemisphere by Population interaction analysis. - Level of difficulty of the task was manipulated to standardize the accuracy of responses to 50% for each subject tested before test data were gathered. 46 - The multi-factor design used was extensively subanalyzed to see how the two-factor interaction patterns had changed. - In replicating precisely a method used by another researcher, results were obtained which were highly concordant with that study with predictable differences among Subject groups. - Both LCs and separate hemisphere accuracy scores were used as dependent measures. This assured that the interaction pattern obtained was not an artifact of the rescaling of the dependent variable, often produced by using a laterality index such as LC. This also assured that left and right hemiSphere scores from which the index was derived were not obscured, permitting analysis of the form of the interaction. - Potential peripheral pathway factors were controlled for by varying the nature of the experimental task by varying stimulus type. - Visual scanning bias was controlled by vertical array of word stimuli. Additionally, tachistOSCOpic measures of laterality are based on the assumption that performance patterns on T—Scope presentations reflect actual differences in neurologic functioning. Neville, Kutas and Schmidt (1982) have demonstrated in their work with Event Related Potentials (ERP'S) that these measures (more direct because of their capacity to measure activation patterns electroencephalographical1y), combined with tasks designed to elicit lateral functioning, may be a more sensitive measure of actual neurological functioning than present experimental methods alone. The former combine a neurophysiological measure with a concurrent behavioral activity, whereas the 47 ..u .4 .wv g. A.. latter only permit observations of behavior which are inferred to be a function of neurological processes. In these studies they have found that while behavioral measures are not always the same as findings which emerge from ERP'S, when behavioral asymmetries are produced, these are directionally consistent with ERP asymmetries. When differences between the measures are seen, it is when only trends toward behavioral asymmetries are observed. In such cases the underlying ERP'S demonstrate laterality patterns both in morphological functioning as well as activation level which, though more pronounced, are in the same direction as the behavioral trends. It must, nonetheless, be kept in mind that behavioral performance such as that which is produced by this experimental method is still only inferentially associated with actual neurological functioning. As the validity questions attendant to use of the CLEM as a measure of laterality have plagued this area of research, information gained from the use of this current tachistoscopic method would be highly valuable. Research Questions Asked In The Present Study .1) 1. Is there a relationship between laterality and personality? Our 8 Gur (1977) reasoned that persons who rely on the processing style of their right hemiSphere would be eXpected to be more holistic and nonverbal, whereas those relying on their left hemiSphere would be expected to use more verbal elaborations in their c0ping or defense mechanisms. Based on this reasoning they predicted that those relying on the left hemisphere would score higher on defense clusters that externalized conflict and involved verbal elaborations. The DMI subscales which include these defense clusters are TAO 48 h,.-l ,.-\ Ibr- U '~ -,,_ and PRO. (When using the DMI composite score of Krikorian and Rafales (1982) persons scoring highest on these scores are called Projectors). Those relying on the right hemiSphere were expected to score higher on defense clusters that internalized conflict in a holistic and preverbal fashion. The DMI subscales which include these defense clusters are INT and REV. (When using the DMI composite score of Krikorian and Rafales persons scoring highest on these scales are called Rationalizers.) These results were obtained by these experimenters. It is the plan of this study to evaluate this finding by using a different method of measuring laterality —— one that examines this question with minimal influence of anxiety -- the tachistosc0pe. Motivated Hypothesis I: Laterality and characteristic defense choice of the individual are related. If this is true then the LC'S will be negatively correlated with the DMI composite scores. This outcome (Hm: xy > O, p = .05) will permit rejection of the null hypothesis. Null Hypothesis I: Laterality and characteristic defense choice are independent of each other in the function of the individual. If this is true, then the LC'S will not be negatively correlated with the DMI composite scores. This outcome (Ho: xy = 0) will not permit acceptance of the motivated hypothesis. Expected Results: It is expected that a negative correlation will be obtained between the LC and the DMI composite score. Rationale: It is assumed that the LC measures laterality and that the DMI cxnnposite score measures characteristic defense choice. It is believed that a 49 negative LC, which is inferred to reflect left hemiSphere dominance, is associated with Projectors, who produce positive DMI composite scores. It is also believed that the converse is also true: that a positive LC, inferred to reflect right hemisphere dominance, is associated with Rationalizers, who produce negative DMI composite scores. 2. IS Thingelationship Independent Of Variables Associated With Acquisition Of Sign Language? While the use of a HemiSphere by POpulation interaction analysis (the comparison of a population with a unique experience which is expected to produce a unique laterality pattern, with "normal" persons eXpected to produce traditional laterality patterns) adds validity, it introduces a complicating issue. The expected results were obtained in the original base study and defined a uniquely lateralized population. The inference was drawn that this unique cerebral pattern was the result of a life/environmental experience. Would this unique life experience, by which the original grouping assignment was made, be expected to have an effect on personality as well? The life experience that this experimental group was the natural acquisition of Sign language from their deaf parents. What could be predicted in personality development, given what is known about this eXperience? There is nothing in the literature to guide our understanding in thS area, as this population had not been identified for study prior to the base study. Indeed, studies of deaf children of deaf parents indicate that they do very well in educational, social, emotional and vocational adjustment (See Appendix A). However, we know nothing of these things about the hearing child of deaf SO parents. Clinical knowledge of this population however, suggests that there could be many ramifications attendant to this historical fact of their lives. Typically, the hearing child of deaf parents becomes the interpreter for the family to the outside world. This usually occurs at about 5 or 6 years of age. This function in the family places the child between their parents and EVERYONE who hears. The child communicates for the parents in medical, social, employment and legal situations. They are therefore, processing more mature information than most adolescents must deal with - at a much earlier age. They perceive the attitudes of hearing persons toward their parents and themselves. They feel the stigma. There are myriad ways in which life is different for them. For instance, their parents —— not being able to hear: and therefore to monitor their own sounds - produce all of the sounds that most hearing persons screen/inhibit. Love-making is not kept "quiet - the children!". The primal scene therefore, is a quite different experience for these children. The only generalizations which can be made in a predictive vein are Speculative at best. Indeed, such an experience would be eXpected to produce a heightened sense of responsibility very early in the life of the child. They would quickly be a "little adult", aborting the normal Span of carefree childhood. But individuals respond differently to this experience. Joanne Greenberg, in the novel In This Sign (1970) paints a bleak, though beautiful picture of her childhood. The story is laced with cynicism and an undertone of anger, while doing a brilliant job of describing her world and the world of the deaf. I have listened to hundreds of interpreters, themselves hearing children of Deaf parents, discuss the book. Some heatedly decry its negative tone, some as aggressively support and endorse it, while others are appreciative of the 51 exposure to the issues -— seemingly free of emotional conflicts about it. How then could one predict whether this family experience would predispose one to externalize conflict, or internalize it? If the research potential of this uniquely lateralized population is to be maximized, then this potential influence must be separated from the relationship under investigation: that between the unique hemispheric function of this population and personality. The correlation of laterality and defense choice therefore, will be ascertained conditioned upon the partialling out of the variance produced by the original group membership. Motivated Hypothesis II: That there is a relationship between laterality and defense choice which is independent of variables associated with the original group membership. If this is true, then the correlation between LC'S and DMI composite Scores will remain significant when conditioned on the partialling out of the variance due to the original group membership. This outcome will permit rejection of the null hypothesis. Null Hypothesis II: That the relationship between laterality and defense choice is totally dependent upon variables associated with the original group membership. If this is true, then the correlation between LC'S and DMI composite scores will not remain significant when conditioned upon the partialling out of the variance due to the original group membership. This outcome will not permit acceptance of the motivated hypothesis. Expected Results: It is expected that the correlation between LC and DMI will not be weakened significantly when conditioned upon the removal of the variance due to the original group membership. 52 Rationale: There is no consistent predicted effect on personality due to the unique psycho-social factors associated with being a hearing child of deaf parents, or of having acquired Sign language later in life, which could be expected to over—ride a laterality/defense choice relationship. 3. Does The Inclusion Of Scores Of Bi—Directionals Obscure This Relationship? The reader will recall that in the base study 29 right-handed hearing Ss were represented in three experimental groups as: Native signers (N=10), Late-learn signers (N=9) and Non-signing controls (N=10). Groups were balanced for gender. Compared on their ability to correctly identify tachistoscopically presented unilateral stimuli of 4 types, only English words, a measure of hemiSphere advantage for verbal stimuli are used in this current study. To evaluate a relationship between laterality and defense cluster, it is important to have a representation of various defense scores (i.e., both positive and negative DMI Composite scores), as well as a representation of various hemisphericity types (i.e., LHA and RHA). A logical question at this point is raised. How can the necessary representation of RHA be obtained from this laterality base study in which two groups were shown to produce a LHA while only the experimental group of Native signers differed —- and then by only a reduced LHA for verbal stimuli? The phenomenon of individual differences aids us here. As Levy (1983) states in discussing functional diversities in normative studies: This possibility is of great interest because normative studies of lateralization, although typically revealing the expected perceptual asymmetry on dichotic and lateralized 53 tachistoscopic tasks for the sample of subjects as a whole, almost always find that a significant minority of subjects fails to display a significant asymmetry and that even among those manifesting the expected direction of asymmetry, there is a large variability in magnitude. (Levy 1983, p. 466) while: I do not believe that studies of unilaterally brain-damaged patients versus normative studies with dichotic or tachistoscopic techniques measure the same factors in individual patients or subjects. The consistency that appears is a consistency with reSpect to statistical averages: neurological investigations reveal that language is specialized to the left hemisphere in the vast majority of right-handers while normative studies show that, on appropriate verbal tasks, there is a right sensory field advantage for right—handers, as a group. The group inference from normative studies supports neurological findings, and in both cases, I believe hemispheric Specialization is being reflected. However, not all right—handers Show the expected perceptual asymmetry, and even among those who do, there is a large variation in the degree of asymmetry observed." 54 (Levy 1983, p. 475) In fact, the base study produced data which reflected both LHA and RHA in subjects in all groups. Figure 3 displays the numbers of subjects who produced LHA, RHA and bi-directional competence, per experimental group. Therefore, the necessary variability in laterality is present in this base study. The Gur & Gur (1975) study reported that Bi—directional subjects did not produce consistent DMI scores. Other studies have not controlled for this factor, which could contribute to findings which are obscured by it. This present study permitted statistical comparisons to be made of only those Subjects who had demonstrated either a RHA or LHA, thereby controlling the influence of the Bi-directionals. Though the N's were small, it was believed ‘that any emergent trend would prove instructive. Insert Table 1. 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