뇌 편측성의 정신치료적 관점
Psychotherapeutic Perspective of Cerebral Lateralization
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
The human brain is composed of two hemispheres. Both hemispheres exhibit functional differences from one another, and each brain function is lateralized to their own respective side. The left hemisphere is responsible for linguistic functions, conscious problem solving, the processing of sequential information, social behaviors, positive emotions and secondary cognitive processes. Conversely, the right hemisphere is tasked with visuospatial functions, musical ability, physical emotional self consciousness, evasive behavior, low self esteem, sadness, shame, unconsciousness, and primary cognitive processes. Several psychopathologies may occur when the two hemispheres cannot be adequately integrated with one another. Thus, it is the mechanism of psychotherapy to reintegrate what was disconnected throughout this process. The therapist should be well versed and well aware of all of the distinct characteristics, attributes and functions that each hemisphere embodies, and after careful analysis, should be able to instruct the patient on strategies that will integrate the emotional components of the brain alongside with its logical components. In doing so, this can in addition, help patients to integrate their disconnected memory system or emotional system.
Abstract
The human brain is composed of two hemispheres. Both hemispheres exhibit functional differences from one another, and each brain function is lateralized to their own respective side. The left hemisphere is responsible for linguistic functions, conscious problem solving, the processing of sequential information, social behaviors, positive emotions and secondary cognitive processes. Conversely, the right hemisphere is tasked with visuospatial functions, musical ability, physical emotional self consciousness, evasive behavior, low self esteem, sadness, shame, unconsciousness, and primary cognitive processes. Several psychopathologies may occur when the two hemispheres cannot be adequately integrated with one another. Thus, it is the mechanism of psychotherapy to reintegrate what was disconnected throughout this process. The therapist should be well versed and well aware of all of the distinct characteristics, attributes and functions that each hemisphere embodies, and after careful analysis, should be able to instruct the patient on strategies that will integrate the emotional components of the brain alongside with its logical components. In doing so, this can in addition, help patients to integrate their disconnected memory system or emotional system.
참고문헌 (82)
- Ahern GL, "Right hemisphere advantage for evaluating emotional facial expressions", Cortex, 27, pp.193~202 (1991)
- al-Mousawi AH, "Limbic dysfunction in schizophrenia and mania. A study using 18F-labelled fluorodeoxyglucose and positron emission tomography", Br J Psychiatry, 169, pp.509~516 (1996)
- Alexander GE, "Parallel organization of functionally segregated circuits linking basal ganglia and cortex", Annu Rev Neurosci, 9, pp.357~381 (1986)
- Baxter LR Jr, "Reduction of prefrontal cortex glucose metabolism common to three types of depression", Arch Gen Psychiatry, 46, pp.243~250 (1989)
- Becerra R, "Organic alexithymia : a study of acquired emotional blindness", Brain Inj, 16, pp.633~645 (2002)
- Bench CJ, "Regional cerebral blood flow in depression measured by positron emission tomography : the relationship with clinical dimensions", Psychol Med, 23, pp.579~590 (1993)
- Blonder LX, "The role of the right hemisphere in emotional communication", Brain, 114(Pt 3), pp.1115~1127 (1991)
- Carter R, "Mapping the mind. Berkeley" (1998), University of California Press
- Casey BJ, "Changes in cerebral functional organization during cognitive development", Curr Opin Neurobiol, 15, pp.239~244 (2005)
- 천은진, "우울증의 뇌파변화", 생물치료정신의학, 19(2), pp.93~100 (2013), 대한생물치료정신의학회
- Chiron C, "The right brain hemisphere is dominant in human infants", Brain, 120(Pt 6), pp.1057~1065 (1997)
- Cozolino L., "The neuroscience of psychotherapy: healing the social brain" (2010), W.W. Norton
- Cummings JL, "Frontal-subcortical circuits and human behavior", Arch Neurol, 50, pp.873~880 (1993)
- Damasio AR, "Descartes’ error: emotion, reason, and the human brain" (1994), G.P. Putnam
- Davidson RJ, "Well-being and affective style : neural substrates and biobehavioural correlates", Philos Trans R Soc Lond B Biol Sci, 359, pp.1395~1411 (2004)
- Dimond SJ, "Emotional response to films shown to the right or left hemisphere of the brain measured by heart rate", Acta Psychol(Amst), 41, pp.255~260 (1977)
- Drake RA, "Lateral asymmetry of personal optimism", J Res Pers, 18, pp.497~507 (1984)
- Drevets WC, "A functional anatomical study of unipolar depression", J Neurosci, 12, pp.3628~3641 (1992)
- Feinberg TE, "Misidentification-reduplication and the right hemisphere", Neuropsychiatry Neuropsychol Behav Neurol, 2, pp.39~48 (1989)
- Freud S, "The origins of psycho-analysis: letters to Wilhelm Fliess, drafts and notes: 1887-1902", pp.347~445 (1954), Basic Books
- Gainotti G, "Emotional behavior and hemispheric side of the lesion", Cortex, 8, pp.41~55 (1972)
- Galin D., "Implications for psychiatry of left and right cerebral specialization. A neurophysiological context for unconscious processes", Arch Gen Psychiatry, 31, pp.572~583 (1974)
- Galin D, "Development of the capacity for tactile information transfer between hemispheres in normal children", Science, 204, pp.1330~1332 (1979)
- Galynker II, "Hypofrontality and negative symptoms in major depressive disorder", J Nucl Med, 39, pp.608~612 (1998)
- Garfield SL, "Handbook of psychotherapy and behavior change" (1986), Wiley
- Gazzaniga MS, "The split brain in man", Scientific American, 217, pp.24~29 (1967)
- Gazzaniga MS, "Dyspraxia following division of the cerebral commissures", Arch Neurol, 16, pp.606~612 (1967)
- Gazzaniga MS, "Observations on visual perception after disconnexion of the cerebral hemispheres in man", Brain, 88, pp.221~236 (1965)
- Gazzaniga MS, "Some functional effects of sectioning the cerebral commissures in man", Proc Natl Acad Sci U S A, 48, pp.1765~1769 (1962)
- Gazzaniga MS, "The integrated mind" (1978), Springer
- Gazzaniga MS, "Language, praxis, and the right hemisphere : clues to some mechanisms of consciousness", Neurology, 27, pp.1144~1147 (1977)
- Geschwind N, "Cerebral lateralization. Biological mechanisms, associations, and pathology: II. A hypothesis and a program for research", Arch Neurol, 42, pp.521~552 (1985)
- Gould SJ., "Ontogeny and phylogeny" (1977), Harvard University Press
- Henriques JB, "Left frontal hypoactivation in depression", J Abnorm Psychol, 100, pp.535~545 (1991)
- Holden C, "Paul MacLean and the triune brain", Science, 204, pp.1066~1068 (1979)
- Hoppe KD, "Split brains and psychoanalysis", Psychoanal Q, 46, pp.220~244 (1977)
- Hoppe KD, "Alexithymia in twelve commissurotomized patients", Psychother Psychosom, 28, pp.148~155 (1977)
- Ito Y, "Increased prevalence of electrophysiological abnormalities in children with psychological, physical, and sexual abuse", J Neuropsychiatry Clin Neurosci, 5, pp.401~408 (1993)
- Jackson DC, "Now you feel it, now you don’t : frontal brain electrical asymmetry and individual differences in emotion regulation", Psychol Sci, 14, pp.612~617 (2003)
- Johnstone T, "Failure to regulate : counterproductive recruitment of top-down prefrontal-subcortical circuitry in major depression", J Neurosci, 27, pp.8877~8884 (2007)
- Kalia M., "Neurobiological basis of depression: an update", Metabolism, 54(5 Suppl 1), pp.24~27 (2005)
- Kalin NH, "Asymmetric frontal brain activity, cortisol, and behavior associated with fearful temperament in rhesus monkeys", Behav Neurosci, 112, pp.286~292 (1998)
- Kandel ER, "A new intellectual framework for psychiatry", Am J Psychiatry, 155, pp.457~469 (1998)
- Kandel ER., "Psychotherapy and the single synapse. The impact of psychiatric thought on neurobiologic research", N Engl J Med, 301, pp.1028~1037 (1979)
- Kaplan-Solms K, "Clinical studies in neuro-psychoanalysis: introduction to a depth neuropsychology" (2000), Karnac Books
- Kato T, "Lateralized abnormality of high energy phosphate metabolism in the frontal lobes of patients with bipolar disorder detected by phase-encoded 31P-MRS", Psychol Med, 25, pp.557~566 (1995)
- Keenan JP, "Left hand advantage in a self-face recognition task", Neuropsychologia, 37, pp.1421~1425 (1999)
- Ledoux JE, "Cognition and commissurotomy", Brain, 100(Pt 1), pp.87~104 (1977)
- LeDoux JE, "A divided mind : observations on the conscious properties of the separated hemispheres", Ann Neurol, 2, pp.417~421 (1977)
- LeDoux JE, "Manipulo-spatial aspects of cerebral lateralization : clues to the origin of lateralization", Neuropsychologia, 15, pp.743~750 (1977)
- Lee MS, "Psychoanalysis and its experimental researches", J Korean Psychoanalytic Society, 15, pp.21~32 (2004)
- MacLean PD., "Comparative neuroscience and neurobiology", pp.126~128 (1988), Springer
- Maher BA, "Delusional thinking and perceptual disorder", J Individ Psychol, 30, pp.98~113 (1974)
- Mathew RJ, "Cerebral blood flow in depression", Am J Psychiatry, 137, pp.1449~1450 (1980)
- Mayberg HS, "Limbic-cortical dysregulation : a proposed model of depression", J Neuropsychiatry Clin Neurosci, 9, pp.471~481 (1997)
- Mayberg HS, "Reciprocal limbic-cortical function and negative mood : converging PET findings in depression and normal sadness", Am J Psychiatry, 156, pp.675~682 (1999)
- Modell AH, "The synergy of memory, affects and metaphor", J Anal Psychol, 42, pp.105~117 (1997)
- Nebes RD, "Superiority of the minor hemisphere in commissurotomized man for the perception of part-whole relations", Cortex, 7, pp.333~349 (1971)
- Nikolaenko NN, "Representation activity of the right and left hemispheres of the brain", Behav Neurol, 10, pp.49~59 (1997)
- Osuch EA, "Regional cerebral metabolism associated with anxiety symptoms in affective disorder patients", Biol Psychiatry, 48, pp.1020~1023 (2000)
- Parkin AJ, "Explorations in cognitive neuropsychology" (1996), Psychology Press
- Persinger MA, "Greater right hemisphericity is associated with lower self-esteem in adults", Percept Mot Skills, 73(3 Pt 2), pp.1244~1246 (1991)
- Ramachandran VS, "Phantom limbs, neglect syndromes, repressed memories, and Freudian psychology", Int Rev Neurobiol, 37, pp.291~333 (1994)
- Ramachandran VS, "The perception of phantom limbs. The D. O. Hebb lecture", Brain, 121(Pt 9), pp.1603~1630 (1998)
- Robertson IH, "Unilateral neglect: clinical and experimental studies" (1993), Lawrence Erlbaum Associates
- Ross ED, "Differential hemispheric lateralization of primary and social emotions implications for developing a comprehensive neurology for emotions, repression, and the subconscious", Neuropsychiatry Neuropsychol Behav Neurol, 7, pp.1~19 (1994)
- Sackeim HA, "Hemispheric asymmetry in the expression of positive and negative emotions. Neurologic evidence", Arch Neurol, 39, pp.210~218 (1982)
- Sackeim HA, "Lateralization in the processing of emotionally laden Information: I. Normal functioning", Neuropsychiatry Neuropsychol Behav Neurol, 1, pp.97~110 (1988)
- clinical psychiatry, "Kaplan & Sadock’s synopsis of psychiatry: behavioral sciences", pp.2007, Sadock BJ
- Schiffer F, "Evoked potential evidence for right brain activity during the recall of traumatic memories", J Neuropsychiatry Clin Neurosci, 7, pp.169~175 (1995)
- Searleman A, "A review of right hemisphere linguistic capabilities", Psychol Bull, 84, pp.503~528 (1977)
- Silberman EK, "Hemispheric lateralization of functions related to emotion", Brain Cogn, 5, pp.322~353 (1986)
- Smith SD, "A hemispheric asymmetry for the unconscious perception of emotion", Brain Cogn, 55, pp.452~457 (2004)
- Solms M, "The brain and the inner world: an introduction to the neuroscience of subjective experience" (2002), Other Press
- Sperry RW, "Forebrain commissurotomy and conscious awareness", J Med Philos, 2, pp.101~126 (1977)
- Taylor GJ, "Recent developments in alexithymia theory and research", Can J Psychiatry, 45, pp.134~142 (2000)
- Teicher MH, "Preliminary evidence for abnormal cortical development in physically and sexually abused children using EEG coherence and MRI", Ann N Y Acad Sci, 821, pp.160~175 (1997)
- Thatcher RW, "Human cerebral hemispheres develop at different rates and ages", Science, 236, pp.1110~1113 (1987)
- Tucker DM, "Social and emotional self-regulation", Ann N Y Acad Sci, 769, pp.213~239 (1995)
- Wexler BE, "Alterations in cerebral laterality during acute psychotic illness", Arch Gen Psychiatry, 36, pp.278~284 (1979)
- Wittling W, "Neuroendocrine hemisphere asymmetries : salivary cortisol secretion during lateralized viewing of emotion-related and neutral films", Brain Cogn, 14, pp.243~265 (1990)
- Zeitlin SB, "Interhemispheric transfer deficit and alexithymia", Am J Psychiatry, 146, pp.1434~1439 (1989)
