Skip to main content Accessibility help
×
Hostname: page-component-77c89778f8-swr86 Total loading time: 0 Render date: 2024-07-22T12:33:56.711Z Has data issue: false hasContentIssue false

12 - Relationship of depression to bilateral hemisphere brain injury

from Part II - Poststroke depression

Published online by Cambridge University Press:  01 October 2009

Robert G. Robinson
Affiliation:
College of Medicine, University of Iowa
Get access

Summary

The role of each cerebral hemisphere in emotion regulation has been a topic of speculation and experimental investigation for many years. Flor-Henry (1979), for example, suggested a complex model for the organization of mood. He proposed that the neural substrate for both normal and abnormal mood was predominantly in the non-dominant hemisphere but with bilateral regulation. Thus, according to this hypothesis, euphoria results when the dominant hemisphere no longer receives transcallosal neural inhibition from the non-dominant hemisphere and depression results when the non-dominant hemisphere is released from inhibition by dysfunction in dominant hemisphere. Tucker (1981) has also suggested that the neural substrate for emotion is predominantly in the non-dominant hemisphere. Rather than emphasizing a contralateral release, however, he has suggested ipsilateral release with non-dominant dysfunction leading to positive mood and dominant hemisphere dysfunction manifested as anxious, negative mood. Davidson (1998) suggested that frontal asymmetries recorded by electroencephalography (EEG) in patients with depression (i.e., left frontal inactivation) may reflect deficits in motivation which are independent of current mental state. According to this hypothesis, depressive symptoms emerge based on the cumulative effects of chronic left frontal inactivation and the consequent inability to experience pleasure (Davidson et al. 2001). Finally, Kinsbourne and Bemporad (1984) emphasized the integrated functions of the left frontal and right posterior brain areas in mood and suggested that dysfunction in both areas may be involved in depression.

Type
Chapter
Information
The Clinical Neuropsychiatry of Stroke
Cognitive, Behavioral and Emotional Disorders following Vascular Brain Injury
, pp. 120 - 124
Publisher: Cambridge University Press
Print publication year: 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×