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Affective facial and lexical expression in aprosodic versus aphasic stroke patients

Published online by Cambridge University Press:  21 October 2005

LEE X. BLONDER ,
KENNETH M. HEILMAN ,
TIMOTHY KETTERSON ,
JOHN ROSENBEK ,
ANASTASIA RAYMER ,
BRUCE CROSSON ,
LYNN MAHER ,
ROBERT GLUECKAUF  and
LESLIE GONZALEZ ROTHI
LEE X. BLONDER
Affiliation:
Sanders-Brown Center on Aging and Dept. of Behavioral Science of the University of Kentucky, Lexington Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida
KENNETH M. HEILMAN
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida, Gainesville, Florida
TIMOTHY KETTERSON
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida
JOHN ROSENBEK
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Department of Communicative Disorders, University of Florida, Gainesville, Florida
ANASTASIA RAYMER
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Early Child, Speech-Language Pathology and Special Education, Old Dominion University, Norfork, Virginia
BRUCE CROSSON
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida
LYNN MAHER
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas Houston VA Medical Center, Houston, Texas
ROBERT GLUECKAUF
Affiliation:
Department of Medical Humanities and Social Sciences, Florida State University, Tallahasee, Florida
LESLIE GONZALEZ ROTHI
Affiliation:
Brain Research and Rehabilitation Center (BRRC), VA Medical Center, Gainesville, Florida Department of Neurology, University of Florida, Gainesville, Florida
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Abstract

Past research has shown that lesions in the left cerebral hemisphere often result in aphasia, while lesions in the right hemisphere frequently impair the production of emotional prosody and facial expression. At least 3 processing deficits might account for these affective symptoms: (1) failure to understand the conditions that evoke emotional response; (2) inability to experience emotions; (3) disruption in the capacity to encode non-verbal signals. To better understand these disorders and their underlying mechanisms, we investigated spontaneous affective communication in right hemisphere damaged (RHD) stroke patients with aprosody and left hemisphere damaged (LHD) stroke patients with aphasia. Nine aprosodic RHD patients and 14 aphasic LHD patients participated in a videotaped interview within a larger treatment protocol. Two naïve raters viewed segments of videotape and rated facial expressivity. Verbal affect production was tabulated using specialized software. Results indicated that RHD patients smiled and laughed significantly less than LHD patients. In contrast, RHD patients produced a greater percentage of emotion words relative to total words than did LHD patients. These findings suggest that impairments in emotional prosodic production and facial expressivity associated with RHD are not induced by affective–conceptual deficits or an inability to experience emotions. Rather, they likely represent channel-specific nonverbal encoding abnormalities. (JINS, 2005, 11, 677–685.)

Keywords

EmotionLanguageNonverbal communicationCerebral infarctionLateralityFacial expression
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 11 , Issue 6 , October 2005 , pp. 677 - 685
Copyright
© 2005 The International Neuropsychological Society

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References

REFERENCES

Behrens, S.J. (1989). Characterizing sentence intonation in a right hemisphere-damaged population. Brain and Language, 36, 181–200.CrossRefGoogle Scholar
Blonder, L.X., Gur, R.E., & Gur, R.C. (1989). The effects of right and left hemiparkinsonism on prosody. Brain and Language, 36, 193–207.Google Scholar
Blonder, L.X., Bowers, D., & Heilman, K.M. (1991). The role of the right hemisphere in emotional communication. Brain, 114, 1115–1127.Google Scholar
Blonder, L.X., Burns, A.F., Bowers, D., Moore, R.W., & Heilman, K.M. (1993). Right hemisphere facial expressivity during natural conversation. Brain and Cognition, 21, 44–56.CrossRefGoogle Scholar
Blonder, L.X., Pickering, J.E., Heath, R.L., Smith, C.D., & Butler, S.M. (1995). Prosodic characteristics of speech pre- and post-right hemisphere stroke. Brain and Language, 51, 318–335.Google Scholar
Bloom, R., Borod, J.C., Obler, L., & Koff, E. (1990). A preliminary characterization of lexical emotional expression in right and left brain-damaged patients. International Journal of Neuroscience, 55, 71–80.Google Scholar
Bloom, R.L., Borod, J.C., Obler, L.K., & Gerstman, L.J. (1992). Impact of emotional content on discourse production in patients with unilateral brain damage. Brain and Language, 42, 153–164.CrossRefGoogle Scholar
Borod, J.C., Bloom, R.L., Brickman, A.M., Nakhutina, L., & Curko, E.A. (2002). Emotional processing deficits in individuals with unilateral brain damage. Applied Neuropsychology, 9, 23–36.CrossRefGoogle Scholar
Borod, J.C., Koff, E., Lorch, M.P., & Nicholas, M. (1985). Channels of emotional expression in patients with unilateral brain damage. Archives of Neurology, 42, 345–348.Google Scholar
Borod, J.C., Koff, E., Lorch, M.P., & Nicholas, M. (1986). Expression and perception of facial emotion in brain-damaged patients. Neuropsychologia, 24, 169–180.Google Scholar
Borod, J.C., Rorie, K.D., Haywood, C.S., Andelman, F., Obler, L.K., Welkowitz, J., Bloom, R.L., & Tweedy, J.R. (1996). Hemispheric specialization for discourse reports of emotional experiences: Relationships to demographic, neurological, and perceptual variables. Neuropsychologia, 34, 351–359.Google Scholar
Borod, J.C., Zgaljardic, D., Tabert, M., & Koff, E. (2001). Asymmetries of emotional communication in normal subjects. In F. Boller, J. Grafman, & G. Gainotti (Eds.), Handbook of neuropsychology: Emotional behavior and its disorders (pp. 181–105). Oxford, UK: Elsevier.
Bowers, D., Bauer, R.M., & Heilman, K.M. (1993). The Nonverbal affect lexicon: Theoretical perspectives from neuropsychological studies of affect perception. Neuropsychology, 7, 433–444.CrossRefGoogle Scholar
Buck, R. & Duffy, R.J. (1980). Nonverbal communication of affect in brain-damaged patients. Cortex, 16, 351–362.Google Scholar
Cancelliere, A.E. & Kertesz, A. (1990). Lesion localization in acquired deficits of emotional expression and comprehension. Brain and Cognition, 13, 133–147.Google Scholar
Charbonneau, S., Scherzer, B.P., Aspirot, D., & Cohen, H. (2003). Perception and production of facial and prosodic emotions by chronic CVA patients. Neuropsychologia, 41, 605–613.Google Scholar
Cimino, C., Verfaelie, M., Bowers, D., & Heilman, K.M. (1991). Autobiographical memory: Influence of right hemisphere damage on emotionality and specificity. Brain and Cognition, 15, 106–118.Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Davidson, R.J. (1984). Affect, cognition, and hemispheric specialization. In C.E. Izard, J. Kagan, & R. Zajonc (Eds.), Emotions, cognition, and behavior (pp. 320–365). Cambridge, UK: Cambridge University Press.
Fox, N.A. (1991). If it's not left, it's right. Electroencephalograph asymmetry and the development of emotion. American Psychologist, 46, 863–872.Google Scholar
Heilman, K.M., Blonder, L.X., Bowers, D., & Valenstein, E. (2003). Emotional disorders associated with neurological diseases. In K.M. Heilman & E. Valenstein (Eds.), Clinical neuropsychology (4th ed., pp. 447–478). Oxford, UK: Oxford University Press.
Heilman, K.M., Leon, S.A., & Rosenbek, J.C. (2004). Affective aprosody from a medial frontal stroke. Brain and Language, 89, 411–416.Google Scholar
Hughes, C.P., Chan, J.L., & Su, M.S. (1983). Aprosodia in Chinese patients with right cerebral hemisphere lesions. Archives of Neurology, 40, 732–736.Google Scholar
Jacobs, D.H., Shuren, J., Bowers, D., & Heilman, K.M. (1995). Emotional facial imagery, perception, and expression in Parkinson's disease. Neurology, 45, 1696–1702.Google Scholar
Kent, R.D. & Rosenbek, J.C. (1982). Prosodic disturbance and neurologic lesion. Brain and Language, 15, 259–291.Google Scholar
Landis, J.R. & Koch, G.G. (1977). The measurement of interobserver agreement for categorical data. Biometrics, 33, 159–174.Google Scholar
Langer, S.L., Pettigrew, L.C., Wilson, J.F., & Blonder, L.X. (2000). Channel-consistency following unilateral stroke: An examination of patient communication across verbal and non-verbal domains. Neuropsychologia, 38, 337–344.Google Scholar
Levin, J.R. & Robinson, D.H. (1999). Further reflections on hypothesis testing amd Editorial Policy for the Primary Research Journals. Educational Psychology Review, 11, 143–155.Google Scholar
Miller, J. & Chapman, R. (2002). Systematic Analysis of Language Transcripts (SALT) for Windows®, Version 7.0 [computer software]. University of Wisconsin-Madison: Language Analysis Lab, Waisman Research Center.
Monrad-Krohn, G. (1947). The prosodic quality of speech and its disorders. Acta Psychologica Scandinavia, 22, 225–265.Google Scholar
Pell, M.D. (1999). Fundamental frequency encoding of linguistic and emotional prosody by right hemisphere-damaged speakers. Brain and Language, 69, 161–192.Google Scholar
Pennebaker, J.W., Francis, M.E., & Booth, R.J. (2001). Linguistic inquiry and word count (liwc) software program [computer software]. Hillsdale, NJ: Lawrence Erlbaum & Associates.
Rosenbek, J.C., Crucian, G.P., Leon, S.A., Hieber, B., Rodriguez, A.D., Holiway, B., Ketterson, T.U., Ciampitti, M., Heilman, K., & Gonzalez-Rothi, L. (2004). Novel treatments for expressive aprosodia: A phase 1 investigation of cognitive linguistic and imitative interventions. Journal of the International Neuropsychological Society, 10, 786–793.Google Scholar
Ross, E.D. (1981). The aprosodias. Functional–anatomic organization of the affective components of language in the right hemisphere. Archives of Neurology, 38, 561–569.Google Scholar
Ross, E.D. (1997). Right hemisphere syndromes and the neurology of emotion. In S.C. Schacter & O. Devinsky (Eds.), Behavioral neurology and the legacy of Norman Geschwind (pp. 183–191). Philadelphia: Lippincott-Raven.
Ross, E.D., Edmondson, J.A., Seibert, G.B., & Homan, R.W. (1988). Acoustic analysis of affective prosody during right-sided Wada test: A within-subjects verification of the right hemisphere's role in language. Brain and Language, 33, 128–145.CrossRefGoogle Scholar
Ross, E.D. & Mesulam, M.M. (1979). Dominant language functions of the right hemisphere? Prosody and emotional gesturing. Archives of Neurology, 36, 144–148.Google Scholar
Silberman, E.K. & Weingartner, H. (1986). Hemispheric lateralization of functions related to emotion. Brain and Cognition, 5, 322–353.CrossRefGoogle Scholar
Smith, M.A., Smith, M.K., & Ellgring, H. (1996). Spontaneous and posed facial expression in Parkinson's disease. Journal of the International Neuropsychological Society, 2, 383–391.Google Scholar
Tucker, D.M., Watson, R.T., & Heilman, K.M. (1977). Discrimination and evocation of affectively intoned speech in patients with right parietal disease. Neurology, 27, 947–950.Google Scholar
Watson, D., Clark, L.A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect. The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.Google Scholar
Weintraub, S., Mesulam, M.M., & Kramer, L. (1981). Disturbances in prosody. A right-hemisphere contribution to language. Archives of Neurology, 38, 742–744.Google Scholar
Yesavage, J.A., Brink, T.L., Rose, T.L., Lum, O., Huang, V., Adey, M., & Leirer, J. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Psychiatry Research, 17, 37–49.CrossRefGoogle Scholar