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David M. Bear, MD; Paul Fedio, PhD

Arch Neurol. 1977;34(8):454-467.

Abstract
• Patients with unilateral temporal epileptic foci were contrasted with normal subjects and patients with neuromuscular disorders in the evaluation of specific psychosocial aspects of behavior. Eighteen traits were assessed in equivalent questionnaires completed by both subjects and observers.

The epileptic patients self-reported a distinctive profile of humorless sobriety, dependence, and obsessionalism; raters discriminated temporal lobe epileptics on the basis of circumstantiality, philosophical interests, and anger. The right temporal epileptic displayed emotional tendencies in contrast to ideational traits of left temporal epileptic. Right temporal epileptics exhibited "denial," while left temporal epileptics demonstrated a "catastrophic" overemphasis of dissocial behavior.

The results support the hypotheses that sensory-affective associations are established within the temporal lobes, and that, in man, there exists a hemispheric asymmetry in the expression of affect.

Author Affiliations
From the Clinical Neurosciences Branch, National Institutes of Neurological and Communicative Disorders and Stroke, Bethesda, Md.

Footnotes
Accepted for publication Feb 22, 1977.

Since there is evidence to indicate that item responses obtained to selected items isolated from the context of a personality inventory may not be comparable to those obtained with the context, the results of this research should not be considered applicable to the standardized complete form of the inventory (Minnesota Multi-phasic Personality Inventory).

Reprint requests to Clinical Neurosciences Branch, National Institutes of Neurological and Communicative Disorders and Stroke, Rm 4N-232, Bldg 10, National Institute of Health, Bethesda, MD 20014.

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