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Lateral Response to Suggestion in Relation to Handedness and the Side of Psychogenic Symptoms

Published online by Cambridge University Press:  29 January 2018

J. J. Fleminger
Affiliation:
Guy's Hospital, London SE1
G. M. McClure
Affiliation:
Adolescent Unit, Bethlem Royal Hospital; Department of Psychological Medicine, Guy's Hospital
R. Dalton
Affiliation:
Guy's Hospital Medical School

Summary

A left-sided preponderance of psychogenic symptoms has often been reported. A Suggestion Test for the study of the laterality of psychogenic symptoms is described. Psychiatric patients and nurses received, on tape, the suggestion of a sensation in the hand to which they could give either right, left or bilateral responses. In both groups there was a majority of left-sided responses. Also, a history was obtained of previous psychogenic symptoms. These had occurred more on the left than on the right side of the body, and an association was found between left-sided symptoms and left-sided response to the test in individual patients. Left-sided symptoms were more prevalent among patients who were not strongly right-handed. These findings are considered in relation to ideas about the differential involvement of the cerebral hemispheres in the production of psychogenic symptoms.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Annett, M. (1970) A classification of hand preference by association analysis. British Journal of Psychology, 61, 303–21.Google Scholar
Beaumont, J. G. (1974) Handedness and hemisphere function. Chapter 5 in Hemisphere Function in the Human Brain, (eds. Dimond, S. J. and Beaumont, J. G.). London: Elek Science.Google Scholar
Bishop, E. R., Mobley, M. C. & Farr, W. F. (1978) Lateralization of conversion symptoms. Comprehensive Psychiatry, 19, 393–6.CrossRefGoogle ScholarPubMed
Briquet, P. (1859) Traite Clinique et Therapeutique de l'Hysterie. Paris: Baillière.Google Scholar
Edmonds, E. P. (1947) Psychosomatic non-articular rheumatism. Annals of Rheumatic Diseases, 6, 3649.Google Scholar
Fallik, A. & Sigal, M. (1971) Hysteria—the choice of symptom site. Psychotherapy and Psychosomatics (Basel), 19, 310–18.Google Scholar
Ferenczi, S. (1950) Further Contributions to the Theory and Technique of Psychoanalysis. London: Hogarth Press.Google Scholar
Fleminger, J. J. (1978) Laterality in relation to psychiatry: An introduction. Chapter 6 in Current Themes in Psychiatry, (eds. Gaind, R. and Hudson, B. L.). London: Macmillan.Google Scholar
Fleminger, J. J., Dalton, R. & Standage, K. F. (1977a) Age as a factor in the handedness of adults. Neuropsychologia, 15, 471–3.CrossRefGoogle ScholarPubMed
Fleminger, J. J., Dalton, R. & Standage, K. F. (1977b) Handedness in psychiatric patients. British Journal of Psychiatry, 131, 448–52.Google Scholar
Fleminger, J. J., Dalton, R. & Hsu, G. (1978) Lateral response to suggestion in relation to handedness. Perceptual and Motor Skills, 46, 1344–6.Google Scholar
Fleminger, J. J., Dalton, R. (1979) Age and sex as factors in lateral response to suggestion and its relation to handedness. Perceptual and Motor Skills, 48, 1008.Google Scholar
Frumkin, L. R., Ripley, H. S. & Cox, G. B. (1978) Changes in cerebral hemispheric lateralization with hypnosis. Biological Psychiatry, 13, 741–50.Google Scholar
Galin, D. (1974) Implications for psychiatry of left and right cerebral specialization. Archives of General Psychiatry, 31, 572–83.Google Scholar
Galin, D., Diamond, R. & Braff, D. (1977) Lateralization of conversion symptoms: More frequent on the left. American Journal of Psychiatry, 134, 578–80.Google Scholar
Halliday, J. L. (1937) Psychological factors in rheumatism. A preliminary study. Part II. British Medical Journal, i, 264–9.Google Scholar
Kenyon, F. E. (1964) Hypochondriasis: A clinical study. British Journal of Psychiatry, 110, 478–88.Google Scholar
Magee, K. (1962) Hysterical hemiplegia and hemianaesthesia. Postgraduate Medicine, 31, 339–45.Google Scholar
Merskey, H. & Spear, F. G. (1967) Pain, Psychological and Psychiatric Aspects. London: Bailliere, Tindall and Cassell.Google Scholar
Purves-Stewart, J. (1924) The Diagnosis of Nervous Disease. London: E. Arnold.Google Scholar
Stefansson, J. G., Messina, J. A. & Meyerowitz, S. (1976) Hysterical neurosis, conversion type: clinical and epidemiological considerations. Acta Psychiatrica Scandinavica, 53, 119–38.Google Scholar
Stern, D. B. (1977) Handedness and the lateral distribution of conversion reactions. Journal of Nervous and Mental Disease, 164, 122–8.Google Scholar
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