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Bilateral amygdala damage impairs evaluation of facial but not vocal expressions of fear.

 Adam K. Anderson and Elizabeth A. Phelps
  
 

Abstract:
A growing body of evidence suggests the human amygdala is involved in the social communication of emotion. Separate case studies of patients with selective bilateral amygdala damage have revealed impairments in the appraisal of fear, from facial (Adolphs et al., 1994, Calder et al., 1996) as well as vocal expressions (Scott et al., 1997). Therefore, the amygdala appears to play an important role in the modality-independent analysis of signals of fear. In order to directly test this hypothesis in a single patient, we studied patient SP who sustained bilateral amygdala damage due to right anteromedial temporal lobectomy and left amygdalar gliosis. Previously we found that when asked to rate the appropriateness of verbal emotion labels of different facial expressions, SP was impaired in evaluating expressions of fear, sadness, and disgust (Anderson et al., 1996). In contrast, when asked to evaluate different vocal expressions of affect, SP revealed generally intact performance, with the exception of her impaired appraisal of disgust. SP performed normally on various non-emotional measures of auditory and visual processing. Therefore, we provide evidence that impairments in the analysis of fearful facial and vocal expressions are dissociable following amygdala damage.

 
 


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