Qualitative and quantitative Block Design performance was examined in Vietnam combat veterans with PTSD diagnoses (n = 23) and Vietnam combat veterans without PTSD or other mental disorders diagnoses (n = 19). Results indicated that PTSD-diagnosed veterans committed more single block rotations than the comparison sample, and that their errors occurred more frequently in right hemispace than errors made by the comparison sample. The two groups did not differ in the number of configural errors made, errors committed in left hemispace, or in quantitative performance measures. Findings are suggestive of relative left hemisphere hypoactivation and are congruent with prior research documenting cerebral asymmetries in emotional disorders.
American Psychiatric Association
. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
Beck, A. T.
, Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77-100.
3.
Ben-Yishay, Y.
, Diller, L., Mandleburg, I., Gordon, W., & Gerstman, L. J. (1971). Similarities and differences in block design performance between older normal and braininjured persons: A task analysis. Journal of Abnormal Psychology, 78, 17-25.
4.
Birhle, A. M.
, Bellugi, U., Delis, D., & Marks, S. (1989). Seeing either the forest or the trees: Dissociation in visuospatial processing. Brain and Cognition, 11, 37-49.
5.
Borod, J. C.
(1992). Interhemispheric and intrahemispheric control of emotion: A focus on unilateral brain damage. Journal of Consulting and Clinical Psychology, 60, 339-348.
6.
Borod, J. C.
, Koff, E., & Caron, H. (1983). Right hemispheric specialization for the expression and appreciation of emotion: A focus on the face. In E. Perecman (Ed.), Cognitive processing in the right hemisphere (pp. 83-110). New York: Academic Press.
7.
Bremner, J. D.
, Randall, P., Scott, T. M., Bronen, R. A., Seibyl, J. P., Southwick, S. M., Delaney, R. C., McCarthy, G., Charney, D. S., & Innis, R. B. (1995). MRI-based measurement of hippocampal volume in patients with combatrelated posttraumatic stress disorder. American Journal of Psychiatry, 152, 973-981.
8.
Bremner, J. D.
(1999). Does stress damage the brain?Biological Psychiatry, 45, 797-805.
9.
Davidson, R. J.
(1993). Parsing affective space: Perspectives from neuropsychology and psychophysiology. Neuropsychology, 7, 464-475.
10.
Davidson, R. J.
(1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion, 12, 307-330.
11.
Delis, D. C.
, Kiefner, M. G., & Fridlund, A. J. (1988). Visuospatial dysfunction following unilateral brain damage: Dissociations in hierarchical and hemispherical analysis. Journal of Clinical and Experimental Neuropsychology, 10, 421-431.
12.
Ferman, T.
, Primeau, M., Delis, D., & Jampala, C. (1999). Global-local processing in schizophrenia: Hemispheric asymmetry and symptom-specific interference. Journal of the International Neuropsychological Society, 5, 442-451.
13.
First, M. B.
, Gibbon, M., Spitzer, R. L., & Williams, J. B. W. (1996). Structured Clinical Interview for DSM-IV. New York: Biometrics Research, New York State Psychiatric Institute.
14.
Heilman, K. M.
, Bowers, D., & Valenstein, E. (1985). Emotional disorders associated with neurological diseases. In K. M. Heilman & E. Valenstein (Eds.), Clinical neuropsychology (pp. 377-402). New York: Oxford University Press.
15.
Heilman, K. M.
, Watson, R. T., & Valenstein, E. (1993). Neglect and related disorders. Clinical neuropsychology (3rd ed., pp. 279-336). New York: Oxford University Press.
16.
Heller, W.
(1993). Neuropsychological mechanisms of individual differences in emotion, personality, and arousal. Neuropsychology, 7, 476-489.
17.
Heller, W.
, & Nitschke, J. B. (1997). Regional brain activity in emotion: A framework for understanding cognition in depression. Cognition and Emotion, 11, 637-661.
18.
Kaplan, E.
(1990). The process approach to neuropsychological assessment of psychiatric patients. Journal of Neuropsychiatry, 2, 72-87.
19.
Kaplan, E.
, Fein, D., Morris, R., & Delis, D. (1991). WAIS-R as a neuropsychological instrument. San Antonio, TX: The Psychological Corporation.
20.
Keane, T. M.
, Fairbank, J. S., Caddell, J. M., Zimmering, R. T., Taylor, K. L., & Mora, C. A. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 53-55.
21.
Khavari, K. A.
, & Farber, P. D. (1978). A profile instrument for the quantification and assessment of alcohol consumption: The Khavari Alcohol Test. Journal of Studies on Alcohol, 47, 1525-1539.
22.
Kramer, J.
, Kaplan, E., Blusewicz, M., & Preston, K. (1991). Visual hierarchical analysis of block design configural errors. Journal of Clinical and Experimental Neuropsychology, 13, 455-465.
23.
Lee, G. P.
, Lohring, D. W., Dahl, J. L., & Meador, K. J. (1993). Hemispheric specialization for emotional expression. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 6, 143-148.
24.
McLellan, A. T.
, Luborsky, L., Cacciola, J., Griffith, J., McGahan, P., & O'Brien, C. P. (1985). Guide to the Addiction Severity Index: Background, administration, and field testing results. (DHHS Publication No. ADM 85-1419). Washington, DC: U.S. Government Printing Office.
25.
Milberg, W.
, Hebben, N., & Kaplan, E. (1996). The Boston approach to neuropsychological assessment. In I. Grant & K. M. Adams (Eds.), Neuropsychological assessment of neuropsychological disorders (2nd ed., pp. 58-80). New York: Oxford University Press.
26.
National Institute on Alcohol Abuse and Alcoholism
. (1993). Eighth special report to the U.S. Congress on alcohol and health (DHHS Publication No. ADM 281-91-0003). Alexandria, VA: EEL.
27.
Paolo, A. M.
, & Ryan, J. J. (1994). Base rates of WAIS-R qualitative information for persons 75 years and older. Assessment, 1, 83-88.
28.
Paterson, A.
, & Zangwill, O. L. (1944). Disorders of visual space perception associated with lesions of the right cerebral hemisphere. Brain, 67, 331-358.
29.
Rauch, S. L.
, van der Kolk, B. A., Fisler, R. E., Alpert, N. M., Orr, S. P., Savage, C. R., Fischman, A. J., Jenike, M. A., & Pitman, R. K. (1996). A symptom provocation study of posttraumatic stress disorder using positron emission tomography and script-driven imagery. Archives of General Psychiatry, 53, 380-387.
30.
Reiman, E. M.
, Raichle, M. E., Butler, F. K., Herscovitch, P., & Robins, E. (1984). A focal brain abnormality on panic disorder, a severe form of anxiety. Nature, 310, 683-685.
31.
Robertson, L. C.
, & Delis, D. C. (1986). Part-whole processing in unilateral brain-damaged patients: Dysfunction of hierarchical organization. Neuropsychologia, 24, 363-370.
32.
Schorr, D.
, Bower, G. H., & Kiernan, R. (1982). Stimulus variables in the block design task. Journal of Consulting and Clinical Psychology, 50, 479-487.
33.
Shin, L. M.
, Kosslyn, S. M., McNally, R. J., Alpert, N. M., Thompson, W. L., Rauch, S. L., Macklin, M. L., & Pitman, R. K. (1997). Visual imagery and perception in posttraumatic stress disorder: A positron emission tomography investigation. Archives of General Psychiatry, 54, 233-241.
34.
Silberman, E. K.
, & Weingartner, H. (1986). Hemispheric lateralization of functions related to emotion. Brain and Cognition, 5, 322-353.
35.
Spielberger, C. D.
, Gorsuch, R. L., & Lushene, R. E. (1970). STAI: Manualfor the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
36.
Spielberger, C. D.
(1996). State-Trait Anger Expression Inventory professional manual. Odessa, FL: Psychological Assessment Resources.
37.
Sutker, P. B.
, Uddo-Crane, M., & Allain, A. N. (1991). Clinical and research assessment of Posttraumatic Stress Disorder: A conceptual overview. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 520-530.
38.
Tivis, L. J.
, & Parson, O. A. (1995). An investigation of verbal spatial functioning in chronic alcoholics. Assessment, 2, 285-292.
39.
Tomarken, A. J.
, & Keener, A. D. (1998). Frontal brain asymmetry and depression: A self-regulatory perspective. Cognition and Emotion, 12, 387-420.
40.
Tomarken, A. J.
, Simien, C., & Garber, J. (1994). Resting frontal brain asymmetry discriminates children of depressed mothers from low-risk controls. Psychophysiology, 31, 597-598.
41.
Wechsler, D.
(1981). Manual for the Wechsler Adult Intelligence Scale-Revised. New York: The Psychological Corporation.
42.
Vasterling, J. J.
, Brailey, K., Constans, J. I., Borges, A., & Sutker, P. B. (1997). Assessment of intellectual resources in Gulf War veterans: Relationship to PTSD. Assessment, 4, 51-59.
