Last night I attended a presentation on learning styles at my daughter’s school. The speaker, an educational psychologist, pushed the left brain-right brain asymmetry as the source of two different cognitive styles: auditory-sequential and visual-spatial. I’m left-handed, so presumably my brain has more cross-wiring than right-handed people’s brains. Even so, characterizing the left hemisphere as “auditory” is misleading.
Briefly, the argument is this: Empirical evidence consistently demonstrates that (for right-handers especially) language is processed mostly in the left hemisphere. This is true for both spoken and written language. Language is processed sequentially, and sequence is a function of time. There is some evidence suggesting that the left hemisphere is more sensitive than the right in detecting short time intervals. What the right hemisphere adds to linguistic processing is the awareness of affect, attitude, interpersonal context: connotation rather than denotation, holistic rather than sequential. Many of the relevant connotational cues are visual: body language, facial expression. And there is independent evidence supporting right-hemispheric dominance in processing visual-spatial information.
However, other connotational cues are auditory: tone of voice and inflection, so-called “melodic speech,” which is also predominantly a right-hemispheric function in most people. The right brain is also presumably better at conjuring up mental images of what a string of language is talking about: the objects, events, and scenes being described, the array of signifieds toward which the linguistic signifiers point. The right brain is also better at divergent thinking: coming up with alternative ways of imagining or thinking about or representing something, which I believe implies the ability to generate alternative linguistic descriptions of something.
So now I find myself thinking about implications for psychotherapy and analysis. Language is the dominant medium for pretty much all techniques, suggesting a left-hemispheric bias. Cognitive-behavioral praxis involves a systematic parsing of thoughts and behaviors in an attempt to identify mismatches: irrational perceptions and attitudes and beliefs, inappropriate behavioral-linguistic responses. Treatment involves breaking into the sequence that links environmental cue, thought, and action, then consciously attempting to restructure this sequence in a more rational way.
In contrast, psychoanalytic technique deals primarily with the unexpressed, the repressed, the unformulated. As the person speaks, the analyst looks for clues to what is not being said: slips, tone of voice, facial tics, bodily movements. Through free association the client begins producing linguistic strings that haven’t been structured consciously into appropriate and rational discourse. Guided imagery encourages the client to picture memories or events or situations in the mind’s eye. Progress is made by bringing more and more unconscious material into awareness, playing with it, integrating it with conscious but discrepant thoughts, and eventually letting it settle into a holistic scheme of coherent personal meaning.
In short, doesn’t it seem that cognitive-behavioral therapy is a left-hemispheric praxis whereas psychoanalysis emphasizes right-brain activity?
Still, psychoanalysis focuses on linguistic expression. In part this is an artifact of analysis being an interpersonal process: it’s hard to know what someone else is thinking without their putting it into words. Also, though, there is a presumption that consciousness is inherently linguistic. Thought and language seem inextricably linked, such that thought is a kind of unspoken linguistic process and language is thought made accessible to others. Thoughts which cannot be expressed verbally aren’t really thoughts, it is argued. Further, analysis has historically depended on the analyst’s ability to interpret the client, and interpretation is always verbally communicated.
But what about images, pictures, physical structures? To create visual-spatial things requires conscious attention, contemplation, imagination, and manipulation. Collage, haphazard rearrangement of components, even demolition: these activities both embody and generate meaning, even if that meaning cannot be put into words. Must the analyst insist that the client drag the right-brain stuff across the corpus callosum into left-brain language processing? Why not just let the client express the non-linguistic stuff non-linguistically, through image, movement, intonation, manipulation? The explicitly analytic role of the analyst is regarded as less important than the client’s self-analysis. And even if the client never explicitly formulates his or her insights in words, the changes in perception, affect, energy, desire, proactivity, freedom of expression, personal integration, and so on are the most important outcomes.
On the other hand, perhaps because I’m left-handed I value bilateral integration. Being able to express divergent and holistic thoughts and images verbally seems like a good thing. And being able to deal with images and structures and intonations and affects without having to talk about them also seems like a good thing.