In the previous three chapters, we considered psychoanalytic observations on patients who sustained damage to different parts of the left perisylvian region of the brain. In this chapter, we summarize the very different presentations of patients who sustained equivalent damage on the opposite side of the brain: in the perisylvian region of the right cerebral hemisphere (Fig. 8-1). In all of the cases to be described in this chapter, the damage in question was caused by cerebrovascular accidents in the distribution of the right middle cerebral artery.

In analysing these cases, we will proceed somewhat deeper beneath the surface of conscious awareness than was necessary