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The Neurological Bases of Emotional Dys-Regulation Arising From Brain Injury in Childhood: A ‘When and Where’ Heuristic

Published online by Cambridge University Press:  21 February 2012

James Tonks*
Affiliation:
School of Psychology, University of Exeter, United Kingdom. [email protected]
W. Huw Williams
Affiliation:
School of Psychology, University of Exeter, United Kingdom.
Ian Frampton
Affiliation:
Cornwall Partnership NHS Trust, United Kingdom.
Philip Yates
Affiliation:
Royal Devon and Exeter Hospital, United Kingdom.
Alan Slater
Affiliation:
School of Psychology, University of Exeter, United Kingdom.
*
*Address for correspondence: James Tonks, School of Psychology, Washington Singer Laboratories, Perry Road, Exeter EX4 4QG UK.
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Abstract

Lasting emotional and social communication deficits are common among children who have suffered brain injury. Concerns have been raised that current assessment and treatment methods are inadequate in addressing the needs of such children in rehabilitation. We advocate that a proportion of reported deficits occur as a result of compromise to emotion processing systems in the brain. In this article we review adult brain injury research, which indicates that dissociable subsystems are involved in distinguishing the nuances of emotional expression. Findings previously reported in the literature have been integrated into a dissociable heuristic framework, which offers a novel representation of subcomponents of the emotion processing system. In considering the development of the subcomponents of emotion processing, evidence indicates that intrinsic arousal systems are operational from birth, systems associated with sensory/spatial skills that are essential in reading emotional expression develop rapidly from birth, and systems utilised in executive system synthesis become increasingly sophisticated with development, stemming across childhood and into adulthood. In conclusion, it is proposed that the heuristic is a useful tool on which assessment measures may be based when considering the primary effects of brain injury in children.

Type
Articles
Copyright
Copyright © Cambridge University Press 2007

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