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Modern Psychological Studies

Volume

32

Number

2

Department

Dept. of Psychology

Publisher

University of Tennessee at Chattanooga

Place of Publication

Chattanooga (Tenn.)

Date

2026

Abstract

In this article we argue and review prosopagnosia and pure alexia from a graded hemispheric view. It is common for classical case reports to describe prosopagnosia with right fusiform damage and pure alexia with left occipito-temporal lesions. These double dissociations have been used to argue for separate and lateralized modules. But recent evidence from clinical, neuroimaging, developmental and neurosurgical studies might show that this might not be the best model. Some patients with prosopagnosia show mild but reliable deficits on reading tasks. On the other hand, some patients with pure alexia show mild deficits in face recognition or object recognition. Lesion mapping and diffusion imaging studies suggest damage to shared yet biased networks rather than isolated completely separate modules. Developmental and surgical studies further demonstrate that one hemisphere can process both faces and words. There is individual variation among imaging and lateralization studies, and weak coupling between word dominance and face dominance. This narrative review brings together these findings and argues for a graded spectrum view of hemispheric specialization. Specialization for faces and words might also be seen as overlapping networks in both hemispheres. This approach has implications which challenge the classical view.

Keyword

prosopagnosia; pure alexia; hemispheric specialization; ventral temporal cortex; lateralization; cortical recycling

Discipline

Psychology

Document Type

article

DCMI Type

Text

Language

English

Rights

http://rightsstatements.org/vocab/InC/1.0/

License

http://creativecommons.org/licenses/by/4.0/

Included in

Psychology Commons

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