The relationship between autonomic-visceral arousal and emotional experienc
e is unclear. The attribution or cognitive-arousal theory of emotional expe
rience posits that emotional experience is dependent on both visceral-auton
omic nervous system feedback and the cognitive interpretation of the stimul
us that induced this visceral activation. The finding that false cardiac fe
edback can alter emotional experience suggests that it may be the conscious
perception that one is aroused, together with the cognitive interpretation
of the stimulus that are important in developing emotional experience. Bec
ause the right hemisphere appears to play a special role in modulating arou
sal and interpreting emotional stimuli, it is possible that right hemispher
e damage may interfere with developing the computations needed for emotiona
l experience. To test this hypothesis we exposed men, both neurologically i
ntact and those with right and left hemisphere lesions, to emotionally prov
ocative pictures that were paired with false cardiac feedback, and examined
the effects of this false feedback on their ratings of attractiveness of t
hese pictures and their cardiac reactivity to this information. Subjects wi
th left hemisphere damage, but not right hemisphere damage, showed signific
ant changes in their emotional rating whereas control subjects showed margi
nal reactivity in their emotional ratings. Subjects with left hemisphere da
mage also showed significant changes in their cardiac reactivity. This find
ing is consistent with prior reports that indicate, when compared to right
hemisphere damaged patients and normal controls, patients with left hemisph
ere lesions have an increased visceral-autonomic response to stimuli. These
findings further provide support for the postulate that it is the cognitiv
e interpretation of perceived physiological arousal together with the cogni
tive interpretation of the stimulus that is important in the development of
emotional judgment and experience. These results do not support the approa
ch-left hemisphere/avoidance-right hemisphere dichotomy, but instead sugges
t that left hemisphere damage increases reactivity to false feedback, and t
hat the intact right hemisphere function integrates the cognitive interpret
ation of the emotional information and perceived arousal that lead to that
emotional judgment. That these subjects showed no consistent relationship b
etween their measures of cardiac reactivity and their ratings of attractive
ness detracts from the James-Lange and attribution theories. These subjects
also showed no consistent relationship between their knowledge of affectiv
e physiological reactivity and their ratings of attractiveness, or between
their knowledge of physiological reactivity and actual measures of cardiac
reactivity, suggesting that other neuropsychological factors are involved i
n making an emotional judgment.