This article examines the long-standing cultural and philosophical assumption that human beings are fundamentally either rational or emotional creatures, and finds that this binary does not survive contact with contemporary neuroscience. The article reviews Antonio Damasio's somatic marker hypothesis, grounded in case studies of patients with ventromedial prefrontal cortex (VMPFC) damage — including the 19th-century case of Phineas Gage and the modern case of a patient known as Elliot — and the Iowa Gambling Task, which together demonstrate that the loss of emotional processing capacity impairs rather than improves real-world decision-making. The article examines the real-time mechanism by which the amygdala and prefrontal cortex jointly regulate emotional response, and reviews Daniel Kahneman's System 1/System 2 dual-process framework from Thinking, Fast and Slow (2011), including the widely cited finding that approximately 96% of human decisions are governed by System 1's fast, automatic, emotionally inflected processing. The article further examines what happens when each system fails without the other — logic without feeling, as in VMPFC damage, and feeling without regulation, as in clinical anxiety and depression — before concluding that integration, not domination by either system, is what the evidence actually supports.
Narayan Rout (Fri,) studied this question.