Split-brain patients in general report no significant post-operative changesno significant post-operative changes in their cognitive function, sense of self, or conscious experience. Internal monologue remains intact, and appears to function as normal. However testing under lab conditions demonstrates that subjects do in fact experience significant changes in awareness - effectively neglectingeffectively neglecting half of their perceptual experience.
Relatively recently, new techniques for studying inner speech have been developed, such as fMRI imaging of subjects instructed to or prevented from engaging in self-reflection and internal monologue. Such studies suggest that inner speech is primarily localized to Broca's area (LIFG, on the left side of the brain), just as is outer speech (McGuire, 1996McGuire, 1996; Morin & Hamper, 2012Morin & Hamper, 2012; Wikipedia). These findings are consistent with other evidence that inner speech is a form of silent (simulated) outer speech, and thus uses the same physical mechanism.
In the split-brain paradigm experimentssplit-brain paradigm experiments, subjects are able to articulate stimuli presented to their right field of view (left hemisphere, where Broca's area is), but unable to do so for stimuli presented to their left side (right hemisphere, where language is lacking). To communicate with the right hemisphere, researchers have subjects use their left hand to gesture responses in some way.
Remarkably, in the experiments conducted with Paul, he was able to use his left hand to spell out single word answers using Scrabble pieces to express what his right hemisphere was thinking (LeDoux et al, 1977LeDoux et al, 1977). As with other split-brain subjects, his right hemisphere had a quite different experience from his left, but unlike other patients, Paul was able to demonstrate a slightly different personality residing in his right brain, with different opinions, preferences, and decisions.
Could this mean that Paul S. had a second, independent internal monologue in his right hemisphere that the left hemisphere was unaware of? The dual-consciousnessdual-consciousness interpretation of this case study has been the subject of much debate, but most scholars suspect that this is unlikely: Language function is simply too rudimentary in the right hemisphere, even in this remarkable case, to plausibly support this hypothesis.