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Right-brain-damaged patients showing unilateral neglect underwent a specifically devised line-bisection task that allowed uncoupling of the direction of visual attention from that of hand movement. This made it possible to isolate and separately assess perceptual and premotor factors of the disorder. Comparison of experimental and radiologic data suggested that premotor factors were more pronounced in patients with lesions involving the frontal lobes than in patients with lesions confined to postrolandic areas. The technique employed is compatible with bedside examination and provides data useful for standard assessment of neglect symptomatology for both clinical and experimental purposes.

In this paper different models of anosognosia are confronted and data concerning denial behaviors are presented that were collected on a selected population of right brain-damaged patients affected by motor and neglect disorders. Anosognosia for motor impairment and anosognosia for cognitive impairments were found to be dissociated, as well as anosognosia for the upper and lower limb motor impairments. These findings are then discussed in an attempt to choose the more suitable theoretical framework for interpreting the various disorders related to denial of illness. (JINS, 1996, 2, 426–440.)

Can visual processing be carried out without visual awareness of the presented objects? In the present study we addressed this problem in patients with severe unilateral neglect. The patients were required to respond as fast as possible to target stimuli (pictures of animals and fruits) presented to the normal field by pressing one of the two keys according to the category of the targets. We then studied the influence of priming stimuli, again pictures of animals or fruits, presented to the neglected field on the responses to targets. By combining different pairs of primes and targets, three different experimental conditions were obtained. In the first condition, "Highly congruent," the target and prime stimuli belonged to the same category and were physically identical; in the second condition, "Congruent," the stimuli represented two elements of the same category but were physically dissimilar; in the third condition, "Noncongruent," the stimuli represented one exemplar from each of the two categories of stimuli. The results showed that the responses were facilitated not only in the Highly congruent condition, but also in the Congruent one. This finding suggests that patients with neglect are able to process stimuli presented to the neglected field to a categorical level of representation even when they deny the stimulus presence in the affected field. The implications of this finding for psychological and physiological theory of neglect and visual cognition are discussed.