Belief and awareness: reflections on a case of persistent anosognosia

Venneri, Annalena; Shanks, Michael F.

doi:10.1016/s0028-3932(03)00171-4

Cited by 56 publications

(32 citation statements)

References 30 publications

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“…One reason which makes this region a good candidate for such a role is that it houses the praxicon, a lexicon of representations concerning human actions (Peigneux et al, 2001). In the right hemisphere, the temporoparietal junction was related to anosognosia of hemiplegia (Venneri and Shanks, 2004). The praxicon is essential to compare self and other's familiar actions, and AD patients with anosognosia seem not to be aware of the difference between their impaired abilities and other's normal activities.…”

Section: Behavioral Measures Of Anosognosia In Admentioning

confidence: 99%

Two aspects of impaired consciousness in Alzheimer's disease

Salmon

Ruby

Perani

et al. 2005

Progress in Brain Research

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Section: Behavioral Measures Of Anosognosia In Admentioning

confidence: 99%

Two aspects of impaired consciousness in Alzheimer's disease

Salmon

Ruby

Perani

et al. 2005

Progress in Brain Research

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“…It is also worthwhile to consider denial as a psychological reaction, which appears at the early stage of the illness (Weinstein & Kahn, 1955). Impaired self-awareness influences the emotional functioning and the process of rehabilitation negatively, especially if the symptoms are persistent (Cocchini, Beschin, & Della Sala, 2002;Venneri & Shanks, 2004). Patients manifest a low level of motivation to engage and to sustain therapeutic work (Domań ska & Zawadzka, 2009;Santos, Caeiro, Ferro, Albuquerque, & Figueira, 2006), resist support and treatment recommendations, develop few compensatory strategies, and set unrealistic aims (Domań ska & Marszałek, 2006;Ownsworth & Clare, 2006;Ownsworth & Fleming, 2005).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Select Dimensions of Patients' Emotional Functioning at Different Time Periods After Stroke

Zawadzka

Domańska

2013

Applied Neuropsychology: Adult

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A person's self-evaluation influences purposeful activity undertaken in the situation of illness. It is observed in neurological patients that limited self-awareness disturbs rehabilitation. The goal of the study was to investigate select dimensions of emotional state, the relationship between anxiety and emotional state, and the level of insight into emotional state in patients at different time periods after cerebral vascular accidents (CVAs). Sixty-five patients with short (n = 36) or long (n = 29) time periods following a stroke participated in this study. The patients' relatives (n = 65) evaluated their emotional functioning. The modified Neuropsychology Behavior and Affect Profile (NBAP; Nelson, Satz, & D'Elia, 1994 ) and State and Trait Anxiety Inventory were administered. Compared groups differed significantly in self-reporting and in relatives' reports on the NBAP scales. Patients with short and long time periods after stroke did not differ in terms of mania, indifference, depression, or inappropriateness. Significant positive moderate correlations between anxiety and depression were found in both groups. In the group with a long time period after CVA, ratings of depression, mania, indifference, and inappropriateness among patients with right-hemisphere damage were significantly correlated with their relatives' ratings. Biological and psychological factors determining emotional state and adequacy of patients' self-evaluations have also been discussed.

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“…It is likely that other neurocognitive disturbances also contribute to AHP. On the basis of research in other delusional patients [2], and a speculated reality monitoring impairment in an AHP casereport [9], we hypothesised that an inability to discriminate between internally-and externally-generated information (i.e. reality monitor) would contribute to AHP.…”

Section: Introductionmentioning

confidence: 99%