Dementia and Painting in Patients from Different Cultural Backgrounds

Midorikawa, Akira; Fukutake, Toshio; Kawamura, Mitsuru

doi:10.1159/000151697

Cited by 22 publications

(16 citation statements)

References 26 publications

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“…Rather, prior to his injury, this patient was already a poet and a critic. In the current case, the main lesion was in the left anterior temporal cortex in an area consistent with previous reports of patients who developed artistic ability after the onset of disease (Midorikawa et al, 2008; Miller et al, 1998; Miller, Boone, Cummings, Read, & Mishkin, 2000). These patients all suffered from degenerative disease rather than a traumatic brain injury, suggesting that the lesion or site of damage is more important to de novo artistic expression than is the pathological background of the insult.…”

Section: Discussionsupporting

confidence: 89%

“…Currently, a number of reports have examined the development of artistic ability after brain damage (Chatterjee, 2006; Zaidel, 2005); however, this case has several distinct features. First, the damage to the current patient was caused by a traumatic brain injury, whereas previous cases have generally involved neural degeneration such as frontotemporal dementia (FTD; Midorikawa, Fukutake, & Kawamura, 2008; Miller et al, 1998), Alzheimer’s disease (AD; Chakravarty, 2011), Parkinson’s disease (PD; Walker, Warwick, & Cercy, 2006), or cerebrovascular disease (Lythgoe, Pollak, Kalmus, de Haan, & Chong, 2005). The emergence of artistic ability is rarely seen in patients following traumatic brain injury (Schott, 2012).…”

Section: Discussionmentioning

confidence: 99%

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The emergence of artistic ability following traumatic brain injury

Midorikawa

Kawamura

2014

Neurocase

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In this study, the case of a patient who developed artistic ability following a traumatic brain injury is reported. The subject was a 49-year-old male who suffered brain injury at the age of 44 due to an accidental fall. At age 48, he began drawing with great enthusiasm and quickly developed a personal style with his own biomorphic iconography. At first, his drawing was restricted to realistic reproductions of photographs of buildings, but his style of drawing changed and became more personal and expressionistic over the following 6 months.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

The emergence of artistic ability following traumatic brain injury

Midorikawa

Kawamura

2014

Neurocase

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“…We found 35 relevant papers reporting the degradation, emergence, preservation or improvement of creative expression in 53 patients after the onset of different neurological diseases (see Table 1): 19 patients with temporal variant FTD (semantic dementia), 10 patients with behavioral variant FTD, eight patients with Alzheimer's disease, four patients with primary progressive non-fluent aphasia, and 12 patients with various neurological diseases (Espinel, 1996; Miller et al, 1998, 2000; Crutch et al, 2001; Thomas-Anterion et al, 2002, 2010; Kleiner-Fisman et al, 2003; Mell et al, 2003; Mendez and Perryman, 2003; Annoni et al, 2005; Fornazzari, 2005; Lythgoe et al, 2005; Serrano et al, 2005; Chatterjee et al, 2006; Drago et al, 2006a,b; Budrys et al, 2007; Finney and Heilman, 2007; Midorikawa et al, 2008; Seeley et al, 2008; Liu et al, 2009; Thomas-Anterion, 2009; Chakravarty, 2011; Chatterjee et al, 2011; van Buren et al, 2013; Galarza et al, 2014; Takahata et al, 2014). All reported patients with temporal FTD ( n = 19) presented the emergence ( n = 11), increase ( n = 2), or preservation ( n = 6) of creative production but no degradation of artistic abilities (Miller et al, 1996, 1998; Edwards-Lee et al, 1997; Drago et al, 2006b; Wu et al, 2013).…”

Section: Clinical Observations Of Creativity In Neurological Patientsmentioning

confidence: 99%

Frontal lobe neurology and the creative mind

et al. 2014

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Concepts from cognitive neuroscience strongly suggest that the prefrontal cortex (PFC) plays a crucial role in the cognitive functions necessary for creative thinking. Functional imaging studies have repeatedly demonstrated the involvement of PFC in creativity tasks. Patient studies have demonstrated that frontal damage due to focal lesions or neurodegenerative diseases are associated with impairments in various creativity tasks. However, against all odds, a series of clinical observations has reported the facilitation of artistic production in patients with neurodegenerative diseases affecting PFC, such as frontotemporal dementia (FTD). An exacerbation of creativity in frontal diseases would challenge neuroimaging findings in controls and patients, as well as the theoretical role of prefrontal functions in creativity processes. To explore this paradox, we reported the history of a FTD patient who exhibited the emergence of visual artistic productions during the course of the disease. The patient produced a large amount of drawings, which have been evaluated by a group of professional artists who were blind to the diagnosis. We also reviewed the published clinical cases reporting a change in the artistic abilities in patients with neurological diseases. We attempted to reconcile these clinical observations to previous experimental findings by addressing several questions raised by our review. For instance, to what extent can the cognitive, conative, and affective changes following frontal damage explain changes in artistic abilities? Does artistic exacerbation truly reflect increased creative capacities? These considerations could help to clarify the place of creativity—as it has been defined and explored by cognitive neuroscience—in artistic creation and may provide leads for future lesion studies.

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“…The most well-known example of this phenomenon is the emergence of artistic skills following the onset of dementia [13,14]. While some patients had artistic experience preceding the onset of this ability, documented changes in styles and improvements in ability have been reported after the onset of the disease [15,16,17].…”

Section: Introductionmentioning

confidence: 99%

Characterisation of “Positive” Behaviours in Primary Progressive Aphasias

Midorikawa¹,

Kumfor²,

Leyton³

et al. 2017

Dement Geriatr Cogn Disord

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Background/Aims: Although some patients with primary progressive aphasia (PPA) exhibit novel or improved skills after the onset of dementia, these changes have yet to be quantified. Therefore, this study systematically explored and identified the emergence of positive behaviours after dementia onset. Methods: This study included 48 carers of patients with PPA: 12 nonfluent/agrammatic PPA (nfvPPA), 22 semantic variant PPA (svPPA), and 14 logopenic variant PPA (lvPPA). The presence and frequency of positive behaviour changes after dementia onset were established using the Hypersensory and Social/Emotional Scale (HSS). Results: Scores on Sensitivity to Details, Visuospatial Activities, and Music Activities differed significantly among the groups. More specifically, svPPA was associated with increased visuospatial activity, but only in the mild stage of the disease; nfvPPA was associated with increased visuospatial activity and decreased music activity, while lvPPA exhibited the reverse profile. Conclusions: The results demonstrate that subsets of PPA patients show novel or increased positive behaviours following dementia onset, and differences among subtypes may be helpful for improving diagnostic accuracy. Additionally, harnessing these skills may improve the quality of life of both patients and carers.

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Dementia and Painting in Patients from Different Cultural Backgrounds

Cited by 22 publications

References 26 publications

The emergence of artistic ability following traumatic brain injury

The emergence of artistic ability following traumatic brain injury

Frontal lobe neurology and the creative mind

Characterisation of “Positive” Behaviours in Primary Progressive Aphasias

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