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Störungen der Selbstwahrnehmung

  • George P. Prigatano

Zusammenfassung

Störunqen der Selbstwahrnehmung („self-awareness “) nach einer Hirnschädigung werden häufig nicht angemessen verstanden und behandelt (11. Prinzip). Es stellt sich die Frage, ob die offenbar mangelnde Einsicht des Patienten ein Ergebnis der Dysfunktion des Gehirns oder ein psychologischer Abwehrmechanismus (z. B. Verleugnung) gegenüber der Erkenntnis von Einschränkungen und Behinderungen ist. Die Antwort darauf ist für den Umgang mit Patienten, aber auch für das Verständnis der Mechanismen menschlichen Bewusstseins von Bedeutung.

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Literatur

  1. American Psychiatric Association (1994). DSM-IV: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association.Google Scholar
  2. Anton, G. (1898). Über Herderkrankungen des Gehirnes, welche von Patienten selbst nicht wahrgenommen werden. Wien. Klin. Wchnschr. 11:227–229.Google Scholar
  3. Babinski, J. (1914). Contribution á l’etude des troubles mentaux dans l’hémlplégle organique cerebrale (Anosognosie). Revue Neurologigue 27:845–847.Google Scholar
  4. Bauer, R.M., und Rubens, A. B. (1985). Agnosia. In K. M. Heilman und E. Valenstein (eds). Clinical Neuropsychology (2nd edn, pp. 187-229). Oxford University Press, New York.Google Scholar
  5. Bisiach, E., und Geminiani, G. (1991). Anosognosia related to hemiplegia and hemianopia. In G. P. Prigatano und R. L. Schacter (eds), Awareness of Deficit After Brain Injury. Clinical and Theoretical Issues (pp. 17-39). Oxford University Press, New York.Google Scholar
  6. Bisiach, E., Vallar, G., Perani, D., Papagno, und Berti, A. (1986). Unawareness of disease following lesions of the right hemisphere: Anosognosia for hemiplegia and anosognosia for hemianopia. Neuropsychologia 24(4):471–482.PubMedCrossRefGoogle Scholar
  7. Blakemore, C. (1977). Mechanics to the Mind. Cambridge University Press, London.Google Scholar
  8. Brodal, A. (1973). Self-observations and neuro-anatomical considerations after a stroke. Brain 96:675–694.PubMedCrossRefGoogle Scholar
  9. Charcot, J. M. (1882). Sur les divers états nerveux déterminés par l’hynotisation chez les hystériques, Comptes-Rendus hebdomadaires des séances de l’Académie des Sciences XCIV:403–405.Google Scholar
  10. Cutting, J. (1978). Study of anosognosia. J. Neurol. Neurosurg. Psychiatry 41: 548–555.PubMedCrossRefGoogle Scholar
  11. Dikmen, S., Machamer, J.E., Winn, H.R., und Temkin, N.R.(1995). Neuropsychological outcome at 1-year post head injury. Neuropsychology 9:80–90.CrossRefGoogle Scholar
  12. Doyle, A.C. (1986). Sherlock Holmes: The Complete Novels and Stories (Vol. 2, pp. 1-146). Bantam, New York.Google Scholar
  13. Fleming, J. M., Strong, J., und Ashton, R. (1996). Self-awareness of deficits in adults with traumatic brain injury: how best to measure? Brain Inj. 10:1–15.PubMedCrossRefGoogle Scholar
  14. Gainotti, G. (1975). Confabulation of denial in senile dementia: an experimental study. Psychiatric Clinics 8:99–108.Google Scholar
  15. German, W.J., Flanigan, S., und Davey, L.M. (1964). Remarks on subdural hematoma and aphasia. Clin. Neurosurg. 12:344–350.PubMedGoogle Scholar
  16. Haaland, K. Y., Temkin, N., Randahl, G., und Dikmen, S. (1994) Recovery of simple motor skills after head injury. J. Clin. Exp. Neuropsychol. 16:448–456.PubMedCrossRefGoogle Scholar
  17. Head, H. (1920). Studies in Neurology (pp. 560-561). Oxford University Press, London.Google Scholar
  18. LaBaw, W. L. (1969). Denial inside out: subjective experience with anosognosia in closed head injury. Psychiatry 32(1):174–191.PubMedGoogle Scholar
  19. Lebrun, Y. (1987). Anosognosia in aphasics. Cortex 23:251–263.PubMedGoogle Scholar
  20. McGlynn, S. M., und Kaszniak, A. L. (1991). Unawareness of deficits in dementia and schizophrenia. In G. P. Prigatano und D. L. Schacter (eds), Awareness of Deficit After Brain Injury. Clinical and Theoretical Issues. Oxford University Press, New York.Google Scholar
  21. Mesulam, M. M. (1985). Principles of Behavioral Neurology. F. A. Davis, Philadelphia.Google Scholar
  22. Perani, D., Valiar, G., Paulesu, E., Alberoni, M., und Fazio, F. (1993). Left and right hemisphere contribution to recovery from neglect after right hemisphere damage — an[18F] FDG PET study of two cases. Neuropsychologia 31: 115–125.PubMedCrossRefGoogle Scholar
  23. Pick, A. (1908). Über Störungen der Orientierung am eigenen Körper. Arbeiten aus der psychiatrischen. Klin. Prag. 1 (Berlin, Karger).Google Scholar
  24. Prigatano, G. P. (1988). Anosognosia, delusions, and altered self awareness after brain injury: a historical perspective. BNI Quarterly 4(3):40–48.Google Scholar
  25. Prigatano, G. P. (1991). Disturbances of self-awareness of deficit after traumatic brain injury. In: Prigatano, G. P., Schachter, D. L. (eds) Awareness of Deficit After Brain Injury: Clinical and Theoretical Implications. New York, Oxford University Press.Google Scholar
  26. Prigatano, G. P. (1996). Behavioral limitations TBI patients tend to underestimate: a replication and extension to patients with lateralized cerebral dysfunction. Clinical NeuropsychologistClinical Neuropsychologist 10(2):191–201.CrossRefGoogle Scholar
  27. Prigatano, G. P., und Altman, I.M. (1990). Impaired awareness of behavioral limitations after traumatic brain injury. Arch. Phys. Med. Rehabil. 71: 1058–1063.PubMedGoogle Scholar
  28. Prigatano, G. P., Altman, I.M., und O’Brien, K. P. (1990). Behavioral limitations that traumatic-brain-injured patients tend to underestimate. Clinical Neuropsychologist 4(2): 163–176.CrossRefGoogle Scholar
  29. Prigatano, G. P., Bruna, O., Mataro, M., Munoz, J.M., Fernandez, S., und Junque, C. (1998). Initial disturbances of consciousness and resultant impaired awareness in Spanish traumatic brain injured patients. Journal of Head Trauma Rehabilitation 13(5):29–38.PubMedCrossRefGoogle Scholar
  30. Prigatano, G. P., Fordyce, D.J., Zeiner, H.K., Roueche, J.R., Pepping, M., und Wood, B. (1984). Neuropsychological rehabilitation after closed head injury in young adults. J. Neurol. Neurosurg. Psychiatry. 47: 505–513.PubMedCrossRefGoogle Scholar
  31. Prigatano, G. P., und Klonoff, P. S. (1997). A clinician’s rating scale for evaluating impaired self-awareness and denial disability after brain injury. Clinical Neuropsychologist 11(1): 1–12.CrossRefGoogle Scholar
  32. Prigatano, G. P., und Leathem, J.M. (1993). Awareness of behavioral limitations after traumatic bra in injury: a cross-cultural study of New Zealand Maoris and non-Maoris. Clinical Neuropsychologist 7(2): 123–135.CrossRefGoogle Scholar
  33. Prigatano, G. P., und O’Brien, K. P. (1991). Awareness of deficit in patients with frontal and parietal lesions: two casereports. BNI Quarterly 7(1): 17–23.Google Scholar
  34. Prigatano, G. P., Ogano, M., und Amakusa, B. (1997). A crosscultural study on impaired self-awareness in Japanese patients with brain dysfunction. Neuropsychiatry, Neuropsychology, and Behavioral Neurology 10(1): 135–143.PubMedGoogle Scholar
  35. Prigatano, G. P., und Schacter, D. L. (1991). Awareness of Deficit After Brain Injury: Clinical and Theoretical Issues. Oxford University Press, New York.Google Scholar
  36. Prigatano, G. P., und Weinstein, E.A. (1996). Edwin A. Weinstein’s contributions to neuropsychological rehabilitation. Neuropsychological Rehabilitation 6(4):305–326.CrossRefGoogle Scholar
  37. Prigatano, G. P., und Wong J. (1997). Speed of finger tapping and goal attainment after unilateral cerebral vascularaccident. Arch. Phys. Med. Rehabil. 78: 847–852.PubMedCrossRefGoogle Scholar
  38. Reiman, E.M., Caselli, R.J., Yun, L.S. et al. (1996). Preclinical evidence of Alzheimer’s disease in persons homozygous for the E4 allele for apolipoprotein E. N. Engl. J. Med. 334: 752–758.PubMedCrossRefGoogle Scholar
  39. Reitan, R.M. (1955). Manual for Adm inistration of Neuropsychological Test Batteries for Adults and Children. Neuropsychology Laboratory, Indiana University Medical Center, Indianapolis.Google Scholar
  40. Roeser, R.J., und Daly, D. D., (1974). Auditory cortex disconnection associated with thalamic tumor: a casereport. Neurology 24:555–559.PubMedCrossRefGoogle Scholar
  41. Rubens, A.B. (1979). Agnosia. In K. M. Heilman und E. Valenstein (eds), Clinical Neuropsychology (1st edn, pp. 233-267). Oxford University Press, New York.Google Scholar
  42. Rubens, A. B., und Benson, D. F. (1971). Associative visual agnosia. Arch. Neurol. 24:304–316.CrossRefGoogle Scholar
  43. Rubens, A. B., und Garrett, M. F. (1991). Anosognosia of linguistic deficits in patients with neurological deficits. In G. P. Prigatano und D. L. Schacter (eds), Awareness of Deficit After Brain Injury. Clinical and Theoretical Issues. Oxford University Press, New York.Google Scholar
  44. Sandifer, P. H. (1946). Anosognosia and disorders of body scheme. Brain 69: 122–137.PubMedCrossRefGoogle Scholar
  45. Sherer, M., Bergloff, P., Levin, E., High, W.M., Jr., Oden, K.E., und Nick, T. G. (1998). Impaired awareness and employment outcome after traumatic brain injury. Journal of Head Traurna Rehabilitation 13(5):52–61.CrossRefGoogle Scholar
  46. Sherer, M., Boake, C, Levin, E., Silver, B.V., Ringholz, G., und High, W. (1998). Characteristics of impaired awareness after traumatic brain injury. Journal of International Neuropsychological Society 4:380–387.Google Scholar
  47. Starkstein, S.E., Fedoroff, J.P., Price, T.R., Leiguarda, R., und Robinson, R.G. (1992). Anosognosia in patients with cerebrovascular lesions: a study of causative factors. Stroke 23(10):1446–1453.PubMedCrossRefGoogle Scholar
  48. von Monakow, C (1885). Experimentelle und pathologischanatomische Untersuchungen über die Beziehungen der sogenannten Sehsphare zu den infracort icalen Opticuscentren und zum N. opticus. Archiv. für Psychiatrie 16:151–199.CrossRefGoogle Scholar
  49. Weinstein, E.A., und Kahn, R.L. (1955). Denial of Illness. Symbolic and Physiological Aspects. Charles C Thomas, Springfield, III.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • George P. Prigatano
    • 1
  1. 1.Barrow Neurological InstituteSt. Joseph’s Hospital and Medical CenterPhoenixUSA

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