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Coda
Published in Joanna Ziarkowska, Indigenous Bodies, Cells, and Genes, 2020
The violence done to the body is enormous and it is, without doubt, in Audra Simpson’s words, perpetrated with an intent to eradicate. Moreover, Elsie’s injured larynx and the consequent muteness are equally significant: not only is an Indigenous body expendable, it is also rendered silent to silence the narrative of injustice. The mute brutalized Indigenous female body is thus molded to serve and silently endure the suffering.
Abnormal Behavior
Published in L.S. Vygotsky, V.V. Davydov, Silverman Robert, Educational Psychology, 2020
Mimicry develops very early in deaf mutes, so that audible stimuli are very often replaced by visual stimuli. Mute people converse by means of a manual alphabet. They converse by means of this alphabet in just the same way as we converse by means of sounds, and in both instances we find systems of conditional stimuli used to denote our reactions. Their language of mimicry, however, represents the lowest stage and narrowest form of the development of speech and of consciousness. It only allows the deaf mute to communicate with other deaf mutes and locks deaf mutes up within the narrow and restricted circle established by their disability. Moreover, this form of speech bears the traces of primitive thinking, and is therefore incapable of serving as a means of expression or of cognition of any sort of complex and subtle phenomenon. Finally, what is most important is that speech, in addition to fulfilling the functions of social intercourse, possesses yet another function, that of the construction of consciousness. We have seen that all of our mental reactions, all of our orienting acts, constitute, for all intents and purposes, inner speech. Thus, muteness also points to the absence of fully developed thinking as well.
Signs and Symptoms in Psychiatry
Published in Mohamed Ahmed Abd El-Hay, Essentials of Psychiatric Assessment, 2018
Mutism refers to a condition characterized by refraining from speech during consciousness. Complete muteness is seen in some psychiatric disorders (e.g., catatonia, elective mutism) but not in aphasia. Even patients with severe motor aphasia can phonate some sounds.
A clinical report of intracranial granulocytic sarcoma and a literature review
Published in International Journal of Neuroscience, 2022
Hao Cheng, Guangfu Di, Wanan Gao, Zhao Chenhui, Xiaochun Jiang
This patient was a 53-year-old male with congenital deaf-muteness, who complained of pain in the left cheek for 2 months with aggravation for 10 days. The neurologic examination showed the patient was conscious, poor mental status, bilateral anisocoria (left pupil was 4.0 mm while the right pupil was 3.0 mm, both light reactions were sensitive). The patient had a hypophasis with left corneal reflex diminished. He suffered a pressing pain on the left cheek, his jaw and tongue tilted to the left when he opened mouth, and the left pharyngeal reflex was declined. He had a soft neck, normal limb muscular strength, normal deep and superficial sensations. Babinski sign was negative in both lower extremities. Babinski sign was negative in both lower extremities. The patient was in good health before the visit and had no history of leukemia.
Cotard's Syndrome Triggered by Fear in a Patient with Intellectual Disability: Causal or Casual Link?
Published in Issues in Mental Health Nursing, 2018
Fabrizio Sottile, Rosaria De Luca, Lilla Bonanno, Giuseppina Finzi, Carmela Casella, Rocco Salvatore Calabrò
A 46-year-old man came to our observation because his sister found him in a confusional state. The patient was affected by an idiopathic moderate mental retardation; he was mostly independent in performing the basic daily life activities, but lived with his sister. He attended a mental health outpatient clinic, and had a quite normal social life. About 2 months before his admission, the patient witnessed a theft attempt that caused an abnormal “state of fear.” Indeed, after about 2 weeks from the event, he started refusing food as he considered himself dead. His illness further progressed in a month and he developed muteness, total refusal to eat, and fecal and urinary incontinence. Subsequently, the patient was hospitalized in our Neurology Unit. At admission, general conditions showed a general state of malnutrition (hematochemical tests showed hemoglobin of 11 g/dL and hypoalbuminemia). At neurological examination, the patient had sad affect, mutism, rigidity in all the four limbs, and negativism; disperception was also evidenced. Magnetic resonance imaging examination revealed a mild to moderate leukoaraiosis. When general clinical conditions improved, the patient underwent a specific neuropsychological assessment. In particular, at the Wechsler Adult Intelligence Scale (WAIS), evaluating the intelligence quotient (IQ), he reported a score of 55; at the post-traumatic stress disorder (PTSD) his total score was 18 (indicating the absence of such disorder), whereas the Visual-Analogue Test for Anosognosia (VATam) score was 31 (demonstrating the presence of severe anosognosia).
Stroke mimics: incidence, aetiology, clinical features and treatment
Published in Annals of Medicine, 2021
Brian H. Buck, Naveed Akhtar, Anas Alrohimi, Khurshid Khan, Ashfaq Shuaib
Focal seizures are common and may be seen in patients with a previous stroke [82]. Post-ictal Todd’s and muteness paralysis may be confused for acute stroke especially if the seizure was unwitnessed. Altered level of consciousness is common. Generalized seizures may also be an initial manifestation of an acute stroke. Recovery is rapid in most patients although rarely non-convulsive status epilepticus may present with prolonged aphasia or motor weakness (see Figure 4).