China
Africa
Explore chapters and articles related to this topic
Psychosis and stories
Published in Alex Jelly, Adel Helmy, Barbara A. Wilson, Life After a Rare Brain Tumour and Supplementary Motor Area Syndrome, 2019
As it was, most patients never looked at the board. Sign blindness, it might have been called. I felt as though the signs above the beds were sometimes not read and did not always reflect reality. My friend, Tab, remembers coming to visit when the sign said I was only to be fed pureed food – they served me several blobs on a plate: carrots, mashed potatoes and meat, all shaped and coloured to look like the real thing – though I had been eating solid food by that time. She later told me, “I knew you wouldn’t eat that mess, but then you gobbled it all up, really quickly!” I put this down to Environmental Dependence Syndrome, which I describe below. The speed of eating I can’t explain as previously I had always been rather a slow eater.
Criminal law theory
Published in John Rumbold, Automatism as a Defence in Criminal Law, 2018
Wittgenstein defines actions as characterized by the absence of surprise (about the action, not the consequences). Thus, Wittgenstein would agree that the bus driver’s depression of the accelerator was an action, even though the consequences were unwanted. This definition works well for examples like “Alien Hand Phenomenon”, “Utilization Behaviour” and “Environmental Dependency Syndrome” where actions occur without conscious desires but in response to environmental cues. Certainly, many of the actions during sleepwalking are reactions to the environment (although in this case the person has impaired consciousness). The earliest jurists when pronouncing on the lack of responsibility for acts committed during sleep added the proviso that the sleeper must not be shown to have planned these acts, e.g. by placing a weapon to hand prior to falling asleep. I have not come across any cases where this was an issue, and if there was any preparation it would raise questions about whether the episode was a genuine automatism or not. This would follow the precedent of Gallagher, who had drunk whiskey for “Dutch courage” before killing his wife.
Frontal versus dysexecutive syndromes: relevance of an interactionist approach in a case series of patients with prefrontal lobe damage
Published in Neuropsychological Rehabilitation, 2018
Jérémy Besnard, Philippe Allain, Vanesa Lerma, Ghislaine Aubin, Valérie Chauviré, Frédérique Etcharry-Bouyx, Didier Le Gall
Second, we did not compare the behavioural disorders highlighted in this study to behavioural measures of daily life with a hetero-evaluation questionnaire of behaviour, such as the Frontal Systems Behaviour Scale (FrSBe, Grace & Malloy, 2001). In fact, it could be argued that relatives could report behavioural disorders in complex social situations in patients who previously showed EDP. However, the caregivers of two patients with EDP (G.R., Case 2 and J.Bi., Case 3) reported socio-behavioural disorders when interviewed (e.g., impulsivity, inappropriate speech and attitude), suggesting a link between EDP and social disturbances in daily life. Interestingly, Lhermitte (1986) has previously shown that frontal patients with UB and IB demonstrate a dependency in complex social situations, what he called the “environmental dependency syndrome”. To echo this concept, but to emphasise that this dependency occurs not only in situations that engage the examiner’s behaviour but also in cognitive tasks such as arithmetic problem solving, we propose here for the first time the concept of “social dependency syndrome”. This proposal highlights the fact that “dependent” patients are likely to accept any assertion made by the examiner, engaging motor (UB/IB) and/or cognitive (insoluble problems) proposals. The integration of the two dependency types under a single syndrome is explained by the semiological proximity of EDP. However, further research with a larger group of frontal patients would need to confirm that behavioural and cognitive dependencies are frequently associated.
Life after a rare brain tumour
Published in Neuropsychological Rehabilitation, 2022
Alex visits various institutions during her recovery process and continues to describe how she talks to herself about her daily progress. She participates in yoga classes and takes part in all kinds of workshops organized by the different institutions such as cognitive behavioural therapy, treatment for environmental dependence syndrome, perseveration and confabulation and learns how to apply these in practice and help her deal with the problems she runs into.