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[自我意识、他人意识与痴呆症]

[Self-consciousness, consciousness of the other and dementias].

作者信息

Gil Roger

机构信息

Service de neurologie, La Milétrie, CHU de Poitiers, Université de Poitiers.

出版信息

Psychol Neuropsychiatr Vieil. 2007 Jun;5(2):87-99.

Abstract

Studies of self-consciousness in dementia concern essentially anosognosia or the loss of insight. However, Self-consciousness is multifaceted: it includes awareness of the body, perceptions, one's own history, identity, and one's own projects. Self-consciousness is linked to consciousness of others i.e. to social cognition supported by identification of others, but also by comprehension of facial expression of emotions, comprehension and expression of emotional prosody, pragmatic abilities, ability to infer other's people's mental states, thoughts, and feelings (theory of mind and empathy), knowledge of social norms and rules, social reasoning. The subtypes of dementias (and namely Alzheimer's disease and frontotemporal dementia) affect heterogeneously the different aspects of the self-and other-consciousness. Further studies are needed for a better knowledge of the complex relationship between Self-consciousness, social cognition, decision making and neuropsychiatric symptoms and behavioral disturbances occurring in demented patients.

摘要

对痴呆症患者自我意识的研究主要关注失认症或洞察力丧失。然而,自我意识是多方面的:它包括对身体的意识、感知、个人历史、身份以及个人计划。自我意识与他人意识相关联,即与通过识别他人以及理解面部表情、情感韵律的理解与表达、语用能力、推断他人心理状态、思想和感受(心理理论和同理心)、社会规范和规则的知识、社会推理所支持的社会认知相关联。痴呆症的亚型(尤其是阿尔茨海默病和额颞叶痴呆)对自我意识和他人意识的不同方面产生不同程度的影响。需要进一步研究以更好地了解痴呆患者中自我意识、社会认知、决策以及神经精神症状和行为障碍之间的复杂关系。

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