Langer Karen G
NYU Langone Medical Center, Rusk Institute of Rehabilitation Medicine, New York, NY 10016, USA. Karen.langer@ nyumc.org
J Hist Neurosci. 2009 Oct;18(4):387-405. doi: 10.1080/09647040802537064.
In 1914, Babinski first described "anosognosia"; a term he coined for a phenomenon involving unawareness of disability in hemiplegia. Historical roots of contemporary perspectives on anosognosia after stroke may be found in early discussions among French neurologists. Current notions and debate regarding the roles played by cognition, emotional factors, sensory loss and somatosensory neglect in anosognosia, and the distinctness of anosognosia as a symptom echo the theoretical dilemmas of an earlier past. Historical overview of the development of perspectives on anosognosia enriches our understanding of unawareness of disability.
1914年,巴宾斯基首次描述了“疾病感缺失”;这是他为一种涉及偏瘫患者对自身残疾毫无察觉的现象所创造的术语。当代对中风后疾病感缺失观点的历史根源可以追溯到法国神经学家早期的讨论中。目前关于认知、情感因素、感觉丧失和躯体感觉忽视在疾病感缺失中所起作用的观念和争论,以及疾病感缺失作为一种症状的独特性,都呼应了早期的理论困境。对疾病感缺失观点发展的历史概述丰富了我们对残疾无意识状态的理解。