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躯体妄想性失认的多感官缓解:我的手回来了!

Multisensory remission of somatoparaphrenic delusion: My hand is back!

作者信息

Bolognini Nadia, Ronchi Roberta, Casati Carlotta, Fortis Paola, Vallar Giuseppe

机构信息

Department of Psychology (NB, CC, GV), University of Milano-Bicocca, Neuropsychological Laboratory (NB, RR, CC, GV), IRCCS Istituto Auxologico Italiano, Milan, Italy; Laboratory of Cognitive Neuroscience (RR), Ecole Polytechnique Fédérale de Lausanne, Switzerland; and Center for Mind/Brain Sciences (PF), University of Trento, Rovereto, Italy.

出版信息

Neurol Clin Pract. 2014 Jun;4(3):216-225. doi: 10.1212/CPJ.0000000000000033.

Abstract

This study investigates whether the rubber hand illusion (RHI) can induce a remission of somatoparaphrenia, a somatic delusion usually following right-hemisphere damage, which typically manifests as a defective sense of ownership of one's contralesional body parts. First, we show that patients with somatoparaphrenia can experience a reliable RHI, exhibiting illusory effects similar to those reported by healthy participants. Moreover, synchronous touches applied to the patients' visible disowned left hand (rather than to the rubber hand), and to their right invisible unimpaired hand, induce an immediate self-attribution of the disowned hand, without affecting other sensorimotor or attentional disorders. The higher-level representation of the body concerned with ownership, deranged as a somatic delusion in patients with somatoparaphrenia, is penetrable, and can be restored by multisensory stimulations.

摘要

本研究调查了橡皮手错觉(RHI)是否能促使躯体妄想症缓解,躯体妄想症是一种通常继发于右侧半球损伤后的躯体妄想,其典型表现为对自身对侧身体部位的所有权感知缺陷。首先,我们发现躯体妄想症患者能够体验到可靠的橡皮手错觉,表现出与健康参与者所报告的类似错觉效应。此外,同时对患者可见的被否认的左手(而非橡皮手)以及其右侧不可见的未受损手进行触摸,会促使患者立即将被否认的手归属于自身,且不会影响其他感觉运动或注意力障碍。与所有权相关的身体高级表征在躯体妄想症患者中因躯体妄想而紊乱,但具有可渗透性,并且可以通过多感官刺激得以恢复。

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My body in the brain: a neurocognitive model of body-ownership.大脑中的身体:具身化自我认知的神经认知模型
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