Psychology Department, Goldsmiths University of London, New Cross, London, SE14 6NW, UK.
Faculty of Social Sciences, University of Tampere, Tampere, Finland.
Neuropsychol Rev. 2018 Dec;28(4):417-435. doi: 10.1007/s11065-018-9394-4. Epub 2018 Dec 13.
A review of patients with brain injury showing personal neglect is presented. The aim is to shed light on this aspect of neglect often unresearched or only indirectly investigated, and to discuss recent findings concerning the methods used to assess personal neglect, its neural correlates and its association with the more often explored aspect of extrapersonal neglect. The review was performed using PubMed and PsychInfo databases to search for papers published in the last 123 years (until January 2018). We reviewed 81 papers describing either single or group studies for a total of 2247 patients. The results of this review showed that various aspects of personal neglect are still controversial and outcomes potentially contradictory. Despite the data reported in the present review suggest that personal neglect is more frequently associated with lesions of the right hemisphere, the left hemisphere may also play an important role. Not surprisingly, personal neglect and extrapersonal neglect seem to co-occur. However double dissociations of these two forms of neglect have been reported, and they seem to dissociate both from a functional and an anatomical perspective. More recent interpretations of personal neglect suggest that it may result from a disrupted body representation. The development of reliable psychometric tools with shared diagnostic criteria is essential to identify different degrees of personal neglect for different body parts and to better refine personal neglect in comparison to extrapersonal neglect and disorders related to distortions of personal domain.
本文回顾了表现出个人忽略的脑损伤患者。目的是阐明这一经常未被研究或仅被间接研究的忽略方面，并讨论最近关于评估个人忽略的方法、其神经相关性及其与更常研究的外在忽略方面的关联的发现。综述使用 PubMed 和 PsychInfo 数据库搜索了过去 123 年（截至 2018 年 1 月）发表的论文。我们回顾了 81 篇论文，其中描述了单例或组研究，共涉及 2247 名患者。本综述的结果表明，个人忽略的各个方面仍然存在争议，结果可能相互矛盾。尽管本综述中报告的数据表明个人忽略更常与右半球的病变有关，但左半球也可能发挥重要作用。毫不奇怪，个人忽略和外在忽略似乎同时发生。然而，这两种形式的忽略已经被报道了双重分离，它们似乎从功能和解剖学的角度都有分离。最近对个人忽略的解释表明，它可能是由于身体表象的破坏而导致的。开发具有共享诊断标准的可靠心理计量工具对于确定不同身体部位的不同程度的个人忽略以及与个人领域扭曲相关的障碍相比，更好地细化个人忽略是至关重要的。
