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Anosodiaphoria : ウィキペディア英語版
Anosodiaphoria

Anosodiaphoria is a condition in which a person who suffers disability due to brain injury seems indifferent to the existence of their handicap. Anosodiaphoria is specifically used in association with indifference to paralysis. It is a somatosensory agnosia, or a sign of neglect syndrome.〔'' "Anosodiaphoria." http://cancerweb.ncl.ac.uk/cgi-bin/omd?anosodiaphoria. Online Medical Dictionary''〕 It might be specifically associated with defective functioning of the frontal lobe of the right hemisphere.〔Prigatano, G. (2010). ''The study of anosognosia''. New York, New York: Oxford University Press http://books.google.ca/books?id=d4S-T0NboMQC&pg=PA89&lpg=PA89&dq=treatment+for+anosodiaphoria&source=bl&ots=Pe3e3wmEDI&sig=Xh5nwCPHgBvxrJqWfYuicyOMJ4E&hl=en&sa=X&ei=DiipT5yANcmJ6AHT7JHKBA&ved=0CEsQ6AEwAQ#v=onepage&q&f=false.〕
Joseph Babinski first used the term anosodiaphoria in 1914 to describe a disorder of the body schema in which patients verbally acknowledge a clinical problem (such as hemiparesis) but fail to be concerned about it.〔Prigatano, G. (1991). ''Awareness of deficit after brain injury: clinical and theoretical issues''. New York, New York: Oxford University Press.〕 Anosodiaphoria follows a stage of anosognosia, in which there may be verbal, explicit denial of the illness, and after several days to weeks, develop the lack of emotional response.〔Prigatano, G. (2010). ''The study of anosognosia''. New York, New York: Oxford University Press.〕 Indifference is different from denial because it implies a lack of caring on the part of the patient whom otherwise acknowledges his or her deficit.
==Causes==
A few possible explanations for anosodiaphoria exist:
1. The patient is aware of the deficit but does not fully comprehend it or its significance for functioning
2. May be related to an affective communication disorder and defective arousal. These emotional disorders cannot account for the verbal explicit denial of illness of anosognosia.〔Prigatano, G. (1991). ''Awareness of deficit after brain injury: clinical and theoretical issues''. New York, New York: Oxford University Press http://books.google.ca/books?id=xze89PCLaWMC&printsec=frontcover#v=onepage&q&f=false.〕
Other explanations include reduced emotional experience, impaired emotional communication, alexithymia, behavioral abnormalities, dysexecutive syndrome, and the Frontal lobes.〔Prigatano, G. (2010). ''The study of anosognosia''. New York, New York: Oxford University Press.〕

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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