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Article
January 1969

Experimentally Induced Somatagnosia

Author Affiliations

New York
From the Department of Neurology 2nd Cornell Division, Bellevue Hospital, New York under the direction of Dr. Fletcher McDowell. Dr Sullivan is currently at the Psychophysiology Laboratory, New York University Medical Center, New York.

Arch Gen Psychiatry. 1969;20(1):71-77. doi:10.1001/archpsyc.1969.01740130073006
Abstract

IN THE CLINICAL treatment of stroke patients, who have accompanying sensorymotor deficit, behaviors and statements are often elicited which suggest that the patient is denying or is unaware of a loss in function in an impaired limb or body segment. Weinstein and Kahn1,2 consider such behavioral responses to be an indication of a "denial of illness" and a demonstration of the patient's drive to appear well. Weinstein and Kahn further suggest that the denial is symptomatic evidence of the diffuse effect of the stroke on the cortical field. Gerstmann3 had previously related the denial to the patient's appreciation of his body image and also claimed that such statements reflected the diffuse nature of the stroke's effect on the body scheme homunculus. Ullman and Gruen4,5 have criticized the use of the term "denial" to describe the behavioral responses of stroke patients since

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