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October 1994

Similar Disorders Viewed With Different Perspectives: A Challenge for Neurology and Psychiatry

Author Affiliations

Department of Neurology University of California-Irvine La Jolla, CA 92717

Arch Neurol. 1994;51(10):977-980. doi:10.1001/archneur.1994.00540220023010

During the past 10 years, we have explored clinical and theoretical relationships of psychiatry and neurology, using the venue of a didactic teaching conference. The patients come from the neurology or psychiatry inpatient or consultation services. Their history and examination are presented by the student or resident, and then the patient is interviewed and examined by the authors, one, a neurologist, and the other, a psychiatrist. We will present some of the recurring themes that unite neurology and psychiatry in the clinical management of patients and how certain issues separate the disciplines.

NEUROLOGY AND PSYCHIATRY EMPLOY DIFFERENT 'LANGUAGES' TO DESCRIBE SIMILAR PROCESSES: DENIAL AND ANOSOGNOSIA  Certain patients do not "know" why they are in the hospital. When the patients originate from the neurological service, they can have a hemiparesis or be demented and yet have little insight into their problem. The patient with hemiparesis "neglects" the personal and extrapersonal space