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[What is a "left"?].

C Morin1, C Taillefer, C Vallat

  • 1Chargé de recherches Inserm, Leaple (CNRS UMR-8606), 7, rue Guy-Moquet 94380, Villejuif, France. catherine.morin@psl.ap-hop-paris.fr

Annales De Readaptation Et De Medecine Physique : Revue Scientifique De La Societe Francaise De Reeducation Fonctionnelle De Readaptation Et De Medecine Physique
|October 6, 2001
PubMed
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Patients with right hemisphere syndrome exhibit behavioral oddities. This study links these "gauche" symptoms to disruptions in body image and psychic reality, offering new insights into neurological rehabilitation.

Area of Science:

  • Neuropsychology
  • Psychoanalysis
  • Rehabilitation Medicine

Background:

  • Right hemisphere syndrome (RHS) can manifest as behavioral and discourse peculiarities, sometimes termed 'gauche'.
  • Understanding the coherence between these 'gauche' symptoms and classical RHS elements is crucial for effective rehabilitation.

Observation:

  • A twelve-month follow-up of a patient with severe left hemineglect revealed persistent symptomatology.
  • Data included neuropsychological assessments, therapist notes, and non-directive interviews.

Findings:

  • The patient experienced disturbances in time sense, reduplication of places, misidentification of therapists, and pseudo-hallucinations.
  • Subjective reports highlighted a 'floating' transference, a "gaps in his body carapace," and disorganization of the oral drive.

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Implications:

  • The study suggests considering RHS symptomatology in relation to the subjective experience of a fragmented body image.
  • It highlights the intrusion of the 'oral object' into psychic reality, impacting patient perception and interaction.