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Updated: Jun 19, 2026
07:42
Dual-Task Stroop Paradigm for Detecting Cognitive Deficits in High-Functioning Stroke Patients
Published on: December 16, 2022
[Cognitive impairment not due to dementia]
1Stadtärztlicher Dienst, Zürich. wettstein.albert@zuerich.ch
Praxis
|October 22, 2009
Summary
This case study highlights a 55-year-old woman with intact memory but reduced executive function, exhibiting excessive fear of strangers. Guardianship may offer essential support for her daily living needs.
Area of Science:
- Geriatric Medicine
- Neuropsychology
- Social Work
Background:
- A 55-year-old woman, previously living with her parents, presented with difficulties in daily living after their death.
- She exhibited resistance to allowing necessary apartment repairs, necessitating external intervention.
Observation:
- Physical health was excellent, with intact memory functions.
- Executive abilities were notably reduced, impacting her capacity for independent functioning.
- No delusions were present, but an excessive fear of strangers, potentially learned from her parents, was observed.
Findings:
- The clinical impression of a significant debility was corroborated by information from relatives.
- The patient's presentation suggests a decline in executive functions impacting self-care and social interaction.
- Learned fear responses and reduced executive capacity contribute to her current challenges.
Implications:
- The findings underscore the importance of assessing executive functions in individuals exhibiting social withdrawal or resistance to care.
- Guardianship is indicated as a potential intervention to provide necessary support and ensure the patient's well-being.
- This case highlights the complex interplay of learned behaviors and cognitive decline in older adults.
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