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Denial of illness in stroke
Stroke
|May 1, 1993
Summary
Stroke can affect non-dominant brain functions, leading to significant issues like denial of illness. Current explanations for this phenomenon are insufficient, and its impact on rehabilitation requires further study.
Area of Science:
- Neurology
- Neuropsychology
- Rehabilitation Medicine
Background:
- Stroke effects on the nondominant hemisphere are less studied than dominant hemisphere effects.
- Visuospatial neglect and denial of illness are significant post-stroke morbidities.
- Denial of illness is a notable consequence of stroke.
Purpose of the Study:
- To review early literature on denial of illness following stroke.
- To examine etiological theories explaining denial of illness.
- To highlight the need for further investigation into consequences and therapies.
Main Methods:
- Literature review of early studies on denial of illness.
- Examination of proposed etiological theories.
- Discussion of existing explanations and their limitations.
Main Results:
- Early literature on denial of illness is discussed.
- Etiological theories include higher mental function deficits, impaired sensory input, abnormal body image representation, psychodynamic defense mechanisms, and premorbid personality factors.
- No single explanation for denial of illness is currently satisfactory.
Conclusions:
- Denial of illness is a significant stroke consequence.
- Existing etiological theories are not fully satisfactory.
- The impact of denial of illness on rehabilitation and effective therapeutic strategies require further investigation.