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Stroke hemiplegia and specular image
 — lessons from self-portraits
Author(s)Catherine Morin, Pascale Pradat-Diehl, Gilberte Robain
Journal titleInternational Journal of Aging and Human Development, vol 56, no 1, 2003
Pagespp 1-42
KeywordsStroke ; Speech disorders ; Nervous system diseases ; Drawing ; Clinical surveys ; France.
AnnotationHemiplegic patients suffer from difficulties with self-awareness, either due to specific neurological disturbances of body image or to psychological problems with their I images. This French study analyses how recent right and left brain vascular lesions affect specular image. Multivariate analysis of 308 self-portraits of right and left brain injured stroke patients and control participants were performed, revealing three dominant types of self-portrait. First, erect, complete and clothed self-portraits were predominantly drawn by normal participants. Second, erect self-portraits, lacking clothes, hands and/or mouth and eyes were found in all groups of participants, predominantly in those with speech disorders. Lack of hands and face features are indications of the challenge brought to the symbolic and imaginary aspects of identity by any sudden handicap, whether or not by a brain lesion, while symmetry of lacks and verticality may retain its structuring value even in brain lesions. This is not the case in neurological disorders of body image (third type), since inclined portraits with unilateral omissions were predominantly drawn by patients with right brain lesions. These unilateral omissions proved not only to result from cognitive deficiencies, but also to reflect the fragmentation of specular image, and in one case, the concomitant undue appearance of the object. (RH).
Accession NumberCPA-030821201 A
ClassmarkCQA: EF: CR: HA: 3G: 765

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