RESUMO
In traumatic brain injured patients the basic functions of the cognitive, behavioral, emotional and intellectual systems are disturbed. The patients' ability to regulate the interaction between the ego and the external world is diminished and they present inflexible, concrete and sometimes inappropriate behavior. We have not observed anosognostic phenomena in these patients. Most of them are preoccupied with their physical impairments and unaware of their intellectual deficits. We hypothesize that this preoccupation or 'hyperprosexia phenomenon' may be observed in traumatic brain injured patients. The various neuropsychological, medical and philological aspects of these terms are discussed.
Assuntos
Lesões Encefálicas/psicologia , Comportamento , Lesões Encefálicas/complicações , Cognição , Negação em Psicologia , Humanos , Transtornos Mentais/etiologia , Processos Mentais , Modelos Psicológicos , Autoimagem , Terminologia como AssuntoRESUMO
In the absence of the recognition of the emotional sequelae following traumatic brain injury (TBI), many patients are deprived of adequate treatment. The purpose of the current study is to evaluate the prevalence of post-traumatic stress disorder (PTSD) and explore the clinical picture among TBI patients. Twenty four outpatients with diagnosed head injuries following various traumas filled out standardized questionnaires, assessing post-traumatic residuals. Thirty-three per cent of these patients met criteria for PTSD diagnosis. The clinical picture of PTSD following TBI is somewhat distinguished from those following other traumatic events. Issues concerning the specific nature of the syndrome following TBI, and the difficulties in differentiating between PTSD and postconcussive syndrome, are discussed.