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Stroke, Body Image, and Self Representation - Psychoanalytic and Neurological Perspectives (Hardcover)
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Stroke, Body Image, and Self Representation - Psychoanalytic and Neurological Perspectives (Hardcover)
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Stroke, Body Image, and Self Representation provides a
psychoanalytic reading of the subjective difficulties encountered
by patients who have suffered a stroke. The book is based on the
words of stroke patients and on their self-portraits, which are
then compared with the words and portraits of subjects devoid of
brain lesions. Pathological and normal self-portraits illustrate in
very concrete terms the libidinal investment of our body parts. The
author's original data sheds an entirely new light on the
subjective effects of a stroke. On the one hand, the permanent
sequelae of a stroke can cause a narcissistic injury; on the other,
a stroke may affect the brain circuitry involved in the patient's
body image, undoing the normal narcissistic reactions. This may
happen after right hemisphere lesions and cause spectacular
symptoms, such as the personification of a paralyzed hand or the
apparent ignorance of a severe paralysis. This double aspect of a
stroke is no small problem for rehabilitation therapists, who must
avoid two pitfalls: considering any issue as psychological in
nature, as if the brain lesion could not produce any organic
changes, or, on the contrary, attributing any behavioural problems
to brain dysfunction, as if the patient was devoid of normal
psychological reactions. One of the aims of this book is to help
therapists gaining their bearings in this little-known field. In
addition to this clinical interest, the author's psychoanalytic
reading brings an original contribution to the physiopathology of
cognition and self-representation. The data gathered by Catherine
Morin show that self-representation cannot be considered only a
cognitive operation. They also suggest that normal cognitive
activity relies on both the stability of body image and the
repression of the object. Stroke, Body Image, and Self
Representation will appeal to psychoanalysts, psychologists, social
workers, psychotherapists, psychiatrists, and rehabilitation
therapists working with stroke survivors and patients with body
image disorders.
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