Comparative Psychological Study of Hyperkinetic and Akinetic Extrapyramidal Disorders

Kral, V. A.

doi:10.1001/archneurpsyc.1951.02320100031005

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…In a series of studies based primarily upon administration of the Rorschach test, Kral and Dörken (12, 13) investigated certain emotional effects of brain lesions in neurologic diseases. They reported that in groups of neurologically diseased patients demonstrating subcortical or diencephalic lesions, there was a complete absence of color responses, and that such lesions result in impairment of emotional expression.…”

Section: The Problem Of “Organicity”mentioning

confidence: 99%

“…One series of investigations is essentially somato‐psychologic in viewpoint. A perhaps somewhat extreme instance of this approach is that of Kral and Dörken (12, 13), who believe that specific lesions may result in impairment of specific psychologic function. Less rigorous positions have been taken by most other investigators with this general orientation (4, 5, 10, 11, 20).…”

Section: Approaches To Neuropsychologic Interactionmentioning

confidence: 99%

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Psychologic Studies in Neurologic Diseases—a Review: Parkinson's Disease and Multiple Sclerosis*

Riklan

Levita

Diller

1961

J American Geriatrics Society

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Parkinson's disease and multiple sclerosis (hereafter referred to as P.D. and M.S. respectively) represent progressive chronic diseases of the central nervous system. A large proportion of the afflicted persons fall within the geriatric population. In each instance, the disease may result in alterations of the motor and sensory systems of the brain and spinal cord, and thus produce various abnormalities of movement and sensation. The specific et,iology in both diseases is largely unknown (although continuing investigations reveal much new information concerning the pathology) and this lack of knowledge has thus far prevented the development of any specific therapy. Recently chemosurgery has been found useful in the symptomatic relief of both P.D. and M.S., specifically in alleviating certain of the associated abnormal movements (1-3). Because of the manifold neurologic symptoms, the relative obscurity of the etiologic factors, the lack of specific treatment, and the many and diverse behavioral effects of these diseases, recent years have witnessed an increase of investigations concerning their psychologic and psychiatric aspects. It is the purpose of the present review to summarize a portion of these investigations, most specifically those which may provide information concerning the relationship between psychologic factors, neurophysiologic substrata, and the resulting disease processes and symptoms. Thus, this review is not intended to be all-inclusive, but limited rather to those studies concerned directly or indirectly with psychosomatic and somatopsychologic relationships. THE PROBLEM O F "OEGANICITY"In psychologic studies of diseases of the cent>ral nervous system, the question frequently arises as to whether the pathologic process which culminates in the neurologic symptoms may also affect certain aspects of higher integrative functioning. Thus, several investigators have addressed themselves to the problem of "organic" mental factors in neurologic diseases. Several such studies in P.D. have revealed both intellectual and cognitive impairments in at, least a portion of the patients so evaluated (4-6). In each instance, the changes were attributed

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Section: The Problem Of “Organicity”mentioning

confidence: 99%

Section: Approaches To Neuropsychologic Interactionmentioning

confidence: 99%

Psychologic Studies in Neurologic Diseases—a Review: Parkinson's Disease and Multiple Sclerosis*

Riklan

Levita

Diller

1961

J American Geriatrics Society

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“…Symptoms are intensified by increased activation; emotional tone is blunted, attention and concentration become impaired, motivation and drive are decreased, stereotypy, constriction, and general personality rigidity increase with progress of the disease. 2 -3 ' 15 ' lfi Some investigators conclude that the "neurotic symptoms in parkinsonism" are associated with damage to the basal ganglia, 13 but others feel that altered self-image due to changes in physical state is primarily responsible for changes in the emotional state. 10 Since voluntary movement is dependent upon the integration of physiologi-70 cal, neurological, and psychological phenomena into specific response patterns, disruption of such integration may well manifest itself in impaired function.…”

mentioning

confidence: 99%

Impairment of Voluntary Movement in Parkinsonʼs Disease in Relation to Activation Level, Autonomic Malfunction, and Personality Rigidity

Ploski¹,

Levita²,

Riklan³

1966

Psychosomatic Medicine

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Activation level, personality rigidity, autonomic malfunction, and voluntary movement impairment were studied in 43 patients with Parkinson's disease-34 men and 9 women. Significant relationships were found between activation level and voluntary movement impairment and between activation level and personality rigidity. Results are discussed in terms of reticular activating system malfunction and assumed sensory deprivation. It is suggested that personality rigidity, a correlate of decreased activation level, may become manifest through attempted personality reintegration in the face of physiological changes.

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The Mosaic Test: Review

Dörken

1952

Journal of Projective Techniques

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Comparative Psychological Study of Hyperkinetic and Akinetic Extrapyramidal Disorders

Cited by 7 publications

References 25 publications

Psychologic Studies in Neurologic Diseases—a Review: Parkinson's Disease and Multiple Sclerosis*

Psychologic Studies in Neurologic Diseases—a Review: Parkinson's Disease and Multiple Sclerosis*

Impairment of Voluntary Movement in Parkinsonʼs Disease in Relation to Activation Level, Autonomic Malfunction, and Personality Rigidity

The Mosaic Test: Review

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