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The Unawareness Of Paralysis Is Known As Anosognosia

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The unawareness of paralysis is known as anosognosia. First theorised by Babinski in 1914 following patient observations, the scope of diagnosis has broadened extensively over time. In his original study, two patients with left hemisphere hemiplegia were asked to move the affected limb. Both patients retained their cognitive abilities and when asked, would remain silent or act as if the action had been completed. The simplest conclusion that one could come to would be denial of one’s condition. Babinski addressed denial, saying that it would be near impossible for an individual to keep up such an act for an extended period of time and also that, as the paralysis was obvious to others, concealment was also impossible. Coping mechanisms are another facet of denial, one that will be addressed further later. Babinski himself criticized the limitations of his own study; only left hemisphere hemiplegic patients were observed, future research suggests trials in those with right side hemiplegia. Another criticism is the sample size, as there were only two, this may not be a phenomenon generalisable to the population, another issue addressed later. Finally, MRI was not available at the time of this finding. Babinski could only speculate on where the lesion was located without complete certainty. Moving forward, Jenkinson and Fotopoulou (2014) summarised the findings since Babinski. First of all, as previously mentioned, the scope of diagnosis has been widely broadened. Secondly,
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