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Persönlichkeitsstörungen und Hirnschädigung: Theoretische Grundlagen

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Neuropsychologische Rehabilitation

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Zusammenfassung

Dieses und das vorangegangene Kapitel fassen das für das 4. und 5. Prinzip relevante Datenmaterial zusammen. Beide Prinzipen beziehen sich darauf, dass neuropsychologische Rehabilitation Patienten und Angehörige unterstützen muss, die Verhaltensveränderungen nach einer Hirnschädigung zu verstehen und ihre Verwirrung und Frustration zu reduzieren. Kognition und Emotion/ Motivation (im Sinne der Persönlichkelt) stehen dabei in einem engen Zusammenhang.

„... Emotionen bezeichnen nicht einen Zustand der Desorganisation, sondern eher einen der Reorganisation mit besonderer Bedeutung für das gesamte Verhalten“ (Goldstein 1917, S. 461).

„Das menschliche Handeln wird von Motiven und rationalen Überlegungen bestimmt. Die Motive definieren die Ziele, wahrend die rationalen Überlegungen diese Ziele mit bestimmten Handlungsäblaufen verbinden, um sie zu realisieren. Unser Denken beginnt immer mit einem Ziel und ist ohne dies nicht möglich. Emotionen, aktiviert über unser Gedächtnis, unterbrechen Handlungen und lenken diese zu anderen Motiven, die im Verlauf relevanter als die ursprünglichen werden“ (Simon 1994, S. 19).

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Literatur

  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edn). American Psychiatric Association, Washington, D.C.

    Google Scholar 

  • Baerends, E.P. (1988). Ethology. In R.C. Atkinson, R. J. Herrnstein, G. Lardyey, und R. D. Luce (eds), Stevens’ Handbook of Experimental Psychology (2nd edn,Vol. 1).Perceptions and Mot ivation (pp.765-830). John Wiley & Sons, New York.

    Google Scholar 

  • Bakchine, S., Lacomblez, L., Benoit, N., Parisot, D., Chain, F., und Lehermitte, F. (1989). Manic-like state after bilateral orbitofrontal and right temporoparietal injury: efficacy of clonidine. Neurology 39: 777–781.

    Article  PubMed  CAS  Google Scholar 

  • Beck, A.T., Rush, J.A., Shaw, B. F., und Emery, G. (1979). Cognitive Therapy of Depression. Guilford, New York.

    Google Scholar 

  • Bigler, E.D. (1989). Behavioural and cognitive changes in traumatic brain injury: a spouse’s perspective. Brain Inj. 3:73–78.

    Article  PubMed  CAS  Google Scholar 

  • Brarnanti, P., Sessa, E., und Saltuari, L. (1994). Post-traumatic mutism. J. Neurosurg. Sci. 38: 117–122.

    Google Scholar 

  • Brooks, N., McKinlay, W., Symington, C, Beattie, A., und Campsie, L. (1987). Return to work within the first seven years of severe head injury. Brain Inj. 1(1):5–19.

    Article  PubMed  CAS  Google Scholar 

  • Brown, J.W. (1984). Hallucinations imagery and the microstructure of perception. In J. A. M. Frederiks (ed), Handbook of Clinical Neurology, Vol. 1 (45) (pp. 351–372). Clinical Neuropsychology. Elsevier Science, Amsterdam.

    Google Scholar 

  • Bruner, J. (1986). Actual Minds, Possible Words. Harvard University Press, Cambridge, MA.

    Google Scholar 

  • Cantor, N. und Fleeson, W. (1994). Social intelligence and intelligent goal pursuit: a cognitive slice of motivation. In W. D. Spaulding (ed), Integrative Views of Motivation, Cognition, and Emotion (pp. 125-179). University of Nebraska, Lincoln.

    Google Scholar 

  • Chandler, M.C, Barnhill, J. L., und Gualtieri, C.T. (1988). Amantadine for the agitated head-injury patient. Brain Inj. 2:309–311.

    Article  PubMed  CAS  Google Scholar 

  • Corrigan, J. D. (1989). Development of a scale for assessment of agitation following traumatic bra in injury. J. Clin. Exp. Neuropsychol. 11:261–277.

    Article  PubMed  CAS  Google Scholar 

  • Damasio, A.R. und Anderson, S.W. (1993). The frontal lobes. In K. M. Heilman und E. Valenstein (eds), Clinical Neuropsychology (3rd ed) (pp. 409-460). Oxford University Press, New York.

    Google Scholar 

  • Darwin, C (1872/1965). The Expression of the Emotions in Man and Animals. University of Chicago, Chicago.

    Book  Google Scholar 

  • Davidson, R. J. (1992). Anterior cerebral asymmetry and the nature of emotion. Brain Cogn. 20:125–151.

    Article  PubMed  CAS  Google Scholar 

  • Derryberry, D., und Tucker, D.M. (1992). Neural mechanisms of emotion. J. Consult. Clin. Psychol. 60(3):329–338.

    Article  PubMed  CAS  Google Scholar 

  • Dollard, J., und Miller, N.E. (1950). Personality and Psychotherapy: An Analysis in Terms of learning, Thinking and Culture. McGraw-Hill, New York.

    Google Scholar 

  • Ekman, P., und Friesen, W.V. (1975). Unmasking the Face. Prentice-Hall, Englewood Cliffs, NJ.

    Google Scholar 

  • Elliott, F.A. (1982). Neurological findings in adult minimal brain dysfunction and the dyscontrol syndrome. J. Nerv. Ment. Dis. 170:680–687.

    Article  PubMed  CAS  Google Scholar 

  • Fedoroff, J.P., Starkstein, S.E., Forrester, A.W. et al. (1992). Depression in patients with acute traumatic brain injury. Am. J. Psychiatry 149:918–923.

    PubMed  CAS  Google Scholar 

  • Feighner, J.P., und Boyer, W.M. (1991). Perspectivesin Psychiatry, Vol. 2. Diagnos is of Depression. Wiley, Chichester, England.

    Google Scholar 

  • Fordyce, D.J., Roueche, J.R., und Prigatano, G.P. (1983). Enhanced emotional reactions in chronic head trauma patients. J. Neurol. Neurosurg. Psychiatry 46:620–624.

    Article  PubMed  CAS  Google Scholar 

  • Freud, S. (1895/1966). Project for a Scientific Psychology. Standard Edition, Vol. 1 (pp.281–237).

    Google Scholar 

  • Freud, S. (1900/1953). The Interpretation of Dreams. Standard Edition, Vols. 45.

    Google Scholar 

  • Gainotti, G.(1972). Emotional behavior and hemispheric side of lesion. Cortex 8:41–55.

    PubMed  CAS  Google Scholar 

  • Gainotti, G. (1993). Emotional and psychosocial problems after brain injury. Neuropsychological Rehabilitation 3(3): 259–277.

    Article  Google Scholar 

  • Godfrey, H.P.D., Partridge, E.M., und Knight, R.G. (1993). Course of insight disorder and emotional dysfunction following closed head injury: a controlled cross-sectional follow-up study. J. Clin. Exp. Neuropsychol. 15(4):503–515.

    Article  PubMed  CAS  Google Scholar 

  • Goldstein, K. (1942). After effects of Brain Injuries in War. Grune and Stratton, New York.

    Google Scholar 

  • Goldstein, K. (1951/1971). On emotions: Considerations from the organismic point of view. J. Psychology 31, 37–49.

    Article  Google Scholar 

  • Reprinted in A. Gurwitsch, E. M. Goldstein Haudek, und W.E. Haudek (eds), Kurt Goldstein. Selected Papers. Martinus Nijhoff, The Hague.

    Google Scholar 

  • Goldstein, K. (1952). Effect of brain damage on the personality. Psychiatry 15:245–260.

    PubMed  CAS  Google Scholar 

  • Heilman, K. M., Bowers, D., und Valenstein, E. (1993). Emotional disorders associated with neurological disease. In K. M. Heilman und E. Valenstein (eds), Clinical Neuropsychology (3rd edn). Oxford University Press, New York.

    Google Scholar 

  • Hinkeldey, N.S., and Corrigan, J.D. (1990). The structure of head injured patients’ neurobehavioural complaints: a preliminary study. Brain. Inj. 4:115–133.

    Article  PubMed  CAS  Google Scholar 

  • Izard, C.E., und Saxton, P.M. (1988). Emotions. In R. C. Atkinson, R. J. Herrnstein, G. Lindzey, und R. D. Luce (eds), Stevens’ Handbook of Experimental Psychology (2nd edn) (pp. 627-676). John Wiley & Sons, New York.

    Google Scholar 

  • Jennett, B., und Teasdale G. (1981). Management of Head Injuries. E. A. Davis, Philadelphia.

    Google Scholar 

  • Jorge, R. E., Robinson, R. G., und Arndt, S. (1993a). Are there symptoms that are specific for depressed mood in patients with traumatic brain injury? J. Nerv. Ment. Dis. 181(2): 91–99.

    Article  PubMed  CAS  Google Scholar 

  • Jorge, R.E, Robinson, R.G., Arndt, S., Forrester, A.W., Geisler, E. und Starkstein, S. E. (1993b). Comparison between acute-and delayed-onset depression following traumatic brain injury. Journal of Neuropsychiatry 5:43–49.

    CAS  Google Scholar 

  • Jorge, R.E, Robinson, R.G., Arndt, S.V., Starkstein, S.E., Forrester, A.W., und Geisler, E (1993c). Depression following traumatic brain injury:A 1 year longitudinal study. J. Affect. Disord. 27:233–243.

    Article  PubMed  CAS  Google Scholar 

  • Jung, C.G. (1912/1956). Symbols ofTransformation, Collected Works, Vol. 5. Bollingen Series XX, Princeton University, NJ.

    Google Scholar 

  • Jung, C.G. (1927171). Psychological Types, Collected Works, Vol. 6. Bollingen Series, Princeton University, NJ.

    Google Scholar 

  • Jung, C.G. (1964). Man and His Symbols. Doubleday Windfall, Garden City, New York.

    Google Scholar 

  • Kozloff, R. (1987). Network of social support and the outcome from severe head injury. Journal of Head Trauma Rehabilitation 2:14–23.

    Article  Google Scholar 

  • Kupfer, D. J. (1991). Biological markers of depression. In J. P. Feighner und W.E. Boyer (eds), The Diagnosis of Depression (pp. 79-98). Wiley, Chichester, England.

    Google Scholar 

  • Levin, H. S., und Grossman, R.G. (1978). Behavioral sequelae of closed head injury: a quantitative study. Arch. Neurol. 35:720–727.

    Article  PubMed  CAS  Google Scholar 

  • Lezak, M. D. (1987). Relationships between personality disorders, social disturbances, and physical disability following traumatic brain injury. Journal of Head Trauma Rehabilitation 2(1):57–69.

    Article  Google Scholar 

  • Lishman, W.A. (1968). Brain damage in relation to psychiatric disability after head injury. Br.J. Psychiatry 114:373–410.

    Article  PubMed  CAS  Google Scholar 

  • Maclean, P. D. (1954). The limbic system and its hippocampal formation.Studies in animals and their possible application to man. J. Neurosurg. 11:29–44.

    Article  PubMed  CAS  Google Scholar 

  • Maclean, P. D. (1957a). Chemical and electrical stimulation of hippocampus in unrestrained animals. I. Methods and electroencephalographic findings. AMA Archives of Neurology and Psychiatry 78: 113–127.

    Article  PubMed  CAS  Google Scholar 

  • Maclean, P. D. (1957b). Chemical and electrical stimulation of hippocampus in unrestrained animals. II. Behavioral findings. AMA Archives Neurology and Psychiatry 78: 128–142.

    Article  CAS  Google Scholar 

  • Maclean, P. D. (1958a). Contrasting functions of limbic and neocort ical systems of the brain and their relevance to psychophysiological aspects of medicine. Am. J. Med. 25:611–626.

    Article  PubMed  CAS  Google Scholar 

  • Maclean, P. D. (1958b). The limbic system with respect to self preservation and the preservation of the species. J. Nerv. Ment. Dis. 127: 1–11.

    Article  PubMed  CAS  Google Scholar 

  • Maclean, P. D. (1959). The limbic system with respect to two basic life principles. In Transactions of Second Conference on the Central Nervous System and Behavior. Josiah Macy, Jr. Foundation, New York (pp. 31–118).

    Google Scholar 

  • Maclean, P. D. (1962). New findings relevant to the evolution of psychosexual functions of the brain. J. Nerv. Ment. Dis. 135:289–301.

    Article  Google Scholar 

  • Maclean, P. D. (1970). The triune brain, emotion, and scientific bias. In E. O. Schmitt (ed). The Neurosciences. Second Study Program (pp.336-349). Rockefeller University, New York.

    Google Scholar 

  • Maclean, P. D. (1973). A triune concept of the brain and behavior. Lecture I. Man’s reptilian and limbic inheritance; Lecture II. Man’s limbic brain and the psychoses; Lecture III. New trends in man’s evolution. In T. Boag und D. Campbell (eds), The Hincks Memorial Lectures (pp. 6-66). University of Toronto, Toronto.

    Google Scholar 

  • Maclean, P. D. (1985). Brain evolution relating to family, play, and the separation call. Arch. Gen. Psychiatry 42:405–417.

    Article  PubMed  CAS  Google Scholar 

  • Maclean, P. D. (1987). The midline frontolimbic cortex and the evolution of crying and laughter. In E. Perecman (ed), The Frontal lobes Revisited (pp. 121-140). IRBN, New York.

    Google Scholar 

  • Maclean, P. D. (1990). The Triune Brain in Evolution. Plenum, New York.

    Google Scholar 

  • Markus, H., und Nurius, P. (1986). Possible selves. Am. Psychol. 41:954–969.

    Article  Google Scholar 

  • Marlowe, W.B. (1992). The impact of a right prefrontal lesion on the developing brain. Brain Cogn. 20:205–213.

    Article  PubMed  CAS  Google Scholar 

  • Meyer, A. (1904). The anatomical facts and clinical varieties of traumatic insanity. American Journal of Insanity LX(3):25–141.

    Google Scholar 

  • Oddy, M., Coughlan, T., Tyerman, A., und Jenkins, D.(1985). Social adjustment after closed head injury:a further follow-up 7 years after injury. J. Neurol. Neurosurg. Psychiatry 48:564–568.

    Article  PubMed  CAS  Google Scholar 

  • Ota, Y. (1969). Psychiatric studies on civilian head injuries. In A.E. Walker, W. F. Caveness, und M. Critchley (eds), The Late Effects of Head Injury (pp. 110-119). Charles C Thomas, Springfield, III.

    Google Scholar 

  • Papero, P. H., Prigatano, G. P., Snyder, H. M., und Johnson, D. L. (1993). Children’s adaptive behavioural competence after head injury. Neuropsychological Rehabilitation 3(4):321–340.

    Article  Google Scholar 

  • Papez, J.W. (1937). A proposed mechanism of emotion. Archives of Neurology and Psychiatry 38:725–743.

    Article  Google Scholar 

  • Penfield, W., und Jasper, H. (1954). Epilepsy and the Functional Anatomy of the Human Brain. Little, Brown, Boston.

    Google Scholar 

  • Pribram, K.H. (1971). Languages of the Brain: Experimental Paradoxes and Principles in Neuropsychology. Prentice-Hall, Englewood Cliffs, NJ.

    Google Scholar 

  • Pribram, K. H., und Gill, M. M. (1976). Freud’s „Project“ Re-Assessed. Basic Books, New York.

    Google Scholar 

  • Price, B.H., Daffner, K.R., Stowe, R.M., und Mesulam, M.M.(1990). The comportmental learning disabilities of early frontal lobe damage. Brain 113(Pt 5): 1383–1393.

    Article  PubMed  Google Scholar 

  • Prigatano, G. P. (1986). Personality and psychosocial consequences of brain injury. In Prigatano et al. (eds), Neuropsychological Rehabilitation After Brain Injury (pp. 29-50). Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Prigatano, G. P. (1988). Emotion and motivation in recovery and adaptation after brain damage. In S. Finger, T. E. LeVere, C.R. Almli, und D. G. Stein (eds), Brain Injury and Recovery: Theoretical and Controversial Issues (pp. 335-350). Plenum, New York.

    Google Scholar 

  • Prigatano, G. P. (1992). Personality disturbances associated with traumatic brain injury. J. Consult. Clin. Psychol. 60(3): 360–386.

    Article  PubMed  CAS  Google Scholar 

  • Prigatano, G. P., Altman, I.M., und O’Brien, K. P. (1990). Behavioral limitations that brain injured patients tend to underestimate. Clinical Neuropsychologist 4: 163–176.

    Article  Google Scholar 

  • Prigatano, G. P., Fordyce, D., Zeiner, H., Roueche, J., Pepping, M., und Wood, B. (1986). Neuropsychological Rehabilitation After Brain Injury. Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Prigatano, G. P., O’Brien, K.P., und Klonoff, P. S.(1988). The clinical management of delusions in postacute traumatic brain injured patients. Journal of Head Trauma Rehabilitation 3(3):23–32.

    Article  Google Scholar 

  • Prigatano, G. P., und Schacter, D. L. (1991). Awareness of Deficit After Brain Injury: Clinical and Theoretical Issues. Oxford University Press, New York.

    Google Scholar 

  • Prigatano, G. P., und Summers, J. D. (1997). Depression in traumatic brain injury patients. In M.M. Robertson und C. L. E. Katona (eds), Depression and Physical Illness (pp. 341-358). John Wiley & Sons, New York.

    Google Scholar 

  • Rekate, H. L., Grubb, R.L., Aram, D.M., Hahn, J.F., und Ratcheson, R.A. (1985). Muteness of cerebellar origin. Arch. Neurol. 42:697–698.

    Article  PubMed  CAS  Google Scholar 

  • Reyes, R.L., Bhattacharyya, A. K., und Heller, D. (1981). Traumatic head injury: restlessness and agitation as prognosticators of physical and psychologic improvement in patients. Arch. Phys. Med. Rehabil. 62:20–23.

    PubMed  CAS  Google Scholar 

  • Roberts, A.H. (1979). Severe Accidental Head Injury: An Assessment of Long-Term Prognosis. Macmillan, New York.

    Google Scholar 

  • Robinson, R.G., Bolduc, P., und Price, T. R. (1987). A two-year longitudinal study of poststroke depression: diagnosis and outcome at one and two years. Stroke 18:837–843.

    Article  PubMed  CAS  Google Scholar 

  • Robinson, R. G., Kubos, K. L., Starr, L.B., Rao, K., und Price, T. R. (1983). Mood changes in stroke patients: relationship to lesion location. Compr. Psychiatry 24:555–556.

    Article  PubMed  CAS  Google Scholar 

  • Robinson, R. G. und Price, T. R. (1982). Post-stroke depressive disorders: a follow-up study of 103 patients. Stroke 13:635–641.

    Article  PubMed  CAS  Google Scholar 

  • Robinson, R. G., Starr, L. B., Lipsey, J. R., Rao, K., und Price, T. R. (1984a). A two-year longitudinal study of post-stroke mood disorders: dynamic changes in associated variables over the first six months of follow-up. Stroke 15:510–517.

    Article  PubMed  CAS  Google Scholar 

  • Robinson, R.G., Starr, L.B., Kubos, K. L., Rao, K., und Price, T. R. (1984b). Mood disorders in stroke patients: importance of location of lesion. Brain 197:91–93.

    Google Scholar 

  • Robinson, R.G., und Szetela, B. (1981). Mood change following left hemispheric brain injury. Ann. Neurol. 9:447–453.

    Article  PubMed  CAS  Google Scholar 

  • Rosenbaum, A., und Hoge, S. K.(1989). Head injury and marital aggression. Am. J. Psychiatry 146:1048–1051.

    PubMed  CAS  Google Scholar 

  • Ross, E.D., und Rush, J.A. (1981). Diagnosis and neuroanatomical correlates of depression in brain-damaged patients. Arch. Gen. Psychiatry 38, 1344–1354.

    Article  PubMed  CAS  Google Scholar 

  • Schilder, P. (1934). Psychic disturbances after head injuries. Am. J. Psychiatry 91: 155–188.

    Google Scholar 

  • Shukla, S., Cook, B. L., Mukherjee, S., Godwin, C, und Miller, M.G. (1987). Mania following head trauma. Am. J. Psychiatry 144(1): 93–96.

    PubMed  CAS  Google Scholar 

  • Simon, H. A. (1967). Motivational and emotional controls of cognition. Psychological Review 76:29–39.

    Article  Google Scholar 

  • Simon, H. A. (1994). The bottleneck of attention: connecting thought with motivation. In W. D. Spaulding (ed), Integrative Views of Motivation, Cognition, and Emotion (pp. 1-21). University of Nebraska, Lincoln.

    Google Scholar 

  • Simon, H. A. (1995). The information-processing therapy of mind. American Psychologist 50(7):507–508.

    Article  PubMed  CAS  Google Scholar 

  • Starkstein, S.E., Robinson, R. G., und Price, T.R. (1987). Comparison of cortical and subcortical lesions in the production of poststroke mood disorders. Brain 110:1045–1059.

    Article  PubMed  Google Scholar 

  • Starkstein, S.E., Robinson, R.G., und Price, T. R. (1988). Comparison of patients with and without poststroke major depression matched for size and location of lesion. Arch. Gen. Psychiatry 45: 247–252.

    Article  PubMed  CAS  Google Scholar 

  • Storey, P. B. (1970). Brain damage and personality change after subarachnoid haemorrhage. Br. J. Psychiatry 117:129–142.

    PubMed  CAS  Google Scholar 

  • Thomsen, I.V. (1984). Late outcome of very severe blunt head trauma: a 10-15 year second follow-up. J. Neural. Neurosurg. Psychiatry 47:260–268.

    Article  CAS  Google Scholar 

  • Valzelli, L. (1980). An Approach to Neuroanatomical and Neurochemical Psychophysiology. John Wright, Littleton, Mass.

    Google Scholar 

  • van Zomeren, A. H., und van Den Burg, W. (1985). Residual complaints of patients two years after severe head injury. J. Neurol. Neurosurg. Psychiatry 48:21–28.

    Article  PubMed  Google Scholar 

  • Wise, S. E, und Herkenham, M. (1982). Opiate receptor distribution in the cerebral cortex of the rhesus monkey. Science 218:387–389.

    Article  PubMed  CAS  Google Scholar 

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    George P. Prigatano

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Prigatano, G.P. (2004). Persönlichkeitsstörungen und Hirnschädigung: Theoretische Grundlagen. In: Neuropsychologische Rehabilitation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18768-1_6

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