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Das Symptombild des Patienten und der Einfluss prämorbider Faktoren

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Neuropsychologische Rehabilitation

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Zusammenfassung

Nachdem wir uns mit dem subjektiven Erleben des Patienten beschättigt haben, besteht der nächste Schritt in der Diagnostik der neuropsychologischen Funktionsstörungen. Sie sollte in einer respektvollen Art und Weise durchgeführt werden und darf den Patienten nicht überfordern. Berücksichtigt werden sollte, was für ein Mensch der Patient vor der Hirnschädigung war und wie er auf die durch die Hirnschädigung hervorgerufenen Störunqen reagiert. In einer entspannten Atmosphäre sollte gemeinsam mit dem Patienten versucht werden herauszufinden, wo die hirnverletzungsbedingten Schwierigkeiten liegen. Darin besteht die „Kunst“ einer erfolgreichen neuropsychologischen Untersuchung.

„Die Ergebnisse der aktuellen Studie weisen darauf hin, dass die Persönlichkeltsveränderugqen, die bei der DAT (Demenz vom Alzheimer-Typus) festgestellt wurden, ein integraler Teil des klinischen Syndroms sind. Ebenso wie der intellektulle Abbau spiegeln sie strukturelle und funktionelle Veränderungen wider, die durch den Krankheitsprozess hervorgerufen werden “ (Petry et al. 1988).

„ ... irrationale Handlungen nach einer Hirnschädigung sind nicht einfach nur eine Manifestation eines allgemeinen Kritikverlustes, sondern können selektiv sein und eine spezielle Bedeutung för die Person haben“ (Weinstein 1995).

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Authors and Affiliations

  1. Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona, USA

    George P. Prigatano

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Prigatano, G.P. (2004). Das Symptombild des Patienten und der Einfluss prämorbider Faktoren. In: Neuropsychologische Rehabilitation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18768-1_3

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  • DOI: https://doi.org/10.1007/978-3-642-18768-1_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43653-9

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