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Nov 03 2007
Agnosia – concept and performance PDF Print E-mail
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Saturday, 03 November 2007
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Agnosia is a failure of recognition that is not due to impairment of the sen-sory input or a general intellectual impairment. A visual agnosic patient will be unable to tell what he is looking at, although it can be demonstrated that the patient can see the object. In visual agnosia the patient is unable to rec-ognize objects for reasons other than that of loss of visual acuity or intellectual impairment. In auditory agnosia the patient with unimpaired hearing fails to recognize or distinguish speech. The patient can read without difficulty, both out loud and for comprehension. If words are presented slowly, the patient may comprehend fairly well; if presented at a normal or rapid speed, the patient will

not comprehend. Other patients perceive vowels and/or consonants but not entire words, or some words but not vowels or consonants. These patients have little difficulty with naming, reading or writing; all language functions except auditory comprehension are performed with ease.

Astereognosis is a breakdown in tactile form perception so that the patient cannot recognize familiar objects through touch although the sensations in the hands appear to be normal.

Prosopagnosia literally means a failure to recognize faces. Prosopagnosic patients are neither blind nor intellectually impaired; they can interpret facial expressions and they can can recognize their friends and relations by name or voice. Yet they do not recognize specific faces, not even their own in a mirror!

Prosopagnosia may be regarded as the opposite of blindsight. In blindsight there is recognition without awareness, whereas in prosopagnosia there is aware-ness without recognition. But there is evidence that the two syndromes have underlying similarity. Electrodermal recordings show that the prosopagnosic responds to familiar faces although without awareness of this fact. It appears, therefore, that the patient is subconsciously registering the significance of the faces.

Prosopagnosia may be suppressed under conditions of associative priming. Thus if the patient is shown the picture of some other face it may trigger a recognition.





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