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Right Hemisphere Brain Damage
Right hemisphere brain damage (RHD) is the result of injury to the right cerebral hemisphere.American Speech-Language-Hearing Association. (2015). ''Right hemisphere brain damage''. Retrieved from http://www.asha.org/public/speech/disorders/RightBrainDamage/ The right hemisphere of the brain coordinates tasks for functional communication, which include problem solving, memory, and reasoning. Deficits caused by right hemisphere brain damage vary depending on the location of the damage.Brookshire, R. H. (2007). Right hemisphere syndrome. In K. Falk (Ed.), ''Introduction to Neurogenic Communication Disorders'' (7th ed., pp. 391-443). St. Louis, MO: Mosby Elsevier. Signs and symptoms Visual processing Individuals with right hemisphere damage exhibit deficits in visual processing. It appears as though they are only able to recognize the parts of a picture, symbol, etc. rather than seeing the image as a whole. This was shown during an experiment when patients with right hemisphere dama ...
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Cerebral Hemisphere
The vertebrate cerebrum (brain) is formed by two cerebral hemispheres that are separated by a groove, the longitudinal fissure. The brain can thus be described as being divided into left and right cerebral hemispheres. Each of these hemispheres has an outer layer of grey matter, the cerebral cortex, that is supported by an inner layer of white matter. In eutherian (placental) mammals, the hemispheres are linked by the corpus callosum, a very large bundle of axon, nerve fibers. Smaller commissures, including the anterior commissure, the posterior commissure and the fornix (neuroanatomy), fornix, also join the hemispheres and these are also present in other vertebrates. These commissures transfer information between the two hemispheres to coordinate localized functions. There are three known poles of the cerebral hemispheres: the ''occipital lobe, occipital pole'', the ''frontal lobe, frontal pole'', and the ''temporal lobe, temporal pole''. The central sulcus is a prominent fissu ...
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Traumatic Brain Injury
A traumatic brain injury (TBI), also known as an intracranial injury, is an injury to the brain caused by an external force. TBI can be classified based on severity ranging from mild traumatic brain injury (mTBI/concussion) to severe traumatic brain injury. TBI can also be characterized based on mechanism (closed head injury, closed or penetrating head injury) or other features (e.g., occurring in a specific location or over a widespread area). Head injury is a broader category that may involve damage to other structures such as the scalp and skull. TBI can result in physical, cognitive, social, emotional and behavioral symptoms, and outcomes can range from complete recovery to permanent disability or death. Causes include Falling (accident), falls, vehicle collisions, and violence. Brain trauma occurs as a consequence of a sudden acceleration or deceleration of the brain within the skull or by a complex combination of both movement and sudden impact. In addition to the damage ...
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Aphasia
Aphasia, also known as dysphasia, is an impairment in a person's ability to comprehend or formulate language because of dysfunction in specific brain regions. The major causes are stroke and head trauma; prevalence is hard to determine, but aphasia due to stroke is estimated to be 0.1–0.4% in developed countries. Aphasia can also be the result of brain tumors, epilepsy, autoimmune neurological diseases, brain infections, or neurodegenerative diseases (such as dementias). To be diagnosed with aphasia, a person's language must be significantly impaired in one or more of the four aspects of communication. In the case of progressive aphasia, a noticeable decline in language abilities over a short period of time is required. The four aspects of communication include spoken language production, spoken language comprehension, written language production, and written language comprehension. Impairments in any of these aspects can impact functional communication. The difficulties o ...
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Agnosia
Agnosia is a neurological disorder characterized by an inability to process sensory information. Often there is a loss of ability to recognize objects, persons, sounds, shapes, or smells while the specific sense is neither defective nor is there any significant memory loss. It is usually associated with brain injury or neurological illness, particularly after damage to the occipitotemporal border, which is part of the ventral stream. Agnosia affects only a single modality, such as vision or hearing. More recently, a top-down interruption is considered to cause the disturbance of handling perceptual information. Types Visual agnosia Visual agnosia is a broad category that refers to a deficiency in the ability to recognize visual objects. Visual agnosia can be further subdivided into two different subtypes: apperceptive visual agnosia and associative visual agnosia. Individuals with apperceptive visual agnosia display the ability to see contours and outlines w ...
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Metaphor
A metaphor is a figure of speech that, for rhetorical effect, directly refers to one thing by mentioning another. It may provide, or obscure, clarity or identify hidden similarities between two different ideas. Metaphors are usually meant to create a likeness or an Analogy, analogy. Analysts group metaphors with other types of figurative language, such as antithesis, hyperbole, metonymy, and simile. According to Grammarly, "Figurative language examples include similes, metaphors, personification, hyperbole, allusions, and idioms." One of the most commonly cited examples of a metaphor in English literature comes from the "All the world's a stage" monologue from ''As You Like It'': All the world's a stage, And all the men and women merely players; They have their exits and their entrances And one man in his time plays many parts, His Acts being seven ages. At first, the infant... :—William Shakespeare, ''As You Like It'', 2/7 This quotation expresses a metaphor because the w ...
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Cognition
Cognition is the "mental action or process of acquiring knowledge and understanding through thought, experience, and the senses". It encompasses all aspects of intellectual functions and processes such as: perception, attention, thought, imagination, intelligence, the formation of knowledge, memory and working memory, judgment and evaluation, reasoning and computation, problem-solving and decision-making, comprehension and production of language. Cognitive processes use existing knowledge to discover new knowledge. Cognitive processes are analyzed from very different perspectives within different contexts, notably in the fields of linguistics, musicology, anesthesia, neuroscience, psychiatry, psychology, education, philosophy, anthropology, biology, systemics, logic, and computer science. These and other approaches to the analysis of cognition (such as embodied cognition) are synthesized in the developing field of cognitive science, a progressively autonomou ...
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Confabulate
Confabulation is a memory error consisting of the production of fabricated, distorted, or misinterpreted memories about oneself or the world. It is generally associated with certain types of brain damage (especially aneurysm in the anterior communicating artery) or a specific subset of dementias. While still an area of ongoing research, the basal forebrain is implicated in the phenomenon of confabulation. People who confabulate present with incorrect memories ranging from subtle inaccuracies to surreal fabrications, and may include confusion or distortion in the temporal framing (timing, sequence or duration) of memories. In general, they are very confident about their recollections, even when challenged with contradictory evidence. Confabulation occurs when individuals mistakenly recall false information, without intending to deceive. Brain damage, dementia, and anticholinergic toxidrome can cause this distortion. Two types of confabulation exist: provoked and spontaneous, with ...
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Anosognosia
Anosognosia is a condition in which a person with a disability is cognitively unaware of having it due to an underlying physical condition. Anosognosia results from physiological damage to brain structures, typically to the parietal lobe or a diffuse lesion on the fronto-temporal-parietal area in the right hemisphere, and is thus a neuropsychiatric disorder. A deficit of self-awareness, the term was first coined by the neurologist Joseph Babinski in 1914, in order to describe the unawareness of hemiplegia. Phenomenologically, anosognosia has similarities to denial, which is a psychological defense mechanism; attempts have been made at a unified explanation. The name derives from Ancient Greek: ἀ-, ''a-'' ('without'), νόσος, ''nosos ('''disease'), and γνῶσις, ''gnōsis'' ('knowledge'). It is considered a disorder that makes the treatment of the patient more difficult, since it may affect negatively the therapeutic relationship. Anosognosia is sometim ...
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Prosody (linguistics)
In linguistics, prosody () is the study of elements of speech, including intonation, stress, rhythm and loudness, that occur simultaneously with individual phonetic segments: vowels and consonants. Often, prosody specifically refers to such elements, known as ''suprasegmentals'', when they extend across more than one phonetic segment. Prosody reflects the nuanced emotional features of the speaker or of their utterances: their obvious or underlying emotional state, the form of utterance (statement, question, or command), the presence of irony or sarcasm, certain emphasis on words or morphemes, contrast, focus, and so on. Prosody displays elements of language that are not encoded by grammar, punctuation or choice of vocabulary. Attributes of prosody In the study of prosodic aspects of speech, it is usual to distinguish between auditory measures ( subjective impressions produced in the mind of the listener) and objective measures (physical properties of the sound wave and ...
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Tangential Speech
Tangential speech or tangentiality is a communication disorder in which the train of thought of the speaker wanders and shows a lack of focus, never returning to the initial topic of the conversation.''Forensic Aspects of Communication Sciences and Disorders'' by Dennis C. Tanner 2003 page 289 It commonly occurs in situations where an individual experiences high anxiety, as a manifestation of acute psychosis, dementia, or states of delirium. It is less severe than Logorrhea (psychology), logorrhea and may be associated with the middle stage in dementia. It is, however, more severe than circumstantial speech, in which the speaker wanders but eventually returns to the topic. Some adults with right hemisphere brain damage exhibit tangential speech. Those who exhibit tangential speech may also have related symptoms, such as seemingly inappropriate, self-centered social responses and deteriorations in conversation capabilities (including maintaining appropriate eye contact and staying o ...
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Homonymous Hemianopsia
Hemianopsia, or hemianopia, is a visual field loss on the left or right side of the vertical midline. It can affect one eye but usually affects both eyes. Homonymous hemianopsia (or homonymous hemianopia) is hemianopic visual field loss on the same side of both eyes. Homonymous hemianopsia occurs because the right half of the brain has visual pathways for the left hemifield of both eyes, and the left half of the brain has visual pathways for the right hemifield of both eyes. When one of these pathways is damaged, the corresponding visual field is lost. Signs and symptoms Paris as seen with right homonymous hemianopsia Mobility can be difficult for people with homonymous hemianopsia. "Patients frequently complain of bumping into obstacles on the side of the field loss, thereby bruising their arms and legs." People with homonymous hemianopsia often experience discomfort in crowds. "A patient with this condition may be unaware of what he or she cannot see and frequently bumps ...
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Psychiatry
Psychiatry is the medical specialty devoted to the diagnosis, treatment, and prevention of deleterious mental disorder, mental conditions. These include matters related to cognition, perceptions, Mood (psychology), mood, emotion, and behavior. Initial psychiatric assessment of a person begins with creating a Medical history, case history and conducting a mental status examination. Laboratory tests, physical examinations, and psychological tests may be conducted. On occasion, neuroimaging or neurophysiological studies are performed. Mental disorders are diagnosed in accordance with diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited by the World Health Organization (WHO), and the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013. Treatment may include psychotropics (psychiatric medicines), psychotherapy, su ...
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