HUMAN AUTONOMY AND THE FRONTAL LOBES .2. PATIENT BEHAVIOR IN COMPLEX AND SOCIAL SITUATIONS - THE ENVIRONMENTAL DEPENDENCY SYNDROME
HUMAN AUTONOMY AND THE FRONTAL LOBES .2. PATIENT BEHAVIOR IN COMPLEX AND SOCIAL SITUATIONS - THE ENVIRONMENTAL DEPENDENCY SYNDROME
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DOI：
10.1002/ana.410190405
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发表时间：
1986-04-01
影响因子：
11.2
通讯作者：
LHERMITTE, F
中科院分区：
文献类型：
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作者：
LHERMITTE, F
模仿和利用行为以前被描述为考官和病人之间的简单互动，并被解释为对环境线索的过度依赖。在这项研究中，患者在日常生活的复杂情况下观察到依赖。两名单侧额叶局灶性病变患者分别在医生办公室、演讲室、汽车和花园、参观可进行各种活动的公寓和礼品店时被观察到。病人的行为是惊人的，似乎在环境中隐含着一种命令，要求他们对自己所处的情况做出反应。对于这种情况，我们提出了环境依赖综合征这一术语。这意味着个人自主性的紊乱。个体的心理特征影响了自主性丧失的表现方式。这项研究没有提供自主性的生理模型，但它确实提供了自主性丧失继发于单侧额叶病变的临床和行为观察。
Imitation and utilization behavior have previously been described in terms of a simple interaction between an examiner and a patient, and were interpreted as an excessive dependence on environmental cues. In this study, patient dependence was observed in complex situations of everyday life. Two patients with focal unilateral frontal lobe lesions were observed while in a doctor''s office, a lecture room, a car, and a garden, while visiting an apartment where various activities were possible, and while in a gift shop. The patient''s behavior was striking, as though implicit in the environment was an order to respond to the situation in which they found themselves. The term environmental dependency syndrome is proposed for this condition. It implies a disorder in personal autonomy. Individual psychological traits influenced the way in which loss of autonomy was manifested. This study does not offer a physiological model of autonomy, but it does provide clinical and behavioral observations on the loss of autonomy secondary to unilateral lesions of the frontal lobe.