False selves in neuropsychological rehabilitation: The challenge of confabulation

False selves in neuropsychological rehabilitation: The challenge of confabulation
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DOI:
10.1080/09602010802083545
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发表时间:
2008-01-01
影响因子:
2.7
通讯作者:
Fotopoulou, Aikaterini
Fotopoulou, Aikaterini
中科院分区:
心理学3区
文献类型:
--
作者:
Fotopoulou, Aikaterini

文献摘要

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脑损伤后虚构的存在会阻碍神经心理康复和管理。最近的一个虚构的理论方法强调,神经认知缺陷是不足以解释虚构的内容。因此,它们也不足以应对虚构症带来的独特康复挑战。相反,虚构可以被最好地理解为现有的重建记忆过程的放大,受到神经认知和动机因素的影响。该论文回顾了最近的实验发现,这些发现表明虚构具有自我连贯和自我增强的重要功能,尽管它们与现实的对应性较差。案例材料是用来说明的意义,从病人的主观角度的虚构,并证明,这样的理论方法虚构可以最好地通知管理和康复工作。
The presence of confabulation following brain damage can obstruct neuropsychological rehabilitation and management. A recent theoretical approach to confabulation emphasises that neurocognitive deficits are not sufficient to account for the content of confabulation. As a result, they are also insufficient to address the unique rehabilitation challenges that confabulation raises. Instead, confabulation could be best understood as the magnification of existing reconstructive memory processes, influenced by both neurocognitive and motivational factors. The paper reviews recent experimental findings showing that confabulations serve important functions of self-coherence and self-enhancement, despite their poor correspondence to reality. Case material is used to illustrate the meaningfulness of confabulation from the subjective perspective of the patient and to demonstrate that such a theoretical approach to confabulation can best inform management and rehabilitation efforts.