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Cited by 483

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Human autonomy and the frontal lobes. Part II: Patient behavior in complex and social situations: The “environmental dependency syndrome”

Lhermitte, F.·1986·Annals of Neurology
DOI 10.1002/ana.410190405
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Abstract

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 patients' 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.

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Research works printed but not linked: 10

  1. Eccles JC, 1978, Cerebral Correlates of Conscious Experience, 347
  2. Eccles JC, 1983, Facing reality
  3. 10.1093/brain/106.2.237 · DOI · Paper page
  4. Lhermitte F, 1972, Analyse neuropsychologique du syndrome frontal, Rev Neurol, 127, 415
  5. Luria AR, 1980, Disturbances of higher cortical functions with lesions of frontal region. Higher Cortical Functions in Man
  6. 10.1016/B978-0-12-564340-5.50006-8 · DOI · Paper page
  7. Mackay DW, 1978, Cerebral Correlates of Conscious Experience, 335
  8. Milner B, 1964, The Frontal Granular Cortex and Behavior, 313
  9. 10.1016/S0166-2236(84)80143-5 · DOI · Paper page
  10. 10.1007/978-3-642-61891-8 · DOI · Paper page

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Metadata

Authors
Lhermitte, F.
Venue
Annals of Neurology
Publisher
Wiley
Published
1986-04
Volume
19
Issue
4
Pages
335-343
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
DOI
10.1002/ana.410190405
OpenAlex
W2043691154
Cited by
483
References
0
FWCI
10.22
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 6765 d)

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