scholarly journals Body Schema Self-Awareness and Related Dream Content Modifications in Amputees Due to Cancer

2021 ◽  
Vol 11 (12) ◽  
pp. 1625
Author(s):  
Alessandra Giordano ◽  
Michele Boffano ◽  
Raimondo Piana ◽  
Roberto Mutani ◽  
Alessandro Cicolin

Purpose: the evaluation of body image perception, pain coping strategies, and dream content, together with phantom limb and telescoping phenomena in patients with sarcoma who underwent surgery for limb amputation. Material and Methods: consecutive outpatients were evaluated at T0 (within 3 weeks after surgery) and T1 (4–6 months after surgery) as follows: demographic and clinical data collection; the Groningen Questionnaire Problems after Arm Amputation; the West Haven-Yale Multidimensional Pain Inventory; the Body Image Concern Inventory, a clinical trial to identify telescoping; and a weekly diary of dreams. Dream contents were coded according to the Hall and Van de Castle coding system. Results: Twenty patients completed the study (15 males and 5 females, mean age: 53.9 ± 24.6, education: 7.8 ± 3.4). All subjects experienced phantom limb and 35% of them experienced telescoping soon after surgery, and 25% still after 4–6 months. Both at T0 and T1, that half of the subjects reported dreams about still having their missing limbs. At T1 the patients’ perceptions of being able to deal with problems were lower, and pain and its interference in everyday life were higher yet associated with significant engagement in everyday activities and an overall good mood. The dream content analysis highlighted that males were less worried about health problems soon after amputation, and women showed more initial difficulties that seemed to be resolved after 4–6 months after surgery. Conclusions: The dream content analysis may improve clinicians’ ability to support their patients during their therapeutic course.

2008 ◽  
Vol 32 (3) ◽  
pp. 363-382 ◽  
Author(s):  
Á. Mayer ◽  
K. Kudar ◽  
K. Bretz ◽  
J. Tihanyi

Aim: The phantom phenomenon is a well-known example of the difference between body awareness and body schema. The present study is aimed at showing how body changes and prosthesis use are reflected in body schema and body awareness–the latter relating to the image that various amputees have of their bodies.Subject and methods: (i) Examining the configuration of body schema: A trial examining the spatial location of the phantom limb (50 people with lower or upper limb loss); (ii) examining the functional aspect of body schema: The distribution of weight power between intact and prosthetic limbs (34 people with tibial amputation); (iii) examining body awareness: Body Focus Questionnaire by Fisher (44 people with lower limb amputation, 33 intact people); and (iv) Questionnaire on anamnesis- and prosthesis-wearing habits (people participating in research methods [i] and [iii] mentioned above).Results: We found that when the amputees wore their prostheses, the configuration of body schema did not change, however, the people who had not used their prosthesis for a long period of time (in our study, at least for six years), the phantom limb shortened, a phenomenon known as telescoping. The functional adaptation of the prosthesis to the body schema starts in a short time (within two weeks) after wearing it, and it becomes close to normal in carrying body weight after a longer period of time (two years). In the beginning phase of rehabilitation, the awareness of legs is similar to that of the control group, while later on it this awareness decreases. Over time, however, the lost limb, regardless of having a prosthesis or not, loses its importance. People with a more serious or vascular amputation of the upper limbs have a clearer image of them. Limb parts having a greater cortical representation appear more intensively in phantom sensations, while the strength of the cortical representation in body schema has no significance.Conclusion: From both configuration and functional aspects, wearing a prosthesis helps maintain a body schema in which the phantom limb remains similar to the intact one, which can be explained by the connectional schema model. This is needed for movements to be carried out properly. Although the amputee can see the prosthesis and senses the phantom limb, they do not consider it their own since they are aware of the loss. Therefore, the fact that a prosthesis is worn will not be represented in body awareness as the highest level of mental structure.


Author(s):  
Iasmim Batista Correia ◽  
Nathalie De Almeida Silva ◽  
Paulo Granges e Silva ◽  
Tarciana Nobre de Menezes

Aging leads to psychological losses and various physical changes that, associated with body-stereotyped patterns imposed by society, can cause disturbances in the body image perception (BIP) in the elderly. The aim of this study was to evaluate BIP in older adults living in the city of Campina Grande / PB and its relationship with different anthropometric and body composition indicators. This cross-sectional study was carried out with older adults of both sexes enrolled in the Family Health Strategy of Campina Grande, PB. BIP was considered as a dependent variable and body mass index (BMI), waist circumference (WC), triceps skinfold (TSF), and arm fat area (AFA) as independent variables. The association between BIP and anthropometric indicators was verified using the Pearson chi-square test (X²), simple and multiple logistic regression, with significance level of p <0.05. Overall, 420 older adults were interviewed (68.1% women), of whom 409 reported their actual body image perception. Regarding the perception of idealized body image, 11 individuals did not respond and 230 were satisfied, since 179 desired another silhouette. Individuals with BMI indicative of overweight / obesity were more likely of showing body image dissatisfaction compared to those with normal weight. Subjects with excessive TSF showed greater body image dissatisfaction in relation to those with normal weight. Women were more likely of showing body image dissatisfaction. Thus, it was observed that variables BMI, TSF and sex were independently associated with body image satisfaction.


Perception ◽  
10.1068/p5853 ◽  
2007 ◽  
Vol 36 (10) ◽  
pp. 1547-1554 ◽  
Author(s):  
Francesco Pavani ◽  
Massimiliano Zampini

When a hand (either real or fake) is stimulated in synchrony with our own hand concealed from view, the felt position of our own hand can be biased toward the location of the seen hand. This intriguing phenomenon relies on the brain's ability to detect statistical correlations in the multisensory inputs (ie visual, tactile, and proprioceptive), but it is also modulated by the pre-existing representation of one's own body. Nonetheless, researchers appear to have accepted the assumption that the size of the seen hand does not matter for this illusion to occur. Here we used a real-time video image of the participant's own hand to elicit the illusion, but we varied the hand size in the video image so that the seen hand was either reduced, veridical, or enlarged in comparison to the participant's own hand. The results showed that visible-hand size modulated the illusion, which was present for veridical and enlarged images of the hand, but absent when the visible hand was reduced. These findings indicate that very specific aspects of our own body image (ie hand size) can constrain the multisensory modulation of the body schema highlighted by the fake-hand illusion paradigm. In addition, they suggest an asymmetric tendency to acknowledge enlarged (but not reduced) images of body parts within our body representation.


Body schema refers to the system of sensory-motor functions that enables control of the position of body parts in space, without conscious awareness of those parts. Body image refers to a conscious representation of the way the body appears—a set of conscious perceptions, affective attitudes, and beliefs pertaining to one’s own bodily image. In 2005, Shaun Gallagher published an influential book entitled ‘How the Body Shapes the Mind’. This book not only defined both body schema (BS) and body image (BI), but also explored the complicated relationship between the two. The book also established the idea that there is a double dissociation, whereby body schema and body image refer to two different, but closely related, systems. Given that many kinds of pathological cases can be described in terms of body schema and body image (phantom limbs, asomatognosia, apraxia, schizophrenia, anorexia, depersonalization, and body dysmorphic disorder, among others), we might expect to find a growing consensus about these concepts and the relevant neural activities connected to these systems. Instead, an examination of the scientific literature reveals continued ambiguity and disagreement. This volume brings together leading experts from the fields of philosophy, neuroscience, psychology, and psychiatry in a lively and productive dialogue. It explores fundamental questions about the relationship between body schema and body image, and addresses ongoing debates about the role of the brain and the role of social and cultural factors in our understanding of embodiment.


2021 ◽  
pp. 229-243
Author(s):  
Jonathan Cole

In neurological illnesses, the body may present itself to perception in ways which allows insights into the concepts of body image and body schema. Three such conditions are explored. From those who live with spinal cord injury, paralysed and insentient from the neck down, aspects of the importance of the body in one’s sense of self are revealed. Some also describe a coming to terms with their altered bodies. When considering the body image, its adaptability and this reconciliation to a new normal should be considered. Studies on acquired severe sensory loss explore how conscious control, at the body image level, may partially replace the deafferented body schema. There is little evidence, however, for these subjects extending access to previously non-conscious motor schema. Lastly, some narratives from those with congenital absence of movement of facial muscles describe reduced emotional experience and felt embodiment as children. These can be developed as young adults, through shared social interactions. The importance of the social in elaboration of the body image is further implicit in a consideration of the stigma associated with facial disfigurement. Others’ responses to one’s body are crucial in developing our body image and sense of self.


2011 ◽  
Vol 26 (2) ◽  
pp. 180-191 ◽  
Author(s):  
Hugo Senra ◽  
Rui Aragão Oliveira ◽  
Isabel Leal ◽  
Cristina Vieira

1995 ◽  
Vol 81 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Enrico Molinari

The aim was to explore the body-image perception of a group of 20 hospitalised anorexic patients, aged 18 to 21 years, undergoing a period of treatment. The instrument used was the Askevold nonverbal perception test as modified by Allamani and colleagues in 1978 to assess perception of the dimensions of different parts of the body by exploiting the capacity to project them into space. The four parts were the head, the thoracic area, the abdominal area, and the pelvic area. Analysis of responses indicated that anorexic patients overestimated the abdominal and the pelvic areas much more than the 20 members of the control group (50% vs 30%). The areas of the head and thorax were perceived almost in their real dimensions by the anorexic patients but were underestimated by the control group.


CNS Spectrums ◽  
2006 ◽  
Vol 11 (6) ◽  
pp. 419-422 ◽  
Author(s):  
Dan J. Stein ◽  
Paul D. Carey ◽  
James Warwick

ABSTRACTBody dysmorphic disorder (BDD) is characterized by preoccupation with a defect in appearance. Concepts of beauty play a particularly crucial role in humans' mental and social life, and may have specific psychobiologic and evolutionary underpinnings. In particular, there is a growing literature on the neurocircuitry underpinning the body schema, body image and facial expression processing, and aesthetic and symmetry judgments. Speculatively, disruptions in cognitive-affective processes relevant to judgments about physical beauty lead to BDD.


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