“I don't have Huntington's disease”: the boundaries between acceptance and understanding
Huntington's disease (HD) is an inherited disease that leads to an inexorable progression of motor, cognitive and psychiatric disturbances. In the initial stages, the symptoms are not clearly disabling, and the patient may present a lack of awareness about the symptoms themselves, which we call...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações
2023-07-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768158 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849698211117137920 |
|---|---|
| author | Gustavo Leite Franklin Hélio A. Ghizoni Teive Francisco Eduardo Cardoso |
| author_facet | Gustavo Leite Franklin Hélio A. Ghizoni Teive Francisco Eduardo Cardoso |
| author_sort | Gustavo Leite Franklin |
| collection | DOAJ |
| description | Huntington's disease (HD) is an inherited disease that leads to an inexorable progression of motor, cognitive and psychiatric disturbances. In the initial stages, the symptoms are not clearly disabling, and the patient may present a lack of awareness about the symptoms themselves, which we call anosognosia. However, anosognosia might not justify all passivity of the HD patient in face of the diagnosis. Patients may also experience the denial of illness, as a stage of grief, expected to happen in the face of the diagnosis of any neurodegenerative disorder. In addition, people with HD tend to be more apathetic, and more silent, in regular consultations. In the present article, the authors express a point of view, discussing the behavior of the HD patient, in which there is a multifactorial passivity, in the face of the diagnosis and of the disease itself. Having the proper knowledge of this situation may prepare the neurologist to better understand the patient and the evolution of the disease. |
| format | Article |
| id | doaj-art-a1a7ed8f88ba499a95ea76b4eb2de49b |
| institution | DOAJ |
| issn | 0004-282X 1678-4227 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-a1a7ed8f88ba499a95ea76b4eb2de49b2025-08-20T03:18:59ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272023-07-01810769669910.1055/s-0043-1768158“I don't have Huntington's disease”: the boundaries between acceptance and understandingGustavo Leite Franklin0https://orcid.org/0000-0002-0207-3671Hélio A. Ghizoni Teive1https://orcid.org/0000-0003-2305-1073Francisco Eduardo Cardoso2https://orcid.org/0000-0003-0808-0116Pontifícia Universidade Católica do Paraná, Departamento de Medicina Interna, Curitiba PR, Brazil.Universidade Federal do Paraná, Departamento de Medicina Interna, Serviço de Neurologia, Unidade de Distúrbios do Movimento, Curitiba PR, Brazil.Universidade Federal de Minas Gerais, Departamento de Medicina Interna, Serviço de Neurologia, Belo Horizonte MG, Brazil.Huntington's disease (HD) is an inherited disease that leads to an inexorable progression of motor, cognitive and psychiatric disturbances. In the initial stages, the symptoms are not clearly disabling, and the patient may present a lack of awareness about the symptoms themselves, which we call anosognosia. However, anosognosia might not justify all passivity of the HD patient in face of the diagnosis. Patients may also experience the denial of illness, as a stage of grief, expected to happen in the face of the diagnosis of any neurodegenerative disorder. In addition, people with HD tend to be more apathetic, and more silent, in regular consultations. In the present article, the authors express a point of view, discussing the behavior of the HD patient, in which there is a multifactorial passivity, in the face of the diagnosis and of the disease itself. Having the proper knowledge of this situation may prepare the neurologist to better understand the patient and the evolution of the disease.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768158Huntington DiseaseAgnosiaCognitive DysfunctionDoença de HuntingtonAgnosiaDisfunção Cognitiva |
| spellingShingle | Gustavo Leite Franklin Hélio A. Ghizoni Teive Francisco Eduardo Cardoso “I don't have Huntington's disease”: the boundaries between acceptance and understanding Arquivos de Neuro-Psiquiatria Huntington Disease Agnosia Cognitive Dysfunction Doença de Huntington Agnosia Disfunção Cognitiva |
| title | “I don't have Huntington's disease”: the boundaries between acceptance and understanding |
| title_full | “I don't have Huntington's disease”: the boundaries between acceptance and understanding |
| title_fullStr | “I don't have Huntington's disease”: the boundaries between acceptance and understanding |
| title_full_unstemmed | “I don't have Huntington's disease”: the boundaries between acceptance and understanding |
| title_short | “I don't have Huntington's disease”: the boundaries between acceptance and understanding |
| title_sort | i don t have huntington s disease the boundaries between acceptance and understanding |
| topic | Huntington Disease Agnosia Cognitive Dysfunction Doença de Huntington Agnosia Disfunção Cognitiva |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768158 |
| work_keys_str_mv | AT gustavoleitefranklin idonthavehuntingtonsdiseasetheboundariesbetweenacceptanceandunderstanding AT helioaghizoniteive idonthavehuntingtonsdiseasetheboundariesbetweenacceptanceandunderstanding AT franciscoeduardocardoso idonthavehuntingtonsdiseasetheboundariesbetweenacceptanceandunderstanding |