Page 1 of 1: stroke-catastrophic reaction,pathological emotions.

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Catastrophic Reaction

Catastrophic reaction is a term coined by Kurt Goldstein to describe anxiety, tears, aggressive behavior, swearing, displacement, refusal, renouncement, and compensatory boasting that he attributed to an "inability of the organism to cope when faced with physical or cognitive deficits." Using a Catastrophic Reaction Scale (CRS) developed to assess the existence and severity of the catastrophic reaction, 12 of 62 consecutive patients (19 percent) with acute stroke lesions were found to have catastrophic reactions

Pathological Emotions

Pathological emotions are characterized by episodes of laughing, or crying or both, that are not appropriate to the context. These episodes may appear spontaneously or may be elicited by nonemotional events and do not correspond to underlying emotional feelings .This condition was found in 13 of 89 patients (15 percent) seen at 1 month poststroke, in 21 percent at 6 months, and in 12 percent at 1 year .Other studies have reported frequencies of 18 percent in patients at a rehabilitation hospital and of 14 percent in patients in a community-based study.

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