CASE STUDY
One of mental conditions caused by brain disease or brain damage is anosognosia. In such cases, patients deny their disability.
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INSERT - the picture of Douglas
One of the famous cases of this disease is the case of William Orville Douglas who had served in the United States Supreme Court as Associate Justice for almost 36 years from 1939 to 1974. During the last year of his life, he suffered a right hemisphere stroke, which disabled him. But he was oblivious about his disability. He insisted that nothing was wrong with him. He believed that he was mentally and physically ready to go back to work. When he was asked, "how is your leg?" He replied, "I've been kicking forty-yard field goals with it in the exercise room."
When he(Libet) stimulated their hand's skins, he realized that a certain duration of stimulation, about 500 ms, needed to elicit a certain conscious experience. He called this "neuronal adequacy." The most disputable finding that he observed during his experiments was "a substantial delay before cerebral activities ...achieve neuronal adequacy" when the skin stimulation applied 200 ms after the beginning of a direct stimulation. In that case, subjects felt the skin stimulation before the direct one. Subjects had reported similar experience when those two stimulations were applied simultaneously, suggesting that mental events are ahead of physical ones. Libet concluded that there is "a disassociation between the timings of corresponding 'mental' and 'physical' events," which "raises serious but not insurmountable difficulties for [psychoneural] identity theory" that suggests: All mental events are identical to the brain's processes, and they are also simultaneous. Although Libet's findings are very controversial, they raise serious challenges to those who believe that some of the brain processes involve consciousness causatively.