“The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia

Phobias are among the few intensely fearful experiences we regularly have in our everyday lives, yet the brain basis of phobic responses remains incompletely understood. Here we describe the case of a 71-year-old patient with a typical clinicoanatomical syndrome of semantic dementia led by selective...

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Main Authors: Camilla N. Clark, Laura E. Downey, Hannah L. Golden, Phillip D. Fletcher, Rajith de Silva, Alberto Cifelli, Jason D. Warren
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2014/584893
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author Camilla N. Clark
Laura E. Downey
Hannah L. Golden
Phillip D. Fletcher
Rajith de Silva
Alberto Cifelli
Jason D. Warren
author_facet Camilla N. Clark
Laura E. Downey
Hannah L. Golden
Phillip D. Fletcher
Rajith de Silva
Alberto Cifelli
Jason D. Warren
author_sort Camilla N. Clark
collection DOAJ
description Phobias are among the few intensely fearful experiences we regularly have in our everyday lives, yet the brain basis of phobic responses remains incompletely understood. Here we describe the case of a 71-year-old patient with a typical clinicoanatomical syndrome of semantic dementia led by selective (predominantly right-sided) temporal lobe atrophy, who showed striking amelioration of previously disabling claustrophobia following onset of her cognitive syndrome. We interpret our patient’s newfound fearlessness as an interaction of damaged limbic and autonomic responsivity with loss of the cognitive meaning of previously threatening situations. This case has implications for our understanding of brain network disintegration in semantic dementia and the neurocognitive basis of phobias more generally.
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issn 0953-4180
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language English
publishDate 2014-01-01
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series Behavioural Neurology
spelling doaj-art-bd6e7b44ffe5499d9f4b31a1e51a4eda2025-08-20T03:23:31ZengWileyBehavioural Neurology0953-41801875-85842014-01-01201410.1155/2014/584893584893“The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic DementiaCamilla N. Clark0Laura E. Downey1Hannah L. Golden2Phillip D. Fletcher3Rajith de Silva4Alberto Cifelli5Jason D. Warren6Dementia Research Centre, UCL Institute of Neurology, University College London, 8-11 Queen Square, London WC1N 3BG, UKDementia Research Centre, UCL Institute of Neurology, University College London, 8-11 Queen Square, London WC1N 3BG, UKDementia Research Centre, UCL Institute of Neurology, University College London, 8-11 Queen Square, London WC1N 3BG, UKDementia Research Centre, UCL Institute of Neurology, University College London, 8-11 Queen Square, London WC1N 3BG, UKEssex Neurosciences Centre, Queen’s Hospital, Rom Valley Way, Romford RM7 0AG, UKEssex Neurosciences Centre, Queen’s Hospital, Rom Valley Way, Romford RM7 0AG, UKDementia Research Centre, UCL Institute of Neurology, University College London, 8-11 Queen Square, London WC1N 3BG, UKPhobias are among the few intensely fearful experiences we regularly have in our everyday lives, yet the brain basis of phobic responses remains incompletely understood. Here we describe the case of a 71-year-old patient with a typical clinicoanatomical syndrome of semantic dementia led by selective (predominantly right-sided) temporal lobe atrophy, who showed striking amelioration of previously disabling claustrophobia following onset of her cognitive syndrome. We interpret our patient’s newfound fearlessness as an interaction of damaged limbic and autonomic responsivity with loss of the cognitive meaning of previously threatening situations. This case has implications for our understanding of brain network disintegration in semantic dementia and the neurocognitive basis of phobias more generally.http://dx.doi.org/10.1155/2014/584893
spellingShingle Camilla N. Clark
Laura E. Downey
Hannah L. Golden
Phillip D. Fletcher
Rajith de Silva
Alberto Cifelli
Jason D. Warren
“The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia
Behavioural Neurology
title “The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia
title_full “The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia
title_fullStr “The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia
title_full_unstemmed “The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia
title_short “The Mind Is Its Own Place”: Amelioration of Claustrophobia in Semantic Dementia
title_sort the mind is its own place amelioration of claustrophobia in semantic dementia
url http://dx.doi.org/10.1155/2014/584893
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