Action Generation, Intention, and Agency in Motor and Body Awareness Deficits

In Patrick Haggard & Baruch Eitam, The Sense of Agency. New York: Oxford University Press USA (2015)
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Abstract

The dramatic impairment of motor and body awareness, often observed in brain-damaged patients, can shed light on the mechanisms implicated in the emergence of conscious experience of the self as an acting body. This chapter first reviews evidence that shows, in patients affected by anosognosia for hemiplegia, how the activation of normal intentional process can give rise to false beliefs of movement when predictive models of motor behavior cannot be confronted with sensory feedbacks, due to damage of motor control systems. In brain-damaged patients with motor and somatosensory deficits, puzzling cognitions and behaviors can sometimes be observed where patients can misidentify other people’s limbs as their own, showing a pathological embodiment of others’ body parts. The chapter notes that in this condition the sense of agency and the intentional attitude can be “normally” transferred to the movements of another’s limbs.

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