Abulia
- PMID: 30725778
- Bookshelf ID: NBK537093
Abulia
Excerpt
The Dictionary of Neurological Signs defines abulia as a "syndrome of hypofunction," characterized by lack of initiative, spontaneity, and drive, apathy, slowness of thought (bradyphrenia), and blunting of emotional responses and response to external stimuli. In other words, abulia refers to a lack of will, drive, or initiative for action, speech, and thought. This term derives from the Greek aboulia, meaning “non-will.” This has to be distinguished from the inability to perform an activity due to cognitive or physical disability. This phenomenon has been known since 1838. Several terms have been used interchangeably with abulia: apathy, psychic akinesia, loss of psychic self-activation, and athymia.
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References
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- Vijayaraghavan L, Krishnamoorthy ES, Brown RG, Trimble MR. Abulia: a delphi survey of British neurologists and psychiatrists. Mov Disord. 2002 Sep;17(5):1052-7. - PubMed
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- Hastak SM, Gorawara PS, Mishra NK. Abulia: no will, no way. J Assoc Physicians India. 2005 Sep;53:814-8. - PubMed
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- Jorge RE, Starkstein SE, Robinson RG. Apathy following stroke. Can J Psychiatry. 2010 Jun;55(6):350-4. - PubMed
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- Spiegel DR, Chatterjee A. A case of abulia, status/post right middle cerebral artery territory infarct, treated successfully with olanzapine. Clin Neuropharmacol. 2014 Nov-Dec;37(6):186-9. - PubMed
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