Closing-in without severe drawing disorders: the "fatal" consequences of pathological attraction

Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
Massimiliano ConsonLuigi Trojano

Abstract

The closing-in phenomenon (CIP) is often observed in patients with severe drawing disorders, but its cognitive bases are not well understood. We describe an experimental investigation aimed to clarify the nature of closing-in and its relationships with drawing disorders in a patient with corticobasal degeneration. In copying simple or complex stimuli (Experiment 1), the patient showed adherent and near types of closing-in, not affected by stimulus complexity, and produced distorted and often unrecognisable drawings. On the contrary, in drawing to dictation (without any available model), patients' performances significantly improved with respect to copying (Experiment 2). These data were consistent with the hypothesis that in some patients closing-in may develop from frontal-related release of approach behaviour even in the absence of relevant visuoperceptual impairments. By asking the patient to reproduce given spatial locations within circular frames (Experiment 3), we could further demonstrate the sparing of visuospatial processing and the frontal genesis of closing-in. These findings allowed us to speculate on the heterogeneous nature of closing-in.

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Citations

Feb 26, 2009·Journal of Neurology·Elisabetta AmbronSergio Della Sala
Jul 3, 2009·Journal of the International Neuropsychological Society : JINS·Elisabetta AmbronSergio Della Sala
Dec 17, 2011·Journal of the International Neuropsychological Society : JINS·Elisabetta AmbronSergio Della Sala
Jun 16, 2009·Cognitive Processing·Elisabetta AmbronSergio Della Sala
Sep 21, 2011·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Robert D McIntosh, Joanna L Brooks
Apr 6, 2011·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Jennifer A Foley, Sergio Della Sala
Sep 29, 2009·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Laura SerraGiovanni A Carlesimo
Sep 4, 2015·Journal of Clinical and Experimental Neuropsychology·Natascia De LuciaLuigi Trojano
Feb 9, 2010·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Jennifer A Foley, Sergio Della Sala
Sep 2, 2008·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Elisabetta AmbronRobert D McIntosh
Jan 10, 2009·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Luigi TrojanoTamar Flash
Jan 19, 2010·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Jennifer A Foley, Sergio Della Sala
Nov 18, 2014·Journal of the International Neuropsychological Society : JINS·Dario GrossiLuigi Trojano
May 25, 2013·Journal of the International Neuropsychological Society : JINS·Natascia De LuciaLuigi Trojano
Jul 14, 2020·Applied Neuropsychology. Adult·Massimiliano PalmieroLaura Piccardi

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