籐細工と組み紐を用いた視覚失認へのアプローチ

The treatment of the visual agnosia by using "Touzaiku and Kumihimo"

要旨：46歳の男性で就眠中に心筋梗塞を起こし脳無酸素状態に陥ったが，25分後に蘇生した．この患者は後遺症として重度な視覚失認を呈していたが，運動，知的機能に問題はなかった．

　今回はこのように視覚失認のみ呈した患者に籐細工と組み紐をつかって視覚失認の改善を試みた．結果はこれらの手工芸の作業によって，患者は視覚情報の不足を触覚，運動覚で補うことを学び，他に文字や物体の凝視によって，線外形，色などの断片的情報を得て，その情報を過去の経験で得た知識と組み合わせて認知する手法を養うことができたと考えた．

　A 46 year-old patient, was attacked by myocardial infection during sleep. He had visual agnosia but did not have the symptom of motor and mental disfunction.

　In this paper, we present a treatment for the patient with visual agnosia, who is normal in motor, psychological and mental function using "Touzaiku and Kumihimo". In the beginning, the patient discriminated the objects by visual information. However, finally he recognized the objects by assembling pieces of visual information using touch and joint senses after receiving the occupational therapy, "Touzaiku and Kumihimo". Therefore we thought that "Touzaiku and Kumihimo" proved useful for the treatment of patients with visual agnosia.