The Anosognosic’s Dilemma

Anosognosia is a condition in which a person who suffers from a disability seems unaware of or denies the existence of his or her disability. [11]

David Dunning, in his book “Self-Insight,” calls the Dunning-Kruger Effect “the anosognosia of everyday life.”[10] When I first heard the word “anosognosia,” I had to look it up. Here’s one definition:

Quote:

Anosognosia is a condition in which a person who suffers from a disability seems unaware of or denies the existence of his or her disability. [11]

Dunning‘s juxtaposition of anosognosia with everyday life is a surprising and suggestive turn of phrase. After all, anosognosia comes originally from the world of neurology and is the name of a specific neurological disorder.

DAVID DUNNING: An anosognosic patient who is paralyzed simply does not know that he is paralyzed. If you put a pencil in front of them and ask them to pick up the pencil in front of their left hand they won’t do it. And you ask them why, and they’ll say, “Well, I’m tired,” or “I don’t need a pencil.” They literally aren’t alerted to their own paralysis. There is some monitoring system on the right side of the brain that has been damaged, as well as the damage that’s related to the paralysis on the left side. There is also something similar called “hemispatial neglect.” It has to do with a kind of brain damage where people literally cannot see or they can’t pay attention to one side of their environment. If they’re men, they literally only shave one half of their face. And they’re not aware about the other half. If you put food in front of them, they’ll eat half of what’s on the plate and then complain that there’s too little food. You could think of the Dunning-Kruger Effect as a psychological version of this physiological problem. If you have, for lack of a better term, damage to your expertise or imperfection in your knowledge or skill, you’re left literally not knowing that you have that damage. It was an analogy for us.[12]

(I sense a new insult du jour.)

June 11, 1914. In a brief communication presented to the Neurological Society of Paris, Joseph Babinski (1857-1932), a prominent French-Polish neurologist, former student of Charcot and contemporary of Freud, described two patients with “left severe hemiplegia” – a complete paralysis of the left side of the body – left side of the face, left side of the trunk, left leg, left foot. Plus, an extraordinary detail. These patients didn’t know they were paralyzed. To describe their condition, Babinski coined the term anosognosia – taken from the Greek agnosia, lack of knowledge, and nosos, disease.