Rehabilitation of an artist after right-hemisphere stroke.
BACKGROUND
Traditionally, in both medicine and neuropsychology, symptoms are defined as significant deviations in a given parameter from a "physiological" norm largely based on statistical studies of large populations. Thus the goal of rehabilitation is to bring the patient's performance within the bounds of acceptable variation from the norm, and this is what defines a good outcome. Although this model seems reasonable for "average" patients, in the case of "exceptional" patients an "average" outcome may not be acceptable.


METHODS
The present study describes the symptoms and successful rehabilitation of a prominent Polish artist, who was referred for rehabilitation after a right hemisphere stroke, and whose chief subjective complaint was the loss of artistic vision. The patient (female, ambidextrous) suffered an RH stroke at the age of 61. In traditional rehabilitation many symptoms resolved and others were well compensated, but the patient continued to complain that she had a "hole" in her brain and could not paint. A special program of rehabilitation was designed for her, based on art therapy, but including many unique elements, using a microgenetic, "bottom-up" approach to energize creativity and bypass obstacles. Ultimately the patient was able to resume her artistic career, thanks to the heuristic, holistic approach to therapy.


CONCLUSIONS
The case described here raises a number of theoretical questions about art, imagination, and creativity in the brain, and the goals of rehabilitation in the case of talented and gifted individuals.
Pachalska
Maria
M
Institute of Psychology, University of Gdansk, Gdansk, Poland. m.pachalska@medscimonit.com
Grochmal-Bach
Bozena
B
Wilk
Magdalena
M
Buliński
Leszek
L
D000203:Activities of Daily Living; D001154:Art; D001155:Art Therapy; D002545:Brain Ischemia / Q000503:physiopathology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007092:Imagination; D008875:Middle Aged; D009483:Neuropsychological Tests; D017063:Outcome Assessment, Health Care; D010151:Paintings; D020127:Recovery of Function; D020521:Stroke / Q000503:physiopathology; D000071939:Stroke Rehabilitation