A patient with left-sided paralysis following a stroke insists nothing is wrong with her arm and offers a vague, confident explanation for why she is not moving it when asked, showing little concern about the situation. Before revealing the answer: is this schemazia distortion?
No, this is more consistent with anosognosia than schemazia distortion. Here an objectively demonstrable physical deficit, the paralysis, is being denied altogether, rather than the patient describing a felt but subjectively-recognised distortion in the size of a body part, which is the defining pattern of schemazia distortion.
References
- Casey, P. & Kelly, B. (2019). Fish's Clinical Psychopathology, 4th ed. Ch. 3, 'Disorders of Perception'.