🚀 go-pugleaf

in a sleeping or an actually comatose person results in
mydriasis if the pupillary reflex mechanisms are intact. Conversely,
opening the eyes of a person who is awake produces miosis. The eyes
roll up when the lids are raised, known as Bell's phenomenon as
mentioned before, in patients with psychogenic pseudocoma, while the
eyes remain in the neutral position in patients with real coma. Roving
eye movements cannot be imitated and their presence indicates true
coma. In contrast, voluntary saccadic eye movements seen in feigned
coma are usually faster and briskly with a well-defined endpoint.
Pseudocoma patients may respond with purposeful movement to painful
stimulation and avoid unpleasant stimuli such as a nasal tickle. The
presence of nystagmus during cold caloric testing suggests that coma
is either feigned or hysterical, because nystagmus requires an intact
cerebral cortex and brainstem. Additionally, cold water caloric
stimulation is noxious and can induce nausea and vomiting, or
awakening in patients with psychogenic coma."

#randsent

"Similarly to patients with pseudoparalysis, the hands of patients
with pseudocoma do not often hit their face when dropped. However, the
diagnostic validity of this kind of self-protection sign has not been
evaluated convincingly. Furthermore, unethical provocative maneuvers,
such as dropping alcohol in the nostrils or olfactory stimulation
using ammonium, should not be used to induce responsiveness in
patients deemed to be in feigned coma."

Quotes from http://www.memorylossonline.com/glossary/psychogenicamnesia.html
:

#randsent

"Psychogenic amnesia (also called functional amnesia) is a form of
amnesia which occurs in otherwise healthy people -- i.e., it is