‘Joker’: La enfermedad detrás de la descontrolada risa del villano interpretado por Joaquin Phoenix

58
522

La película ‘Joker’, protagonizada por Joaquin Phoenix, evidencia la falta de preocupación de la sociedad por la salud mental. Arthur Fleck, quien termina convirtiéndose en el ‘Guasón’, vive un infierno a causa de un trastorno que le provoca risas agudas que no puede controlar.

Para sobrellevar sus síntomas, el personaje toma siete tipos de medicación, escribe un diario, y visita regularmente a una asistente social. Ante esto, ¿existe realmente una enfermedad que pueda generar esta reacción? ¿O simplemente se trata de un elemento más de esta historia de ficción?.

¿EXISTE REALMENTE?

En conversación con BBC Mundo, el doctor Francisco Javier López, coordinador del Grupo de Estudio de Epilepsia de la Sociedad Española de Neurología, explica que la risa descontrolada e involuntaria es síntoma de una serie de condiciones médicas y, en el caso del personaje interpretado por Phoenix, puede tratarse de una “crisis de epilepsia gelástica”, la cual es más común en pacientes adultos, de más de 20 años, que en niños.

“Es un tipo de crisis epiléptica muy infrecuente. Se calcula que representa el 0,2% del total de todos los tipos de crisis epilépticas (…) La característica es que es una risa que aparece de forma inapropiada, y al paciente no le supone alegría sino que es inmotivada”, precisa.

De acuerdo al médico especialista, la causa más frecuente de este tipo de epilepsia “es una pequeña tumoración en el hipotálamo que llamamos hamartoma hipotalámico, pero también puede deberse a otras causas como crecimientos tumorales en los lóbulos frontales o temporales”.

Asimismo, López señala que, por lo general, si tienen este clase de crisis, suelen tener otras más generalizadas que afectan a los pacientes con epilepsia.

“Las crisis gelásticas suponen un estrés añadido, porque si uno tiene una crisis (de las otras) y pierde la conciencia, no pasa nada, pero si estás consciente y te ríes en situaciones inoportunas, eso provoca un sufrimiento importante”, indica.

La risa del Joker de Joaquin Phoenix es parte importante de la trama de la cinta de Todd Phillips. (Foto: Difusión)
La risa del Joker de Joaquin Phoenix es parte importante de la trama de la cinta de Todd Phillips. (Foto: Difusión)

¿CÓMO SE CONTROLA?

Según el doctor Francisco Javier López, quien recuerda por lo menos haber visto a tres pacientes con esta patología, este tipo de condición se suele controlar con fármacos antiepilépticos y, en algunos casos en los que resulta posible, con cirugía.

Si no se controla, un paciente puede tener crisis a diario, pero si se hace se pueden reducir a una o dos al mes o pueden desaparecer, dependiendo de cada caso.

(Foto: Morguefile)
(Foto: Morguefile)

OTROS CASOS

Sin embargo, el neurólogo aclara que la epilepsia gelástica no es la única condición que puede dar lugar a risas involuntarias y descontroladas.

Están también las patologías pseudobulbares, conocidas también como incontinencia afectiva, que pueden provocar episodios de risa o llanto, “pero son más típicas en pacientes ancianos con enfermedades neurodegenerativas”, resalta.

“Son pacientes mayores en los estados finales de sus enfermedades, que no sería el caso del Joker”, asevera.

58 Comentarios

  1. There are definitely a lot of details like that to take into consideration. That is a great point to bring up. I provide the thoughts above as basic inspiration but clearly there are concerns like the one you bring up where one of the most crucial point will be working in honest good faith. I don?t know if ideal techniques have actually emerged around things like that, but I am sure that your task is plainly determined as a level playing field. Both kids and women really feel the effect of just a moment?s satisfaction, for the rest of their lives.

  2. This is the ideal blog site for anybody that wishes to discover this topic. You understand so much its nearly difficult to suggest with you (not that I actually would want?HaHa). You most definitely put a new spin on a topic thats been blogged about for many years. Wonderful things, simply great!

  3. I?m impressed, I must say. Actually hardly ever do I experience a blog that?s both informative as well as entertaining, and also let me inform you, you have struck the nail on the head. Your concept is outstanding; the concern is something that not enough people are speaking smartly around. I am really satisfied that I stumbled across this in my search for something associating with this.

  4. Good post. I find out something a lot more challenging on various blogs everyday. It will always be boosting to review content from various other authors and practice a little something from their store. I?d choose to use some with the web content on my blog whether you don?t mind. Natually I?ll give you a web link on your internet blog. Many thanks for sharing.

  5. Aw, this was a really great post. In suggestion I want to put in creating similar to this furthermore? taking time and real effort to make a very good article? however what can I state? I hesitate alot as well as by no means appear to obtain something done.

  6. An impressive share, I just provided this onto an associate who was doing a little evaluation on this. As well as he actually purchased me breakfast because I located it for him. smile. So let me reword that: Thnx for the reward! But yeah Thnkx for spending the time to discuss this, I feel highly regarding it as well as love reading more on this topic. Ideally, as you end up being know-how, would you mind upgrading your blog site with even more information? It is highly practical for me. Big thumb up for this article!

  7. I found your blog site on google and check a few of your very early articles. Continue to maintain the excellent run. I simply extra up your RSS feed to my MSN Information Viewers. Looking for onward to learning more from you later on!?

  8. I was curious if you ever considered changing the layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or two images. Maybe you could space it out better?

  9. Youre so trendy! I do not expect Ive check out anything like this prior to. So wonderful to locate somebody with some original thoughts on this subject. realy thanks for beginning this up. this site is something that is required on the internet, someone with a little originality. helpful task for bringing something brand-new to the net!

  10. Aw, this was a really good post. In idea I would like to place in writing similar to this furthermore? taking time as well as real effort to make a great post? however what can I say? I hesitate alot and by no means appear to obtain something done.

  11. The next time I check out a blog, I really hope that it doesn’t disappoint me as much as this. I imply, I recognize it was my option to read, yet I actually thought youd have something fascinating to say. All I listen to is a number of whimpering regarding something that you might take care of if you werent as well busy trying to find attention.

  12. I?m satisfied, I have to say. Really rarely do I experience a blog that?s both educative as well as entertaining, as well as let me inform you, you have hit the nail on the head. Your concept is exceptional; the problem is something that not enough people are talking wisely around. I am extremely delighted that I came across this in my look for something connecting to this.

  13. Area on with this write-up, I truly think this internet site requires far more consideration. I?ll possibly be again to review much more, many thanks for that information.

  14. There are definitely a lot of information like that to take into consideration. That is a wonderful point to raise. I offer the ideas above as basic inspiration yet clearly there are inquiries like the one you raise where one of the most essential point will certainly be working in straightforward good faith. I don?t understand if finest practices have emerged around points like that, however I make sure that your work is plainly identified as a fair game. Both young boys and women feel the influence of just a moment?s satisfaction, for the remainder of their lives.

  15. I?m amazed, I must claim. Really rarely do I come across a blog that?s both informative and entertaining, and let me inform you, you have hit the nail on the head. Your suggestion is outstanding; the problem is something that inadequate individuals are talking wisely around. I am really satisfied that I stumbled across this in my search for something associating with this.

  16. Area on with this write-up, I truly believe this web site needs much more factor to consider. I?ll possibly be once again to read a lot more, many thanks for that details.

  17. I was just looking for this information for a while. After six hours of continuous Googleing, finally I got it in your web site. I wonder what is the lack of Google strategy that do not rank this kind of informative websites in top of the list. Normally the top websites are full of garbage.

  18. Can I simply state what an alleviation to find somebody who actually knows what theyre speaking about on the net. You definitely understand exactly how to bring a concern to light as well as make it vital. More people need to read this and recognize this side of the tale. I cant think youre not more preferred due to the fact that you definitely have the present.

  19. I was very delighted to discover this web-site. I intended to many thanks for your time for this remarkable read!! I definitely enjoying every little of it as well as I have you bookmarked to have a look at new stuff you blog post.

  20. I really like your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you? Plz respond as I’m looking to create my own blog and would like to know where u got this from. thank you

  21. I simply want to tell you that I am just very new to blogging and site-building and truly liked this web site. Almost certainly I’m planning to bookmark your site . You certainly come with beneficial well written articles. Thanks for sharing your web page.