I wonder if the paradoxical undressing effect is a form of anosognosia.
Paradoxical undressing is when the person removes warm clothing while in a state of hypothermia, which further increases heat loss. Because they are suffering from the cold and their body temperature is below the safe threshold, it seems incongruous that they would be removing warm clothing and causing themselves to become even colder.
To be sure, the phenomenon of paradoxical undressing is an enigma counter to expected behavior. With their core temperature below 90 degrees F, hypothermia sufferers frequently undress themselves. Urban victims of hypothermia that are found in a state of undress are often thought to be victims of assault.
Paradoxical undressers remove their warm clothing even as they are freezing to death.
Followup to: The Strangest Thing An AI Could Tell You
Brain damage patients with anosognosia are incapable of considering, noticing, admitting, or realizing even after being argued with, that their left arm, left leg, or left side of the body, is paralyzed. Again I'll quote Yvain's summary:
A brief search didn't turn up a base-rate frequency in the population for left-arm paralysis with anosognosia, but let's say the base rate is 1 in 10,000,000 individuals (so around 670 individuals worldwide).
Supposing this to be the prior, what is your estimated probability that your left arm is currently paralyzed?
Added: This interests me because it seems to be a special case of the same general issue discussed in The Modesty Argument and Robin's reply Sleepy Fools - when pathological minds roughly similar to yours update based on fabricated evidence to conclude they are not pathological, under what circumstances can you update on different-seeming evidence to conclude that you are not pathological?