Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Impaired Self-Awareness

  • Benjamin Grover-MantheyEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_248

Synonyms

Anosognosia

Definition

Impaired self-awareness (ISA) is the inability of an individual to correctly identify his or her current functional status. Specifically, individuals with ISA may incorrectly identify deficits in their cognition, emotions, behavior, and interpersonal relationships. There may also be deficits in awareness of physical limitations, but the severity is usually less compared with other deficits.

Current Knowledge

Self-awareness is the ability to process, assimilate, and ultimately acknowledge complex information about oneself in order to create an accurate concept of individuality. This requires higher-order cerebral processing of information about spatial orientation, sensation, emotions, abilities, physical and cognitive limitations, and everything which makes someone a unique individual. Impaired self-awareness has been reported to occur as a result of various central nervous system injuries, such as cerebrovascular events, psychological disorders,...

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References and Readings

  1. Malec, J. F., Testa, J. A., Rush, B. K., Brown, A. W., & Moessner, A. M. (2007). Self-assessment of impairment, impaired self-awareness, and depression after traumatic brain injury. The Journal of Head Trauma Rehabilitation, 22, 156–166.PubMedCrossRefGoogle Scholar
  2. Prigatano, G. P. (1999). Principles of neuropsychological rehabilitation. New York: Oxford University Press.Google Scholar
  3. Prigatano, G. P. (2005). Disturbances of self-awareness and rehabilitation of patients with traumatic brain injury: A 20-year perspective. The Journal of Head Trauma Rehabilitation, 20, 19–29.PubMedCrossRefGoogle Scholar
  4. Sherer, M. (2014). Impaired self-awareness. In Handbook on the neuropsychology of traumatic brain injury (pp. 233–255). New York: Springer.CrossRefGoogle Scholar
  5. Sherer, M., Hart, T., Nick, T. G., Whyte, J., Thompson, R. N., & Yablon, S. A. (2003). Early impaired self-awareness after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 84, 168–176.PubMedCrossRefGoogle Scholar
  6. Sherer, M., Hart, T., Whyte, J., Nick, T. G., & Yablon, S. A. (2005). Neuroanatomic basis of impaired self-awareness after traumatic brain injury: Findings from early computed tomography. The Journal of Head Trauma Rehabilitation, 20, 287–300.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Physical Medicine and RehabilitationIndiana UniversityIndianapolisUSA