Assessing anosognosia: a critical review
Journal Title: Acta Neuropsychologica - Year 2012, Vol 10, Issue 3
Abstract
Anosognosia is a multi-factorial syndrome whose clinical manifestations can vary considerably from patient to patient. Considering the complexity of this syndrome, its assessment represents a major challenge for the diagnostic process, and presents various methodological complications. Lack of agreement about diagnostic criteria, high exclusion rates of specific patient categories, assessment limited to certain aspects of unawareness, and the lack of normative data and methodologically robust tools may have led to contrasting, or apparently contrasting, interpretations of this syndrome. Despite the apparently greater sensitivity of the last generation of anosognosia studies to many of these issues, many aspects are still overlooked. In this manuscript, we critically review the literature on the assessment of anosognosia, mainly focusing on motor and language deficits, with a note on the issue of awareness for memory deficits.
Authors and Affiliations
Gianna Cocchini, Nicoletta Beschin, Sergio Della Sala
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