An integrated biopsychosocial approach to understanding awareness deficits in Alzheimer's disease and brain injury

Ownsworth, T., Clare, L. and Morris, R. (2006) An integrated biopsychosocial approach to understanding awareness deficits in Alzheimer's disease and brain injury. Neuropsychological Rehabilitation, 16 4: 415-438.


Author Ownsworth, T.
Clare, L.
Morris, R.
Title An integrated biopsychosocial approach to understanding awareness deficits in Alzheimer's disease and brain injury
Journal name Neuropsychological Rehabilitation  (ERA 2012 Listed)    (ERA 2010 Rank A)   Check publisher's open access policy
Publication date 2006
Sub-type Article
DOI 10.1080/09602010500505641
Volume number 16
Issue number 4
ISSN 0960-2011
Start page 415
End page 438
Total pages 24
Editor B. Wilson
Place of publication Hove
Publisher Psychology Press
Collection year 2006
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Abstract Considerable emphasis has been placed upon cognitive neuropsychological explanations of awareness disorders in brain injury and Alzheimer's disease (AD), with relatively few models acknowledging the role of psychosocial factors. The present paper explores clinical presentations of unawareness in brain injury and AD, reviews the evidence for the influence of psychosocial factors alongside neuropsychological changes, and considers a number of key issues that theoretical models need to address, before going on to discuss some recently-developed models that offer the potential for developing a comprehensive biopsychosocial account. Building on these developments, we present a framework designed to assist clinicians to identify the specific factors contributing to an individual's presentation of unawareness, and illustrate its application with a case example.
Keyword Neurosciences
Psychology
Impaired Self-awareness
Head-injury
Naturalistic Action
Rating-scale
Anosognosia
Dementia
Rehabilitation
Unawareness
Dysfunction
Disability
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 08:25:00 EST