if someone demonstrates intellectual awareness which intervention approach should you use?
task/habit training approaches and indirect approaches (transfer is not a goal)
severe cognitive language deficits impair ability to learn and generalize
intellectual awareness
cognitive impairments allow for potential learning and generalization
emergent awareness
if someone demonstrates anticipatory awareness which intervention approach should you use?
strategy training approaches - transfer is a goal
- knowledge of one’s illness and deficits
- ability to recognize the problems caused by the brain’s impaired functioning
- knowledge and regulation of a person’s own cognitive processes and capacities
- the accurate appraisal and understanding of your abilities and preferences and their implication for your behavior and their impact on others
self-awareness
unawareness is more frequently observed with which 3 types of injuries?
- frontal lesions
- right hemisphere lesions
- breakdown of functional interactions btwn nodes within the fronto-parietal control network
- coping strategy, psychological symptom to protect the individual.
- response to feedback-resistance, blame others, hostility
denial
- reflects luck of recognition of an intact function
- response to feedback - perplexity, surprise, indifference
awareness
awareness is not a ___ disorder.
unitary
name 2 ways in which awareness is not a unitary disorder.
- varies across specific domains - cognitive, physical, social-emotional-behavioral, functional
- variations observed within domains
greater awareness is usually observed in which 3 domains?
- self-care activities
- motor and sensory impairments
- memory
less awareness is usually observed in which 3 domains?
- IADLs (driving, managing finances)
- abstract reasoning/problem-solving
- socio-emotional-behavioral changes
t/f - lack of self-awareness of cognitive, behavioral, and emotional sequelae is reported to be one of the greatest obstacles in brain injury rehabilitation.
true
name the 3 components of crossan’s model of awareness.
- intellectual awareness
- emergent awareness
- anticipatory awareness
toglia and kirk’s model supports the idea of self-awareness as a ___ ___ that can be changed through experience with a task, and interactions btwn pre-existing knowledge of a certain task and any new knowledge that may emerge while performing a certain task.
dynamic ability
describe the 3 components of toglia and kirk’s model.
- pre-existing knowledge: self-prediction
- experience with a task
- emerged new knowledge: self-estimation
self-knowledge and beliefs that exists outside the context of tasks
general awareness
- activated within a task
- appraisal of task, task experience, self-monitoring - error recognition and adjustment, self-evaluation
on-line awareness
describe 2 methods of assessing self-awareness.
- comparison btwn self-rating with: relative or clinician and actual performance
- comparison among: prediction, actual performance, and estimation
the self-awareness of deficits interview (SADI) assesses self-awareness of which 3 components?
- deficits
- functional implications
- ability to set realistic goals
assessment of awareness requires considerations of multiple methods such as which 4 components?
- observations across tasks
- different aspects (anticipation, error monitoring)
- timing of questions
- specificity of questions
name 3 mediated learning/treatment methods to use before a task.
- connect
- anticipation
- self-generation of strategies
name 3 mediated learning/treatment methods to use during a task.
- mediation
- error detection/correction
- strategy evaluation and adjustment
name 3 mediated learning/treatment methods to use after a task.
- self-evaluation
- strategy reflection and awareness
- connections to previous/future activities
