The Study of Anosognosia / Edition 1

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Overview

The study of anosognosia has witnessed an unprecedented increase in interest over the last 20 years. This has resulted in numerous empirical investigations as well as theoretical writings on the nature of human consciousness and how disorders of the brain may influence the person's subjective awareness of a disturbed neurological or neuropsychological function. This edited text summarizes many of the advances that have taken place in the field of anosognosia. It reviews research findings on anosognosia for hemiplegia following stroke, Anton's syndrome, and a variety of disorders in which impaired self-awareness is common. It also provides suggestive guidelines for the management and rehabilitation of persons who have anosognosia or impaired self-awareness.

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Editorial Reviews

Doody's Review Service
Reviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: A key debilitating aspect of some diseases is the patient's lack of awareness of deficits, which critically impacts rehabilitation efforts. This book explores a variety of illnesses in which individuals present with anosognosia.
Purpose: The primary aim is to provide a scientific review and account of illnesses that involve anosognosia to varying degrees. The impact on rehabilitation efforts and ways to improve treatment outcomes are also covered.
Audience: This book is appropriate for neuropsychologists and rehabilitation psychologists, psychiatrists, physiatrists, and others working in a rehabilitation setting. The editor is a top scientist with extensive clinical research roots in the neuropsychology and rehabilitation realms. The contributing authors are no less accomplished.
Features: The first major section focuses on various theories behind anosognosia, while incorporating current research that supports or refutes the theories. This well-edited text clearly links and progresses through each topic across several chapters without major disruption. Early chapters are focused on stroke and motor disorders (e.g., hemiplegia), and middle chapters are dedicated to various brain disorders, which include common neurodegenerative diseases as well as schizophrenia and traumatic brain injury. These are all detailed and current reviews of the literature. The book moves away from discussion of unawareness of cognitive deficits to the unawareness of various other illness characteristics, such as emotions and soma. The final chapters provide insight into the functional neuroanatomy through fMRI of self-awareness and appraisal. There also is discussion of behavioral measures and rating scales for evaluating anosognosia. Advances in methodologies for studying this phenomenon are part of the concluding message. Readers will find color plates of excellent figures and neuroimaging examples towards the end of the book. The index is helpful and the references are current to 2009.
Assessment: This book is an absorbing and inclusive examination of anosognosia in all its behavioral and neuroanatomical facets. It is a crucial resource for clinicians involved in the assessment and treatment of individuals with anosognosia.
From The Critics
Reviewer:Christopher J. Graver, PhD(Madigan Army Medical Center)
Description:A key debilitating aspect of some diseases is the patient's lack of awareness of deficits, which critically impacts rehabilitation efforts. This book explores a variety of illnesses in which individuals present with anosognosia.
Purpose:The primary aim is to provide a scientific review and account of illnesses that involve anosognosia to varying degrees. The impact on rehabilitation efforts and ways to improve treatment outcomes are also covered.
Audience:This book is appropriate for neuropsychologists and rehabilitation psychologists, psychiatrists, physiatrists, and others working in a rehabilitation setting. The editor is a top scientist with extensive clinical research roots in the neuropsychology and rehabilitation realms. The contributing authors are no less accomplished.
Features:The first major section focuses on various theories behind anosognosia, while incorporating current research that supports or refutes the theories. This well-edited text clearly links and progresses through each topic across several chapters without major disruption. Early chapters are focused on stroke and motor disorders (e.g., hemiplegia), and middle chapters are dedicated to various brain disorders, which include common neurodegenerative diseases as well as schizophrenia and traumatic brain injury. These are all detailed and current reviews of the literature. The book moves away from discussion of unawareness of cognitive deficits to the unawareness of various other illness characteristics, such as emotions and soma. The final chapters provide insight into the functional neuroanatomy through fMRI of self-awareness and appraisal. There also is discussion of behavioral measures and rating scales for evaluating anosognosia. Advances in methodologies for studying this phenomenon are part of the concluding message. Readers will find color plates of excellent figures and neuroimaging examples towards the end of the book. The index is helpful and the references are current to 2009.
Assessment:This book is an absorbing and inclusive examination of anosognosia in all its behavioral and neuroanatomical facets. It is a crucial resource for clinicians involved in the assessment and treatment of individuals with anosognosia.
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Product Details

  • ISBN-13: 9780195379099
  • Publisher: Oxford University Press, USA
  • Publication date: 4/21/2010
  • Edition number: 1
  • Pages: 560
  • Product dimensions: 6.50 (w) x 9.30 (h) x 1.50 (d)

Meet the Author

Chairman, Section of Neuropsychology, and Director, Postdoctoral Training Program in Clinical Neuropsychology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ

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Table of Contents

Contributors
Part I Historical Overview and Introduction
1. Historical Observations Relevant to the Study of Anosognosia
George P. Prigatano

Part II Anosognosia of Motor and Language Impairments
2. Anosognosia for Hemiplegia and Models of Motor Control: Insights from Lesion Data and Functional Imaging
Gabriella Bottini, Eraldo Paulesu, Martina Gandola, Lorenzo Pia, Paola Invernizzi, and Anna Berti
3. Anosognosia for Hemiparesis and Hemiplegia: Disturbed Sense of Agency and Body Ownership
Hans-Otto Karnath and Bernhard Baier
4. The Insular Cortex and Subjective Awareness
A.D. (Bud) Craig
5. Anosognosia and Anosodiaphoria of Weakness
Kenneth M. Heilman and Michal Harciarek
6. Anosognosia for Aphasia
Andrew Kertesz
7. Assessing Anosognosia for Motor and Language Impairments
Gianna Cocchini and Sergio Della Sala

Part III Anosognosia Observed in Various Brain Disorders
8. Anosognosia in Huntington's Disease
Daniel Tranel, Jane S. Paulsen, and Karen F. Hoth
9. Anosognosia in Parkinson's Disease
George P. Prigatano, Franziska Maier, and Richard S. Burns
10. Anosognosia in Alzheimer's Disease: Neuroimaging Correlates
Sergio E. Starkstein and Brian D. Power
11. Anosognosia and Alzheimer's Disease: Behavioral Studies
Alfred W. Kaszniak and Emily C. Edmonds
12. Anosognosia and Traumatic Brain Injury
George P. Prigatano
13. Anosognosia in Schizophrenia and Other Neuropsychiatric Disorders: Similarities and Differences
James Gilleen, Kathryn Greenwood, and Anthony S. David

Part IV Anosognosia and Specific Cognitive and Affective Disturbances
14. Anosognosia and Personality Change in Neurodegenerative Disease
Katherine P. Rankin
15. Anosognosia and Error Processing in Various Clinical Disorders
Ian H. Robertson
16. Emotional Awareness Among Brain Damaged Patients
Ricardo E. Jorge

Part V Anosognosia and Hysteria
17. Neuroanatomy of Impaired Body Awareness in Anosognosia and Hysteria: A Multi-Component Account
Roland Vocat and Patrik Vuilleumier

Part VI Measurement Issues and Technology
18. FMRI of Self Appraisal
Sterling C. Johnson and Michele L. Ries
19. The Behavioral Measurement of Anosognosia as a Multifaceted Phenomenon
M. Donata Orfei, Carlo Caltagirone, and Gianfranco Spalletta

Part VII Anosognosia and Visual Loss
20. Anton's Syndrome and Unawareness of Partial and Complete Blindness
George P. Prigatano and Thomas Wolf

Part VIII Advances in the Study of Anosognosia
21. A Progress Report on the Study of Anosognosia
George P. Prigatano
22. Management and Rehabilitation of Persons with Anosognosia and Impaired Self-Awareness
George P. Prigatano and Jeannine Morrone-Strupinsky

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