Why the study?
Studies on impaired self-awareness after traumatic brain injury have typically not addressed the role of denial as a psychological coping method, limiting understanding of how both differentially affect rehabilitation.
Distinguishing between neurologically based impaired self-awareness and psychologically based denial of disability is crucial for optimizing rehabilitation in postacute TBI patients.
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Supports self-awareness screening in postacute TBI rehab; extends prevalence data but leaves open differentiation from denial.
While a number of empirical studies have appeared on impaired self-awareness (ISA) after traumatic brain injury (TBI) over the last 20 years, the relative role of denial (as a psychological method of coping) has typically not been addressed in these studies. We propose that this failure has limited our understanding of how ISA and denial differentially affect efforts to rehabilitate persons with TBI. In this selective review paper, we summarize early findings in the field and integrate those findings with more recent observations (i.e., 1999-2019). We believe that this synthesis of information and expert clinical opinion will inform future research on ISA and denial as well as approaches to rehabilitation for persons with TBI.
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Prigatano et al. (2020) studied this question.
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