Self-awareness in dementia: a taxonomy of processes, overview of findings, and integrative framework

Mograbi, Daniel C, Huntley, Jonathan and Critchley, Hugo (2021) Self-awareness in dementia: a taxonomy of processes, overview of findings, and integrative framework. Current Neurology and Neuroscience Reports, 21. a69. ISSN 1528-4042

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Purpose of Review: Self-awareness, the capacity of becoming the object of one’s own awareness, has been a frontier of knowledge, but only recently scientific approaches to the theme have advanced. Self-awareness has important clinical implications, and a finer understanding of this concept may improve the clinical management of people with dementia. The current article aims to explore self-awareness, from a neurobiological perspective, in dementia.

Recent Findings: A taxonomy of self-awareness processes is presented, discussing how these can be structured across different levels of cognitive complexity. Findings on self-awareness in dementia are reviewed, indicating the relative preservation of capacities such as body ownership and agency, despite impairments in higher-level cognitive processes, such as autobiographical memory and emotional regulation.

Summary: An integrative framework, based on predictive coding and compensatory abilities linked to the resilience of self-awareness in dementia, is discussed, highlighting possible avenues for future research into the topic.

Item Type: Article
Keywords: Agency, Dementia, Interoception, Metacognition, Self-awareness, Selfhood, Awareness, Dementia, Humans
Schools and Departments: Brighton and Sussex Medical School > Neuroscience
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 15 Jun 2022 08:57
Last Modified: 15 Jun 2022 09:00

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