{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:56:19Z","timestamp":1772769379408,"version":"3.50.1"},"reference-count":73,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T00:00:00Z","timestamp":1734307200000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Neuropsychol Soc"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1355617724000705_as1\"><jats:title>Objective:<\/jats:title><jats:p>The purpose of this invited paper was to summarize my clinical research on disturbances of higher order consciousness (i.e., primarily on self-awareness but including anosognosia and impaired awareness of another person\u2019s cognitive\/emotional state) that contributed to my receiving the Distinguished Career Award from the International Neuropsychology Society.<\/jats:p><\/jats:sec><jats:sec id=\"S1355617724000705_as2\"><jats:title>Methods:<\/jats:title><jats:p>I reviewed my early clinical encounters with disturbances in higher order consciousness and then a series of studies performed with various colleagues over the last 45 years to better understand the nature of these disturbances. The findings obtained are also discussed within the context of other researchers\u2019 observations during this time frame.<\/jats:p><\/jats:sec><jats:sec id=\"S1355617724000705_as3\"><jats:title>Results:<\/jats:title><jats:p>Disturbances in higher order consciousness include classic anosognosia, impaired self-awareness, denial of disability, and denial of ability. Proposed diagnostic features of each of these disturbances are outlined and a model for understanding their complex relationships suggested. Different treatment\/rehabilitation approaches for these disturbances are also summarized.<\/jats:p><\/jats:sec><jats:sec id=\"S1355617724000705_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Disturbances in higher order consciousness are often revealed when exploring with the person their subjective experiences of their neurological and neuropsychological functioning following different brain disorders. These subjective experiences have diagnostic value and lead to different rehabilitation approaches. The neuropsychological investigation of disturbances in higher order consciousness should include integrating knowledge from the neurosciences with nonbiological understandings of how cultural and personality features of the person may also influences their subjective experiences associated with a known or suspected brain disorder.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1355617724000705","type":"journal-article","created":{"date-parts":[[2024,12,16]],"date-time":"2024-12-16T10:14:07Z","timestamp":1734344047000},"page":"913-922","source":"Crossref","is-referenced-by-count":4,"title":["Disturbances in higher order consciousness encountered in neuropsychological rehabilitation and assessment"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1062-1413","authenticated-orcid":false,"given":"George P.","family":"Prigatano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,12,16]]},"reference":[{"key":"S1355617724000705_ref1","first-page":"227","article-title":"Uber Herderkrankungen des Gehirnes, welche von patienten selbst nicht wahrgenommen warden","volume":"11","author":"Anton","year":"1898","journal-title":"Wiener Klinische Wochenschrift"},{"key":"S1355617724000705_ref21","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.51.1.112"},{"key":"S1355617724000705_ref19","volume-title":"Human neuropsychology","author":"H\u00e9caen","year":"1978"},{"key":"S1355617724000705_ref13","doi-asserted-by":"publisher","DOI":"10.1080\/13803395.2019.1588229"},{"key":"S1355617724000705_ref60","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2011.626484"},{"key":"S1355617724000705_ref39","first-page":"1058","article-title":"Impaired awareness of behavioral limitations after traumatic brain injury","volume":"71","author":"Prigatano","year":"1990","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"S1355617724000705_ref28","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25079"},{"key":"S1355617724000705_ref7","doi-asserted-by":"publisher","DOI":"10.3389\/fncir.2022.867053"},{"key":"S1355617724000705_ref48","doi-asserted-by":"publisher","DOI":"10.1080\/13854049308401514"},{"key":"S1355617724000705_ref67","first-page":"359","volume-title":"The study of anosognosia","volume":"21","author":"Vocat","year":"2010"},{"key":"S1355617724000705_ref40","doi-asserted-by":"publisher","DOI":"10.1097\/00001199-200507000-00007"},{"key":"S1355617724000705_ref63","volume-title":"The hidden spring: A journey to the source of consciousness","author":"Solms","year":"2021"},{"key":"S1355617724000705_ref31","first-page":"40","article-title":"Anosognosia, delusions, and altered self-awareness after brain injury: A historical perspective","volume":"4","author":"Prigatano","year":"1988","journal-title":"BNI Quarterly"},{"key":"S1355617724000705_ref70","first-page":"1263","article-title":"Invited review","volume":"124","author":"Zeman","year":"2001","journal-title":"Consciousness. 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