Treatment of Unawareness of Memory Deficits in Adults With Brain Injury: Three Case Studies

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An intervention for reducing unawareness of memory deficits in adults with brain injury was examined in single-subject studies of 3 clients. High predicted test scores on the Brief Multiparametric Memory Test, relative to actual test scores, were considered underestimations of symptom severity (unawareness). An estimation technique, feedback, and explicit positive reinforcement for decreases in discrepancies between predicted and actual scores were used to reduce unawareness. Differences between clients' predicted and actual scores decreased over time following treatment for all 3 clients. Limitations of the study and directions for future research are discussed.

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