A performance-based group approach to the treatment of anosognosia and denial.

Developed a performance-based group treatment to manage the anosognosia and defensive denial that frequently interferes with effective rehabilitation of the brain injured. 36 head injury and stroke rehabilitation patients' predictions for their own performance in a free recall task and written arithmetic task were compared with their actual performance in a group format. Data demonstrate significantly improved self-predictions for performance both within and across treatment sessions, suggesting improved awareness of cognitive impairments and strengths. Techniques for facilitation generalization, as well as potential adverse treatment effects, are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)