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Introspective accuracy in healthy individuals Introspective accuracy in healthy individuals
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Introspective accuracy and bias across functional domains in schizophrenia Introspective accuracy and bias across functional domains in schizophrenia
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Cognitive performance Cognitive performance
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Social Cognitive Performance Social Cognitive Performance
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Everyday functioning Everyday functioning
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Functional outcomes and significance of introspective accuracy Functional outcomes and significance of introspective accuracy
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Mood, life milestones, and psychotic symptoms as moderators of introspective accuracy and bias Mood, life milestones, and psychotic symptoms as moderators of introspective accuracy and bias
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Accuracy of informants Accuracy of informants
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Implications for treatment Implications for treatment
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Conclusions Conclusions
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References References
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25 C25Self-awareness in schizophrenia: Affected domains and their impact
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Published:October 2020
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Abstract
Unawareness of illness has been known to be a feature of schizophrenia since the first descriptions of the condition in the early 1900s. Recently it has become clear that unawareness, accompanied by perception biases, also extends to awareness of cognitive abilities, social cognition, and social competence, and the ability to perform everyday activities. These problems in awareness, referred to as introspective accuracy (IA), have several correlates, including depression, reduced life experience, and some elements of cognitive impairment. This chapter reviews the characteristics and correlates of IA impairments as well as their major functional implications. Although IA is also inaccurate in healthy people, the concurrent cognitive and environmental challenges experienced by people with schizophrenia increase their impact. Treatment of IA and related biases has been attempted, with some success in improving everyday outcomes in people with schizophrenia. Future challenges include identification of the neurobiological substrates of these impairments.
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