I disturbi della consapevolezza nelle malattie neuropsichiatriche = Disturbances of awareness in neuropsychiatric diseases

Aims to outline the set of current international knowledge on disease awareness in various neuropsychiatric conditions (hemiplegia resulting from brain damage, psychosis, dementia and mood disorders), with particular reference to anosognosia and 'insight. The comparison between different conceptualizations and the variety of clinical manifestations gives rise to a very complex picture that requires a multidimensional approach, especially as regards the diagnostic moment. To this end, the authors propose an integration of various contributions on the pathogenetic level, based on neuroanatomical evidence and supported by the most recent neuroimaging techniques. In addition, the use of a complex diagnostic battery is suggested, capable of analyzing the different aspects of the phenomenon, and distinguishing it from the psychological defensive mechanism of denial. Research in this field is also essential to promote rehabilitation and compliance with treatment, as well as the enrichment of knowledge on the processes underlying consciousness and awareness in the human being.