False selves in neuropsychological rehabilitation: the challenge of confabulation

14 important questions on False selves in neuropsychological rehabilitation: the challenge of confabulation

Name 2 interventions designed to address confabulation

1. Self-monitoring training

2. spend time contradicting pt. using written material and pt. intact reasoning abilities

Neurocognitive deficits are not sufficient to account for content of confabulation. Name 3 factors thought to be related to content of confabulation

1. subjective experience

2. self-esteem

3. mood

Pt. of confabulation may feel severe anxiety and depression. Why?

1. loss of premorbid self-identity

2. difference between premorbid and postmorbid self-images
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Why is it suggested personal identity has a memory basis?

Sense of self-discrepancy has special consideration in significant memory impairment. Lost or disrupted memories lead to experience of fragmented identity. Loss of autobiographical memories leads to negative perspectives on pt. current abilities and social roles.

What is necessary precondition for a construction of coherent and continuous narrative self?

Encode, storing and retrieving episodic and autobiographical memory

What is the difference between errors made because of amnesia and errors made because of confabulation?

Amnestic errors are errors of omission (unable to retrieve certain experiences or information

Confabulation errors are errors of commission (pt. remember but highly distorted or fabricated)

Confabulating patients are unable to remember past because of difficulty retrieving it (not encoding or storing it). True or false?

True

Explain why autobiographical memory is not a pure reproduction?

It is a reconstruction of the past in light of the present

Explain what they mean by: remembering is an act of utility and verity

Remembering is using the past in service of the present and retracting what took place in the past

Name the two demands autobiographical memory is faced with

1. Memories from past should be consistent with current goals and self-images (coherence)

2. Memory should correspond to past experience irrespective of current concerns (reality correspondence)

Explain shortly the theory behind confabulation seen as exaggerated memory reconstruction

Confabulation is a magnification of existing 'normal' misremembering instances

Damage of which area is thought to be involved in the presence of confabulation

Damage ventromedial frontal cortex

Greater depression causes greater tendency to produce self-enhancing and wishful confabulations. True or false?

True

What can one do to explore confabulating pt. concerns?

Speak in third-person

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