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Virtual Reality as a Possible Tool for the Assessment of Self-Awareness

机译:虚拟现实是评估自我意识的一种可能工具

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摘要

The absence of self-awareness is a crucial aspect in the symptomatology of various neurodegenerative disorders. This characteristic becomes relevant due to the strong implications it has on the patient’s quality of life, on the effects that functional dependence has on the caregiver and on the efficacy of the therapy. Faced with a construct as complex as self-awareness, there are in the literature investigations on different aspects of this phenomenon, such as the creation of cognitive models, the study of the neural substrate and the research of appropriate assessment methods that can reliably detect this function. With regard to the assessment methods, there are methodologies in the literature that provide complementary information. The first modality is a quantitatively online measurement based on the discrepancy between the estimate of the patient of his performance and his actual performance, but often neglecting the ecological validity and the real functioning of the subject. The second kind collecting subjective information on the actual daily functioning of the patient resulting from clinical observation or interviews with the subject and caregivers, but obtaining offline information on the functioning of the subject, liable to bias that may imply an overestimation or underestimation of subject’s ability. The absence of acknowledged metacognitive functional assessment with normative data to evaluate awareness winks at the emerging and increasingly consistent use of virtual reality (VR) also in the context of cognitive research and clinical assessment. This article aims to make a theoretical proposal regarding the use of this innovative and promising tool as a supplement to the assessment methods of self-awareness.
机译:在各种神经退行性疾病的症状学中,缺乏自我意识是至关重要的方面。由于该特征对患者的生活质量,功能依赖性对护理人员的影响以及治疗效果具有重要意义,因此该特征变得有意义。面对像自我意识这样复杂的构造,文献中对这种现象的不同方面进行了研究,例如建立认知模型,研究神经基质以及研究能够可靠地检测出这种现象的适当评估方法。功能。关于评估方法,文献中有一些方法可以提供补充信息。第一种方式是基于患者对他的表现的估计与他的实际表现之间的差异进行的定量在线测量,但是常常忽略了受试者的生态有效性和实际功能。第二种是收集有关患者的实际日常功能的主观信息,这些信息是通过临床观察或与受试者和护理人员的访谈得出的,但会获得有关受试者功能的离线信息,这可能会产生偏见,这可能暗示对受试者能力的高估或低估。在认知研究和临床评估的背景下,也缺乏公认的元认知功能评估和规范性数据来评估认识眨眼,这是在新兴且越来越一致地使用虚拟现实(VR)的情况下。本文旨在就使用这种创新和有前途的工具作为自我意识评估方法的补充提出理论建议。

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