Research & Evidence Base Flashcards
7 cards from real CLT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Research & Evidence Base flashcards as text
Neurobiological research used to support LEAP's rationale proposes that anosognosia differs from denial because anosognosia is primarily driven by what?
Answer: Structural brain dysfunction impairing self-monitoring
Unlike denial, anosognosia is a neurologically-based unawareness caused by brain dysfunction, not a psychological defense, which justifies LEAP's non-confrontational stance.
Which published research finding most directly supports the LEAP principle that arguing about diagnosis is counterproductive?
Answer: Motivational interviewing research demonstrating that confrontation increases resistance
MI research demonstrating that direct confrontation increases patient resistance directly supports LEAP's strategy of avoiding diagnostic arguments.
Studies on the neurological analog in stroke patients (anosognosia for hemiplegia) support LEAP's framework by demonstrating which key parallel?
Answer: Brain-based unawareness cannot be corrected through logic or argument alone
Stroke anosognosia research shows that brain-based unawareness resists logical correction, providing neurological support for LEAP's non-argumentative strategy.
Research using neuropsychological testing in schizophrenia found that which cognitive domain most strongly correlates with severity of anosognosia?
Answer: Executive function and self-reflective capacity
Executive function and self-reflective capacity show the strongest correlations with anosognosia severity, consistent with prefrontal dysfunction as a mechanism.
The LEAP approach is described in research as compatible with which neurobiological model of why patients reject the sick role?
Answer: Anomalous self-experience model of insight deficit
The anomalous self-experience model, which posits that patients cannot integrate illness experiences into self-concept due to brain dysfunction, aligns with LEAP's non-confrontational rationale.
In studies examining the relationship between insight and the therapeutic alliance, what pattern consistently emerged?
Answer: Better alliance predicted improved insight and adherence independent of symptom severity
Research shows that therapeutic alliance quality predicts insight improvement and adherence independently of symptom severity, supporting the relational mechanism LEAP targets.
Which longitudinal study design feature is most important for capturing the true impact of anosognosia on treatment outcomes according to LEAP research literature?
Answer: Repeated insight assessment over at least one year with adherence tracking
Longitudinal designs with repeated insight measurement and adherence tracking over 12+ months capture the dynamic relationship between awareness, engagement, and outcomes.