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autism, difficult personality trait
| Table 2.11 Cognitive deficits that may be causal factors in BC | |
| Key cognitive area | Type of skill difficulty |
| Memory | Inability to lay down new memories (STM deficits) leading to forgetting what just been told or done. |
| Recognition difficulties, misidentifying objects or people. | |
| Frontal difficulties | Impulsiveness, disinhibition, apathy. |
| Sequencing, planning, impaired, judgement and decision making (see Table 2.9). | |
| Poor orientation | Inability to indicate the date, their age and/or name where they are. |
| Poor level of insight | Unaware of the extent of their difficulties, or abilities to look after self, thus may engage in risky behaviours. |
| Poor attention and concentration | Unable to focus, easily distracted. |
| Deficits in emotional regulation | Excessive laughing or weepiness. |
| Difficulties in communicating needs | Receptive and expressive problems, leading to frustration and agitation. |
Note: A full assessment involves examining the person’s history and life-preferences, and undertaking a detailed analysis of the behavioural difficulties. More detailed assessments of some of the features outlined in the table may also need to be undertaken.
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