Abstract
Previous studies have demonstrated that while high levels of self-awareness are needed to realize the optimal effects of rehabilitation, this very self-awareness can also increase psychological stress. Fully functional self-awareness can lead individuals to recognize that their abilities and social evaluation by others are lower than anticipated, resulting in reduced self-respect and self-efficacy, which in turn can lead to increased psychological and emotional stress such as depression and anxiety. In recent years in Japan, group programs focusing on enhancing self-awareness are being seen as important to cognitive rehabilitation and, based on a comprehensive approach, are being actively practiced. Thus, it is necessary to pay attention to enhancing self-respect and self-efficacy when organizing group programs that aim to raise self-awareness.
