It is proposed that persons suffering from a particular dysfunction lack awareness of internal cues associated with physiological activity in the dysfunctional system. Further, this deficit in awareness results in a lack of concordance among verbal, behavioral, and physiological measures of the dysfunctional system; persons not suffering from the particular dysfunction have adequate perception of internal cues and exhibit concordance among these measures. To evaluate these hypotheses, relevant research is reviewed. Discussions of the potential relevance of the proposed theoretical orientation to treatment and methodological issues pertinent to empirical validation are included.
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