People do not anticipate concrete harmful effects until ACL 5.6 and above. The truth is that anticipating harmful effects is one of the reasons that ACL 5.6 and above may not always be a cognitive disability. If the person has had a recent onset of a cognitive disability, the person is aware of their loss. They can recall abstract information they used to pay attention but can no longer consider the feelings of other people. If abstract information is used for work skills, the loss in the ability to process abstract information maybe profound.