Answer: Reduced his self-awareness
Explanation:
Reduction in self awareness occurred when an individual is slightly or mostly unaware of the happenings around them. This could be as a result of medical condition or a stimulant that affects their reasoning, they could return to normal after being relieved of the effect as it's mostly a temporary issue. Akiva could care less about the way he treated his family due to the effect of alcohol he took, this affected his system greatly and reduced his self awareness.