Cognitive Rehabilitation An Integrative Neuropsychological Approach

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Edition: 2nd
Format: Hardcover
Pub. Date: 2001-05-25
Publisher(s): The Guilford Press
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Summary

This new volume provides a comprehensive overview of this fast-evolvin g field. More than a revised edition, the text reflects the dramatic i mpact of recent advances in neuroscience and computer technology, coup led with changes in service delivery models. The authors describe a br oad range of clinical interventions for assisting persons with acquire d cognitive impairments--including deficits in attention, memory, exec utive functions, and communication--and for managing associated emotio nal and behavioral issues. For each approach, theoretical underpinning s are reviewed in depth and clinical protocols delineated. Difficult c oncepts are explained in a clear, straightforward fashion, with realis tic case examples bringing the material to life. Also included are sam ples of relevant assessment instruments, rating scales, and patient ha ndouts. Throughout, the new volume emphasizes the need to work from a community perspective, providing a framework for forming collaborative partner

Author Biography

McKay Moore Sohlberg is an associate professor in the Communication Disorders and Sciences program at the University of Oregon.

Table of Contents

Fundamentals for Practicing Cognitive Rehabilitation
Introduction to Cognitive Rehabilitationp. 3
Major Forces Shaping Cognitive Rehabilitationp. 4
Management of Attention, Memory, and Executive Functionsp. 7
Developing Theories for Working with Cognitive Impairmentp. 10
Measuring Efficacy and Outcomep. 12
Strategies for Promoting Maintenance and Generalizationp. 20
Principles of Cognitive Rehabilitationp. 21
Summaryp. 22
Referencesp. 22
Neurological Disorders Associated with Cognitive Impairmentsp. 25
Mechanisms of Acquired Brain Injuryp. 26
Review of Medical Diagnostic Techniquesp. 49
Summaryp. 56
Referencesp. 56
Variables Contributing to Neurological and Neurobehavioral Recoveryp. 59
Demographic Variablesp. 60
Injury-Related Variablesp. 67
Psychological Factorsp. 69
Neuroplasticity and Synaptic Reorganizationp. 71
Factors Related to Training Programs and Interventionsp. 81
Summaryp. 83
Referencesp. 83
Assessment of Individuals with Cognitive Impairmentsp. 89
Approaches to Measuring Abilities and Impairmentsp. 92
Assessment of Specific Cognitive Abilitiesp. 101
Summaryp. 116
Referencesp. 118
Management Approaches for Cognitive Impairments
Management of Attention Disordersp. 125
Theory Reviewp. 125
Assessment of Attentionp. 129
Approaches to Managing Problems in Attentionp. 133
Summaryp. 151
Referencesp. 151
APT-II Attention Questionnairep. 155
APT-II Sustained Attention Scoresheetp. 157
APT-II Alternating Attention Scoresheetp. 158
APT-II Selective Attention Scoresheetp. 159
APT-II Selective Attention Generalization Sheetp. 160
Patient Handout: Attention Strategiesp. 161
Memory Theory Applied to Interventionp. 162
Memory Theoryp. 162
Implications of Memory Theory for Managing Deficitsp. 174
Summaryp. 188
Referencesp. 188
Data Sheet for Prospective Memory Trainingp. 193
The Use of External Aids in Cognitive Rehabilitationp. 194
External Aids: A Popular and Potentially Effective Techniquep. 194
What Is the Goal of Using External Aids?p. 196
Review of Theoryp. 197
Selecting an External Compensatory Aidp. 198
Pretraining Activitiesp. 204
Training Methodsp. 208
Case Examplesp. 213
Summaryp. 217
Referencesp. 218
Selected Memory Aid Resourcesp. 220
Needs Assessment for External Cognitive Aids (Adult Client)p. 221
Needs Assessment for External Cognitive Aids (Student Client)p. 224
Scoresheet for Practice Trialsp. 227
Example of Completed Scoresheet for Practice Trialsp. 228
Example of Completed Scoresheet for Practice Trialsp. 229
Management of Dysexecutive Symptomsp. 230
The Frontal Lobesp. 230
A Clinical Model of Executive Functionsp. 235
Assessment of Executive Functionsp. 237
Management Approachesp. 240
Summaryp. 259
Referencesp. 259
Summary Sheet from the Profile of the Executive Control System (PRO-EX)p. 263
Woodrow Wilson Rehabilitation Center Executive Function Route-Finding Task (EFRT)p. 264
The Brock Adaptive Functioning Questionnaire (BAFQ): Sample Items from Five Scalesp. 267
Scheduling Worksheetp. 268
The Assessment and Management of Unawarenessp. 269
Conceptual Frameworksp. 270
Measurement of Awarenessp. 275
A Systematic Process for Assessing Awarenessp. 279
Management of Awareness Deficitsp. 283
Case Examplep. 293
Referencesp. 295
Self-Awareness of Deficits Interviewp. 298
Medical Records Reviewp. 301
Self-Other Comparison Ratingp. 303
Communication Issuesp. 306
Types of Communication Challengesp. 306
Assessment of Pragmaticsp. 310
Management of Pragmatics Deficitsp. 319
Summaryp. 327
Referencesp. 327
Pragmatic Protocolp. 331
Interventions for Behavioral, Emotional, and Psychosocial Concerns
Managing Challenging Behaviorsp. 337
Models of Behavior Change Following Acquired Brain Injuryp. 337
Common Behavioral Problems Associated with Acquired Brain Injuryp. 338
Multiple Origins of Challenging Behaviorsp. 341
Approaches to Working with Challenging Behaviorsp. 343
Family and Staff Education and Trainingp. 364
Summaryp. 367
Referencesp. 367
Sample Anger Management Scalep. 370
Management of Depression and Anxietyp. 371
Basic Terminologyp. 372
Assessment of Psychosocial Difficulties in the Context of Brain Injuryp. 372
Common Emotional Reactions to Acquired Brain Injuryp. 375
Principles of Psychotherapeutic Interventionsp. 378
Summaryp. 392
Referencesp. 393
Brief Descriptions of Common Mental Disorders and Episodes Seen in People with Brain Injuryp. 395
Most Troubling Symptom Listp. 397
Example of a Filled-In Daily Record of Dysfunctional Thoughtsp. 398
Reconciling Perceptions of Past, Present, and Future Self and Abilitiesp. 399
Working Collaboratively with Familiesp. 400
Why Increase Collaboration with Families?p. 400
The Impact of Brain Injury on the Familyp. 404
Forming True Clinician-Client-Family Partnershipsp. 407
Referencesp. 419
Older Child Questionnaire, with Sample Answers to Open Questionsp. 421
Interview Guidep. 423
A Mother's Response to the Goal Identification Process: A List for Aidesp. 425
Working with Special Populations
Rehabilitation of Children with Acquired Cognitive Impairmentsp. 429
Effects of Brain Injury in Children versus Adultsp. 430
The Importance of Ongoing Assessmentp. 432
The Rehabilitation Context for Childrenp. 433
Approaches to the Rehabilitation of Cognitive Impairments in Childrenp. 434
Review of Pediatric Intervention Studiesp. 441
Supports for Families and Schoolsp. 442
Summaryp. 446
Referencesp. 447
Classroom Strategies for Educating Children with Acquired Cognitive Impairmentsp. 451
Management Strategies for Mild Traumatic Brain Injuryp. 453
Evidence for Physiogenic versus Psychogenic Factors in MTBIp. 456
Neuropsychological Patternsp. 459
Intervention Approaches for Different Phases and Circumstancesp. 462
Specific Techniques for Working with Individuals with MTBIp. 467
Summaryp. 476
Referencesp. 476
Example of a Completed APT-II Attention Lapse Logp. 481
Example of a Completed APT-II Attention Success Logp. 482
Indexp. 483
Table of Contents provided by Syndetics. All Rights Reserved.

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