Description
Sohlberg and Mateer's landmark introductory text helped put cognitive rehabilitation on the map for a generation of clinicians, researchers, educators, and students. Now, more than a decade later, the discipline has come of age. This new volume provides a comprehensive overview of this fast-evolving field. More than a revised edition, the text reflects the dramatic impact of recent advances in neuroscience and computer technology, coupled with changes in service delivery models. The authors describe a broad range of clinical interventions for assisting persons with acquired cognitive impairments--including deficits in attention, memory, executive functions, and communication--and for managing associated emotional and behavioral issues. For each approach, theoretical underpinnings are reviewed in depth and clinical protocols delineated. Difficult concepts are explained in a clear, straightforward fashion, with realistic case examples bringing the material to life. Also included are samples of relevant assessment instruments, rating scales, and patient handouts. Throughout, the new volume emphasizes the need to work from a community perspective, providing a framework for forming collaborative partnerships with families and caregivers. It is an essential resource for professionals across a wide variety of rehabilitation specialties, and will serve as a text in courses on rehabilitation methods and neurogenic disorders.
Chapter
Management of Attention, Memory, and Executive Functions
Developing Theories for Working with Cognitive Impairment
Measuring Efficacy and Outcome
Strategies for Promoting Maintenance and Generalization
Principles of Cognitive Rehabilitation
Chapter 2. Neurological Disorders Associated with Cognitive Impairments
Mechanisms of Acquired Brain Injury
Review of Medical Diagnostic Techniques
Chapter 3. Variables Contributing to Neurological and Neurobehavioral Recovery
Neuroplasticity and Synaptic Reorganization
Factors Related to Training Programs and Interventions
Chapter 4. Assessment of Individuals with Cognitive Impairments
Approaches to Measuring Abilities and Impairments
Assessment of Specific Cognitive Abilities
PART II . MANAGEMENT APPROACHES FOR COGNITIVE IMPAIRMENTS
Chapter 5 Management of Attention Disorders
Approaches to Managing Problems in Attention
Appendix 5.1. APT-II Attention Questionnaire
Appendix 5.2. APT-II Sustained Attention Scoresheet
Appendix 5.3. APT-II Alternating Attention Scoresheet
Appendix 5.4. APT-II Selective Attention Scoresheet
Appendix 5.5. APT-II Selective Attention Generalization Sheet
Appendix 5.6. Patient Handout: Attention Strategies
Chapter 6. Memory Theory Applied to Intervention
Implications of Memory Theory for Managing Deficits
Appendix 6.1. Data Sheet for Prospective Memory Training
Chapter 7. The Use of External Aids in Cognitive Rehabilitation
External Aids: A Popular and Potentially Effective Technique
What Is the Goal of Using External Aids?
Selecting an External Compensatory Aid
Selected Memory Aid Resources
Appendix 7.1. Needs Assessment for External Cognitive Aids (Adult Client)
Appendix 7.2. Needs Assessment for External Cognitive Aids (Student Client)
Appendix 7.3. Scoresheet for Practice Trials
Appendix 7.4. Example of Completed Scoresheet for Practice Trials
Appendix 7.5. Example of Completed Scoresheet for Practice Trials
Chapter 8. Management of Dysexecutive Symptoms
A Clinical Model of Executive Functions
Assessment of Executive Functions
Appendix 8.1. Summary Sheet from the Profile of the Executive Control System (PRO-EX)
Appendix 8.2. Woodrow Wilson Rehabilitation Center Executive Function Route-Finding Task (EFRT)
Appendix 8.3. The Brock Adaptive Functioning Questionnaire (BAFQ): Sample Items from Five Scales
Appendix 8.4. Scheduling Worksheet
Chapter 9. The Assessment and Management of Unawareness
A Systematic Process for Assessing Awareness
Management of Awareness Deficits
Appendix 9.1. Self-Awareness of Deficits Interview
Appendix 9.2. Medical Records Review
Appendix 9.3. Self–Other Comparison Rating
Chapter 10. Communication Issues
Types of Communication Challenges
Management of Pragmatics Deficits
Appendix 10.1. Pragmatic Protocol
Chapter 11. Managing Challenging Behaviors
Models of Behavior Change Following Acquired Brain Injury
Common Behavioral Problems Associated with Acquired Brain Injury
Multiple Origins of Challenging Behaviors
Approaches to Working with Challenging Behaviors
Family and Staff Education and Training
Appendix 11.1. Sample Anger Management Scale
Chapter 12. Management of Depression and Anxiety
Assessment of Psychosocial Difficulties in the Context of Brain Injury
Common Emotional Reactions to Acquired Brain Injury
Principles of Psychotherapeutic Interventions
Appendix 12.1. Brief Descriptions of Common Mental Disorders and Episodes Seen in People with Brain Injury
Appendix 12.2. Most Troubling Symptom List
Appendix 12.3. Example of a Filled-In Daily Record of Dysfunctional Thoughts
Appendix 12.4. Reconciling Perceptions of Past, Present, and Future Self and Abilities
Chapter 13. Working Collaboratively with Families
Why Increase Collaboration with Families?
The Impact of Brain Injury on the Family
Forming True Clinician–Client–Family Partnerships
Appendix 13.1. Older Child Questionnaire, with Sample Answers to Open Questions
Appendix 13.2. Interview Guide
Appendix 13.3. A Mother’s Response to the Goal Identification Process: A List for Aides
PART IV. WORKING WITH SPECIAL POPULATIONS
Chapter 14. Rehabilitation of Children with Acquired Cognitive Impairments
Effects of Brain Injury in Children versus Adults
The Importance of Ongoing Assessment
The Rehabilitation Context for Children
Approaches to the Rehabilitation of Cognitive Impairments in Children
Review of Pediatric Intervention Studies
Supports for Families and Schools
Appendix 14.1. Classroom Strategies for Educating Children with Acquired Cognitive Impairments
Chapter 15. Management Strategies for Mild Traumatic Brain Injury
Evidence for Physiogenic versus Psychogenic Factors in MTBI
Neuropsychological Patterns
Intervention Approaches for Different Phases and Circumstances
Specific Techniques for Working with Individuals with MTBI
Appendix 15.1. Example of a Completed APT-II Attention Lapse Log
Appendix 15.2. Example of a Completed APT-II Attention Success Log