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A Pathways Model Approach for Traumatic Brain Injury

  • Angele McGrady
  • Donald Moss
Chapter

Abstract

The incidence of traumatic brain injuries (TBI) has increased in recent years, now comprising 2.5 million emergency room visits, hospitalizations, and deaths each year in the United States. TBI is frequently a chronic condition with persisting symptoms and disability. This chapter presents a case study in which self-hypnosis, hypnosis-assisted psychotherapy, and palliative care strategies were provided within a multi-modal integrative treatment program for a 38-year-old woman with TBI secondary to motor vehicle accident. Self-hypnosis was helpful in anxiety reduction and pain management. Hypnosis-assisted psychotherapy was beneficial in desensitizing many post-traumatic memories, and in managing post-concussion pain, including neuropathic pain and post-traumatic migraine headaches. A variety of palliative care techniques and spiritual interventions were applied to enhance sleep, moderate cognitive deficits, and enhance quality of life.

Keywords

Traumatic brain injury Post-traumatic stress disorder Hypnosis Palliative care Spirituality 

References

  1. Ayers, M. E. (1999). Assessing and treating open head trauma, coma, and stroke using real-time digital EEG neurofeedback. In J. R. Evans & A. Abarbanel (Eds.), Introduction to quantitative EEG and neurofeedback (pp. 203–222). New York: Academic Press.CrossRefGoogle Scholar
  2. Beck, A. T., & Beamesderfer, A. (1974). Assessment of depression: The depression inventory. Modern Problems of Pharmacopsychiatry, 7, 151–169.CrossRefGoogle Scholar
  3. Centers for Disease Control and Prevention. (2015). Report to congress on traumatic brain injury in the United States: Epidemiology and rehabilitation. Atlanta, GA: National Center for Injury Prevention and Control; Division of Unintentional Injury Prevention. Retrieved from https://www.cdc.gov/traumaticbraininjury/pdf/tbi_report_to_congress_epi_and_rehab-a.pdf Google Scholar
  4. Centers for Disease Control and Prevention. (2016). Rates of TBI-related emergency department visits, hospitalizations, and deaths — United States, 2001–2010. Atlanta, GA: CDC. Retrieved from http://www.cdc.gov/traumaticbraininjury/data/rates.html Google Scholar
  5. Crasilneck, H. B., & Hall, J. A. (1985). Clinical hypnosis: Principles and applications (2nd ed.). Orlando, FL: Grune & Stratton.Google Scholar
  6. Family Caregiver Alliance (2011). Incidence and prevalence of the major causes of brain impairment. Website of the Family Caregiver Alliance. Retrieved from https://www.caregiver.org/incidence-and-prevalence-major-causes-brain-impairment Google Scholar
  7. Fydrich, T., Dowdall, D., & Chambless, D. L. (1992). Reliability and validity of the Beck anxiety inventory. Journal of Anxiety Disorders, 6(10), 55–61.CrossRefGoogle Scholar
  8. McGrady, A., & Moss, D. (2013). Pathways to illness, pathways to health. New York, NY: Springer.Google Scholar
  9. Tang, H.-Y., Vitiello, M. V., Perlis, M., Mao, J. J., & Riegel, B. (2014). A pilot study of audio visual stimulation as a self-care treatment for insomnia in adults with insomnia and chronic pain. Applied Psychophysiology and Biofeedback, 39(3–4), 219–225.CrossRefGoogle Scholar
  10. Tang, H.-Y., Riegel, B., McCurry, S., & Vitiello, M. (2016). Open-loop audio-visual stimulation (AVS): A useful tool for management of insomnia. Applied Psychophysiology and Biofeedback, 41(1), 39–46.CrossRefGoogle Scholar
  11. Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (absorption), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83(3), 268–277.CrossRefGoogle Scholar
  12. Thomas, J. L., & Smith, M. (2015). Neurofeedback for traumatic brain injury: Current trends. Biofeedback, 43(1), 31–37.CrossRefGoogle Scholar
  13. Thornton, K. E., & Carmody, D. P. (2008). Efficacy of traumatic brain injury rehabilitation: Interventions of QEEG-guided biofeedback, computers, strategies, and medications. Applied Psychophysiology and Biofeedback, 33, 101–124.CrossRefGoogle Scholar
  14. van Dixhoorn, J., & Duivenvoorden, H. J. (1985). Efficacy of Nijmegen questionnaire in recognition of the hyperventilation syndrome. Journal of Psychosomatic Research, 29, 199–206.CrossRefGoogle Scholar
  15. Vanhaudenhuyse, A., Laureys, S., & Faymonville, M.-E. (2015). The use of hypnosis in severe brain injury rehabilitation: A case report. Acta Neurologica Belgica, 115(4), 771–772. https://doi.org/10.1007/s13760-015-0459-3 CrossRefPubMedGoogle Scholar
  16. WHO. (2006). Neurological disorders: Public health challenges. Publication of the World Health Organization (NLM classification: WL 140). Retrieved from http://www.who.int/mental_health/neurology/neurological_disorders_report_web.pdf
  17. Yapko, M. D. (2012). Trancework: An introduction to the practice of clinical hypnosis (4th ed.). New York, NY: Routledge.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Angele McGrady
    • 1
  • Donald Moss
    • 2
  1. 1.Department of PsychiatryUniversity of ToledoToledoUSA
  2. 2.College of Integrative Medicine and Health SciencesSaybrook UniversityOaklandUSA

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