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Considering Course and Treatment in Rehabilitation: Sequential and Dynamic Causality

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Causality of Psychological Injury

Abstract

In this chapter, we expand the chronic pain model presented by Gatchel (Gatchel, 1991; Gatchel & Kishino, 2006) and apply related principles to the general rehabilitation context. Our model is presented in general enough terms to apply not only to chronic pain, but also to traumatic brain injury (TBI), and Posttraumatic Stress Disorder (PTSD), covering the major psychological injury and rehabilitation conditions. The model permits understanding of individual differences in rehabilitation patients relative to the unfolding recovery process, may help guide the course of treatment, and may facilitate maximal treatment adherence. The model is comprehensive and multifactorial, describing interactions between the “precipitating event,” which may be a trauma or illness/disease, and the broad range of processes that shape the recovery process.

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Salmon, J.D., Celinski, M.J., Young, G. (2007). Considering Course and Treatment in Rehabilitation: Sequential and Dynamic Causality. In: Causality of Psychological Injury. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-36445-2_9

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