Can Competencies be Retrained? A Critical Appraisal of Cognitive Rehabilitation

  • Catherine A. Mateer
  • Alison Mary Weber
Part of the Springer Series in Neuropsychology book series (SSNEUROPSYCHOL)


Competency can refer to both basic underlying mental abilities and to the application of these abilities to particular tasks or activities. Neuropsychologists view as basic abilities such cognitive processes as attention, memory, executive function, receptive and expressive language, visuoperceptual skills, problem solving, reasoning, and judgment. Assessment of these areas is usually based on an individual’s performance on objective standardized measures or tests. Both these underlying cognitive functions and the ability to apply them are critical for successful, independent functioning and both need to be considered in evaluating the retraining of cognitive competency.


Traumatic Brain Injury Executive Function Prospective Memory Cognitive Training Training Task 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Aronow, H.U. (1987). Rehabilitation effectiveness with severe brain injury: Translating research into policy. Journal of Head Trauma Rehabilitation, 2, 24–36.CrossRefGoogle Scholar
  2. Ben-Yishay, Y., & Diller, L. (1983). Cognitive deficits. In M. Rosenthal (Ed.), Rehabilitation of the head injured adult. Philadelphia: F.A. Davis.Google Scholar
  3. Ben-Yishay, Y., & Diller, L. (1978–1983). Working approaches to remediation of cognitive deficits in brain damaged persons. New York, New York University Medical Center. Rehabilitation Monographs Nos. 59–62, 64, 66.Google Scholar
  4. Ben-Yishay, Y., Piasetsky, E.B., & Rattock, J. (1987a). A systematic method for ameliorating disorders in basic attention. In M.J. Meier, A.L. Benton, & L. Diller (Eds.), Neuropsychological rehabilitation (pp. 165–181 ). New York: Guilford Press.Google Scholar
  5. Ben-Yishay, Y., Silver, S., & Piasetsky, E. (1987b). Relationship between employability and vocational outcome after intensive holistic cognitive rehabilitation. Journal of Head Trauma Rehabilitation, 2, 35–48.CrossRefGoogle Scholar
  6. Birbaumer, N., Elbert, T., Rockstroh, B., & Lutzenberger, W. (1986). Biofeedback of slow cortical potentials in attentional disorders. In W.C. McCallum, R. Zapolli, & F. Denoth (Eds.), Cerebral psychophysiology: Studies in event-related potentials. Electroencephalography and Clinical Neurophysiology, 38 (Suppl.), 440–442.Google Scholar
  7. Cermak, L.S. (1975). Imagery as an aid to retrieval for Korsakoff patients. Cortex, 11, 163–169.PubMedGoogle Scholar
  8. Crovitz, H.F. (1979). Memory retraining in brain-damaged patients: The airplane list. Cortex, 15, 131–134.PubMedGoogle Scholar
  9. Crovitz, H.F., Harvey, M.T., & Horn, R.W. (1979). Problems in the acquisition of imagery mnemonics: Three brain-damaged cases. Cortex, 15, 225–234.PubMedGoogle Scholar
  10. Diller, L., & Weinberg, J. (1977). Hemi-inattention in rehabilitation: The evolution of a rational remediation program. In E.A. Weinstein & R.P. Friedland (Eds.), Advances in Neurology, 18, 63–82.Google Scholar
  11. Frazier, L.M. (1980). Biofeedback in coma rehabilitation: Case study. American Journal of Clinical Biofeedback, 3, 148–154.Google Scholar
  12. Fryer, L.J., & Haffey, W.J. (1987). Cognitive rehabilitation and community reintegration: Outcomes from two program models. Journal of Head Trauma Rehabilitation, 2, 51–63.CrossRefGoogle Scholar
  13. Gasparrini, B., & Satz, P. (1979). A treatment for memory problems in left hemisphere CVA patients. Journal of Clinical Neuropsychology, 91, 66–73.Google Scholar
  14. Gianutsos, R., & Gianutsos, J. (1979). Rehabilitating the verbal recall of brain-injured patients by mnemonic training: An experimental demonstration using single-case methodology. Journal of Clinical Neuropsychology, 2, 117–135.CrossRefGoogle Scholar
  15. Glasgow, R.E., Zeiss, R.A., Barrera, M. Jr., & Lewinsohn, P. (1977). Case study on remediating memory deficits in brain-damaged individuals. Journal of Clinical Psychology, 33, 1049–1054.PubMedCrossRefGoogle Scholar
  16. Glisky, E., Schacter, D., & Tulving, E. (1986). Learning and retention of computer related vocabulary in memory-impaired patients: Method of vanishing cues. Journal of Clinical and Experimental Neuropsychology, 8, 292–312.PubMedCrossRefGoogle Scholar
  17. Godfrey, H., & Knight R. (1985). Cognitive rehabilitation of memory functioning in amnesiac alcoholics. Journal of Consulting and Clinical Psychology, 43, 555–557.CrossRefGoogle Scholar
  18. Goldberg, K., Gerstmann, L. J., & Mathis, S. (1982). Selective effects of cholinergic treatment on verbal memory in post-traumatic amnesia. Journal of Clinical Neuropsychology, 4, 219–234.PubMedCrossRefGoogle Scholar
  19. Goldstein G., & Ruthven, L. (1983). Rehabilitation of the braindamaged adult. New York: Plenum.Google Scholar
  20. Jacobs, H. (1988). The Los Angeles head injury survey: Procedures and initial findings Archives of Physical Medicine and Rehabilitation, 69, 425–431.PubMedGoogle Scholar
  21. Johns, D.F. (1978). Clinical management of neurogenic communication disorders. Boston: Little, Brown & Co.Google Scholar
  22. Kewman, D.G., Seigerman, C., Kintner, H., Chu, S., Henson, D., & Reeder, C. (1985). Simulation training of psychomotor skills: Teaching the brain-injured to drive. Rehabilitation Psychology, 30, 11–27.Google Scholar
  23. Klöve, H. (1987). Activation, arousal and neuropsychological rehabilitation. Journal of Clinical and Experimental Neuropsychology, 9, 297–309.PubMedCrossRefGoogle Scholar
  24. Kreutzer, J., Wehman, P., & Morton, M. (1988). Supported employment and compensatory strategies for enhancing vocational outcome following traumatic brain injury. Brain Injury, 2, 205–223.PubMedCrossRefGoogle Scholar
  25. LeWinn, E.B., & Dimancescu, M.D. (1978). Environmental deprivation and enrichment in coma. The Lancet, 2, 156–157.CrossRefGoogle Scholar
  26. Lewinsohn, P.M., Danaher, B.G., & Kikel, D. (1977). Visual imagery as a mnemonic aid for brain-injured persons. Journal of Consulting and Clinical Psychology, 45, 717–723.PubMedCrossRefGoogle Scholar
  27. Lezak, M.D. (1978). Living with the characterologically altered brain-injured patient. Journal of Clinical Psychiatry, 39, 592–598.PubMedGoogle Scholar
  28. Lezak, M.D. (1983). Neuropsychological assessment. New York: Oxford University Press.Google Scholar
  29. Lezak, M.D. (1987). Relationships between personality disorders, social disturbances, and physical disability following traumatic brain injury. Journal of Head Trauma Rehabilitation, 2, 57–59.CrossRefGoogle Scholar
  30. Lynch, J.J. (1978). The simple act of touching. Nursing, 8, 32.PubMedGoogle Scholar
  31. Malec, J., Jones, R., Rao, N., & Stubbs, K. (1984). Video game practice effects on sustained attention in patients with craniocerebral trauma. Cognitive Rehabilitation, 2, 18–23.Google Scholar
  32. Mateer, C.A., & Sohlberg, M.M. (1988). A paradigm shift in memory rehabilitation. In H. Whitaker (Ed.), Neuropsychological studies of nonfocal brain damage: Dementia and trauma. New York: Springer-Verlag.Google Scholar
  33. Mateer, C.A., & Sohlberg, M.M. (1989). Vocational outcomes following post-acute rehabilitation. Bulletin of the Center for Cognitive Rehabilitation. Puyallup, Washington: Good Samaritan Hospital.Google Scholar
  34. McLean, A. Jr., Stanton, K.M., & Cardenas, D.D. (1987). Memory training combined with the use of and physostigmine. Brain Injury, 1, 145–159.PubMedCrossRefGoogle Scholar
  35. Niemann, H. (1989). Retraining of attention in head injured individuals. Unpublished doctoral dissertation, University of Victoria, Victoria, British Columbia, Canada.Google Scholar
  36. Parente, R., & Anderson, J.K. (1983). Techniques for improving cognitive rehabilitation: Teaching organizational and encoding skills. Cognitive Rehabilitation, 1, 20–22.Google Scholar
  37. Ponsford, J.L., & Kinsella, G. (1988). Journal of Clinical and Experimental Neuropsychology, 10, 693–708.PubMedCrossRefGoogle Scholar
  38. Posner, M.I. (1975). Psychobiology of attention. In M.S. Gazzeniga & C. Blakemore (Eds.), Handbook of psychology (pp. 441–480 ). New York, London: Academic Press.Google Scholar
  39. Prigatano, G. (1986). Neuropsychological rehabilitation after brain injury. Baltimore: Johns Hopkins University Press.Google Scholar
  40. Prigatano, G., Fordyce, D., Zeiner, H., Roueche, J., Pepping, M., & Wood, B. (1984). Neuropsychological rehabilitation after closed head injury in young adults. Journal of Neurology, Neurosurgery, and Neuropsychiatry, 47, 505–513.CrossRefGoogle Scholar
  41. Rappaport, M., Hall, K.M., Hopkins, K., & Belleza, T. (1982). Disability rating scale for severe head trauma: Coma to community. Archives of Physical Medicine and Rehabilitation, 63, 118–123.PubMedGoogle Scholar
  42. Schacter, D., Rich, S., & Stamp, A. (1985). Remediation of memory disorders: Experimental evaluation of the spaced-retrieval technique. Journal of Clinical and Experimental Neuropsychology, 7, 79–96.PubMedCrossRefGoogle Scholar
  43. Sohlberg, M.M., & Brock, M. (1985). Taking the final step: The importance of post-medical cognitive rehabilitation. Cognitive Rehabilitation, 3, 10–14.Google Scholar
  44. Sohlberg, M.M., & Mateer, C.A. (1987). Effectiveness of an attention-training program. Journal of Clinical and Experimental Neuropsychology, 9, 117–130.PubMedCrossRefGoogle Scholar
  45. Sohlberg, M.M., & Mateer, C.A. (1989a). Introduction to cognitive rehabilitation: Theory and practice. New York: Guilford Press.Google Scholar
  46. Sohlberg, M.M., & Mateer, C.A. (1989b). Training use of compensatory memory books: A three stage behavioral approach. Journal of Clinical and Experimental Neuropsychology, 11, 871–891.PubMedCrossRefGoogle Scholar
  47. Sohlberg, M.M., & Mateer, C.A. (1990). Evaluation and treatment of communication skills. In J.S. Kreutzer & P. Lehman (Eds.), Community integration following traumatic brain injury (pp. 67–83 ). Baltimore: Paul H. Brookes Publishing Co.Google Scholar
  48. Sturm, W., Dahmen, W., Hartje, W., & Willmes, K. (1983). Ergebnisse eines trainingsprogramms zur verbesserung der visuellen auffassungsschnelligkeit and konzentrationsfahigkeit bei hirngeschadigten [Results of a program for the training of perceptual speed and attention in brain damaged patients]. Archiv fur Psychiatrie and Nervenkrankheiten [Archives of Psychiatry and Neurological Sciences], 233, 9–22.Google Scholar
  49. Stuss, D.T., & Benson, D.F. (1986). The frontal lobes. New York: Raven Press.Google Scholar
  50. van Zomeren, A.H., Brouwer, W.H., & Deelman, B.G. (1984). Attentional deficits: The riddles of selectivity, speed, and alertness. In N. Brooks (Ed.), Closed head injury. Psychological, social, and family consequences (pp. 74–107 ). New York: Oxford University Press.Google Scholar
  51. Weber (1990). A practical clinical approach to understanding and treating attentional problems. Journal of Head Trauma Rehabilitation, 5, 73–85.CrossRefGoogle Scholar
  52. Weinberg, J., Diller, L., Gordon, W.A., Gerstman, L.J., Liebermann, A., Lakin, P., Hodges, G., & Ezrachi, O. (1977). Visual scanning training effect on reading-related tasks in acquired right-brain damage. Archives of Physical Medicine and Rehabilitation, 58, 479–486.PubMedGoogle Scholar
  53. Weinberg, J., Diller, L., Gordon, W.A., Gerstman, L.J., Liebermann, A., Lakin, P., Hodges, G., & Esrachi, O. (1979). Training sensory awareness and spatial organization in people with right brain damage. Archives of Physical Medicine and Rehabilitation, 60, 491–496.PubMedGoogle Scholar
  54. Wilson, B. (1981). Teaching a patient to remember people’s names after removal of a left temporal tumor. Behavioral Psychotherapy, 9, 338–344.CrossRefGoogle Scholar
  55. Wilson, B. (1982). Success and failure in memory training following a cerebral vascular accident. Cortex, 18, 581–594.PubMedGoogle Scholar
  56. Wilson, B. (1987). Rehabilitation of memory. London: Guilford Press.Google Scholar
  57. Wilson, B., & Moffat, N. (Eds.) (1984). Clinical management of memory problems. Rockville, MD: Aspen.Google Scholar
  58. Wood, R.L. (1986). Rehabilitation of patients with disorders of attention. Journal of Head Trauma Rehabilitation, 1, 43–53.CrossRefGoogle Scholar
  59. Wood, R.L. (1987). Brain injury rehabilitation: A neurobehavioral approach. Rockville, MD: Aspen.Google Scholar
  60. Wood, R.L. (1989). Clinical model for sensory stimulation for patients in coma and PVS. Paper presented at the Santa Clara Valley Medical Center Twelfth Annual Conference, San Jose, CA.Google Scholar
  61. Wood, R.L.I., & Fussey, I. (1987). Computer-based cognitive retraining: A controlled study. International Disability Studies, 9, 149–153.PubMedCrossRefGoogle Scholar

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© Springer-Verlag New York Inc. 1991

Authors and Affiliations

  • Catherine A. Mateer
  • Alison Mary Weber

There are no affiliations available

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