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Psychosocial Consequences of Significant Brain Injury

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Part of the book series: Foundations of Neuropsychology ((FNPS,volume 3))

Abstract

This chapter is a clinically driven description, with literature citations and case examples intermingled, that attempts to pull together what is known about the psychosocial consequences of severe brain injury. Hopefully, with this combination of what has been discovered and integrated from past study (e.g., Goldstein, 1942, 1952; Lishman, 1968, 1973; Lezak, 1978; Weddell, Oddy, & Jenkins, 1980; Levin, 1978; Brooks, 1984; Fordyce, Roueche, & Prigatano, 1983; Prigatano, 1985, 1986), and what is continuing to unfold in current work, clinically useful and theoretically stimulating ideas will be found.

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References

  • Adams, K. M., Sawyer, J. D., & Kvale, P. A. (1980). Cerebral oxygenation and neuropsychological adaptation. Journal of Clinical Neuropsychology 2, 189–208.

    Article  Google Scholar 

  • Adams, R. D., & Victor, M. (1977). Principles of neurology. New York: McGraw-Hill.

    Google Scholar 

  • Akiskal, H. S., & McKinney, W. T. (1974). Overview of recent research in depression. Archives of General Psychiatry 32, 285–305.

    Google Scholar 

  • Baker, G. (1982). (Personal communication)

    Google Scholar 

  • Barth, J. T., Macciocchi, S. N., Giordani, B., Rimel, R., Jane, J. A., & Boll, T. J. (1983). Neuropsychological sequelae of minor head injury. Neurosurgery 13 (5), 529–533.

    Article  PubMed  CAS  Google Scholar 

  • Ben-Yishay, Y. (1982). Rehabilitation monograph no. 64: Working approaches to remediation of cognitive deficits in brain damaged persons. New York: Institute of Rehabilitation Medicine.

    Google Scholar 

  • Ben-Yishay, Y., Rattok, J., & Diller, L. (1979). Working approaches to remediation of cognitive deficits in brain damage, Supplement to Seventh Annual Workshop for Rehabilitation Professionals, New York University, Institute of Rehabilitation Medicine.

    Google Scholar 

  • Blackwood, W. (1958). Vascular disease of the central nervous system. In J. G. Greenfield, W. Blackwood, W. H. McMenemey, A. Meyer, & R. M. Norman, Neuropathology (pp. 67–131). London: Edward Arnold.

    Google Scholar 

  • Bond, M. R. (1975). Assessment of the psychosocial outcome after severe head injury. CIBA 34, Elsever Excerpta Medica, 141–157.

    Google Scholar 

  • Brennon, M. A. (1981). Resumption of work following discharge from a hospital. Irish Medical Journal 74 (1), 5–7.

    Google Scholar 

  • Broe, G. A. (1982). The concept of head injury rehabilitation. In G. A. Broe & R. L. Tate (Eds.), Brain impairment. Proceedings of the Fifth Annual Brain Impairment Conference. Sydney: Postgraduate Committee in Medicine of the University of Sydney.

    Google Scholar 

  • Brooks, N. (1984). Closed head injury: Psychological, social, and family consequences. New York: Oxford University Press.

    Google Scholar 

  • Brooks, D. N., & McKinlay, W. (1983). Personality and behavioural change after severe blunt head injury—A relative’s view. Journal of Neurology, Neurosurgery, and Psychiatry (1972). 46, 336–344.

    Article  Google Scholar 

  • Bruckner, F. E., & Randle, A. P. H. (1972). Return to work after severe head injuries. Rheumatology and Physical Medicine 11 (7), 344–348.

    Article  PubMed  CAS  Google Scholar 

  • Crosson, B. (1987). Treatment of interpersonal deficits for head-trauma patients in inpatient rehabilitation settings. Clinical Neuropsychologist 1 (4), 335–352.

    Article  Google Scholar 

  • Dennerll, R. D., Rodin, E. A., Gonzalez, S., Schwartz, M. L., & Lin, Y. (1966). Neuropsychological and psychological factors related to employability of persons with epilepsy. Epilepsia 7, 318–329.

    Article  PubMed  CAS  Google Scholar 

  • Dikmen, S., & Morgan, S. F. (1980). Neuropsychological factors related to employability and occupational status in persons with epilepsy. Journal of Nervous and Mental Disease 168 (4), 236–240.

    Article  PubMed  CAS  Google Scholar 

  • Fieschi, C, Battistini, N., Beduschi, A., Boselli, L., & Rossanda, M. (1974). Regional cerebral blood flow and intraventricular pressure in acute head injuries. Journal of Neurology, Neurosurgery, and Psychiatry, 37, 1378–1388.

    Article  PubMed  CAS  Google Scholar 

  • Finger, S. (1978). Recovery from brain damage. New York: Plenum Press.

    Google Scholar 

  • Fordyce, D. J., & Roueche, J. R. (1986). Changes in perspectives of disability among patients, staff and relatives during rehabilitation of brain injury. Rehabilitation Psychology 41 (4), 217–229.

    Google Scholar 

  • Fordyce, D. J., Roueche, J. R., & Prigatano, G. P. (1983). Enhanced emotional reactions in chronic head trauma patients. Journal of Neurology, Neurosurgery, and Psychiatry 46, 620–624.

    Article  PubMed  CAS  Google Scholar 

  • Gans, J. S. (1983). Hate in the rehabilitation setting. Archives of Physical Medicine and Rehabilitation, 64, 176–179.

    PubMed  CAS  Google Scholar 

  • Gilchrist, E., & Wilkinson, M. (1979). Some factors determining prognosis in young people with severe head injuries. Archives of Neurology 36, 355–359.

    PubMed  CAS  Google Scholar 

  • Gjone, R., Kristiansen, K., & Sponheim, N. (1972). Rehabilitation in severe head injuries. Scandinavian Journal of Rehabilitation Medicine 4, 2–4.

    PubMed  CAS  Google Scholar 

  • Goldstein, K. (1942). Aftereffects of brain injury in war. New York: Grune & Stratton.

    Google Scholar 

  • Goldstein, K. (1952). The effect of brain damage on the personality. Psychiatry 15, 245–260.

    PubMed  CAS  Google Scholar 

  • Greenfield, J. G. (Ed.), (1958). Neuropathology. Baltimore: Williams & Wilkins.

    Google Scholar 

  • Grice, H. P. (1975). Logic and conversation. In P. Cole & J. Morgan (Eds.), Syntax and semantics: Vol. 3, Speech acts (pp. 41–58). New York: Seminar Press.

    Google Scholar 

  • Grice, H. P. (1978). Further notes on logic and conversation. In P. Cole (Ed.), Pragmatics (pp. 113–127). New York: Academic Press.

    Google Scholar 

  • Grubb, R. L., & Cox, W. S. (1978). Trauma to the central nervous system. In S. G. Eliasson, A. L. Prensky, & W. B. Hardin, Jr. (Eds.), Neurological pathophysiology. New York: Oxford University Press.

    Google Scholar 

  • Hagen, C. (1984). Language disorders in head trauma. In A. L. Holland (Ed.), Language disorders in adults. San Diego: College-Hill.

    Google Scholar 

  • Heaton, R. K., & Pendleton, M. G. (1981). Use of neuropsychological tests to predict adult patients’ everyday functioning. Journal of Consulting and Clinical Psychology 49 (6), 807–821.

    Article  PubMed  CAS  Google Scholar 

  • Johnston, I. H., & Rowan, J. O,. (1974). Effect of rising intracranial pressure (ICP) on cerebral blood flow (CBF). Journal of Neurology, Neurosurgery, and Psychiary 37, 585–592.

    Article  CAS  Google Scholar 

  • Kreutzer, J. S. (1988). Family issues in brain injury: A review of the research and its implication for clinical practice. Paper presented at the Fourth Annual Houston Conference on Neurotrauma, Houston, Texas, February.

    Google Scholar 

  • Labaw, W. (1969). Denial inside out: Subjective experiences with anosognosia in closed head injury. Psychiatry, 32, 174–191.

    PubMed  CAS  Google Scholar 

  • LeVere, T. E., Davis, N., & Gonder, L. (1979). Recovery of function after brain damage: Toward understanding the deficit. Physiological Psychology 7, 317–326.

    Google Scholar 

  • Levin, H. S., Benton, A. L., & Grossman, R. G. (1982). Neurobehavioral consequences of closed head injury. New York: Oxford University Press.

    Google Scholar 

  • Levin, H. S., & Grossman, R. G. (1978). Behavioral sequelae of closed head injury. Archives of Neurology 35, 720–727.

    PubMed  CAS  Google Scholar 

  • Levin, H. S., Grossman, R. G., Rose, J. E., & Teasdale, G. (1979). Long-term neuropsychological outcome of closed head injury. Journal of Neurosurgery 50, 412–422.

    Article  PubMed  CAS  Google Scholar 

  • Levinson, S. C. (1983). Pragmatics. Cambridge: Cambridge University Press.

    Google Scholar 

  • Lezak, M. D. (1978). Living with the characterologically altered brain-injured patient. Journal of Clinical Psychiatry 39 (7), 592–598.

    CAS  Google Scholar 

  • Lezak, M. D. (1983). Neuropsychological assessment (2nd ed., pp. 164–203). New York: Oxford University Press.

    Google Scholar 

  • Lishman, W. A. (1968). Brain damage in relation to psychiatric disability after head injury. British Journal of Psychiatry 114, 373–410.

    Article  CAS  Google Scholar 

  • Lishman, W. A. (1973). The psychiatric sequelae of head injury: A review. Psychological Medicine 3, 304–318.

    Article  PubMed  CAS  Google Scholar 

  • Lishman, W. A. (1978). Organic psychiatry. Oxford: Blackwell Scientific Publications.

    Google Scholar 

  • Luria, A. R. (1965). Neuropsychological analysis of focal brain lesions. In B. B. Wolman (Ed.), Handbook of clinical psychology. New York: McGraw-Hill.

    Google Scholar 

  • McKinlay, W. W., Brooks, D. N., Bond, M. R., Martinage, D. P.; & Marshall, M. M. (1981). The short-term outcome of severe blunt head injury as reported by relatives of the injured persons. Journal of Neurology, Neurosurgery, and Psychiatry 44, 527–533.

    Article  PubMed  CAS  Google Scholar 

  • Miller, D., & Adams, H. (1972). Physiopathology and management of increased intracranial pressure. In M. Critchley, J. L. O’Leary, & B. Jennett (Eds.), Scientific foundations of neurology. London: Heineman.

    Google Scholar 

  • Miller, J. D. (1983). Early evaluation and management. In M. Rosenthal, E. Griffith, M. Bond, & J. D. Miller (Eds.), Rehabilitation of the head injured adult (pp. 37–58). Philadelphia: F. A. Davis.

    Google Scholar 

  • Myers, P. S. (1984). Right hemisphere impairment. In A. L. Holland (Ed.), Language disorders in adults. San Diego: College-Hill.

    Google Scholar 

  • Newcombe, F. (1969). Missile wounds of the brain. London: Oxford University Press.

    Google Scholar 

  • Newcombe, F., & Radcliff, G. (1979). Long-term psychological consequences of cerebral lesions. In M. S. Gazzaniga (Ed.), Handbook of behavioral neurobiology (Vol. 2). New York: Plenum Press.

    Google Scholar 

  • Oddy, M. J.; Humphrey, M. E.; & Uttley, D. (1978). Subjective impairment and social recovery after closed head injury. Journal of Neurology, Neurosurgery, and Psychiatry 41, 611–616.

    Article  PubMed  CAS  Google Scholar 

  • Oddy, M., & Humphrey, M. (1980). Social recovery during the year following severe head injury. Journal of Neurology, Neurosurgery, and Psychiatry 43, 798–802.

    Article  PubMed  CAS  Google Scholar 

  • Ommaya, A. K., Grubb, R. L., & Naumann, R. A. (1971). Coup and contre-coup injury: Observations on the mechanics of visible brain injuries in the rhesus monkey. Journal of Neurosurgery 35, 503–516.

    Article  PubMed  CAS  Google Scholar 

  • Overgaard, J., & Tweed, W. A. (1974). Cerebral circulation after head injury. Part 1: Cerebral blood flow and its autoregulation after closed head injury with emphasis on clinical correlations. Journal of Neurosurgery 41, 531–541.

    Article  PubMed  CAS  Google Scholar 

  • Panting, A., & Merry, P. H. (1972). The long-term rehabilitation of severe head injuries with particular reference to need for social and medical support for the patient’s family. Rehabilitation 38, 33–37.

    Google Scholar 

  • Pepping, M., & Epler, E. (1988). Long-term follow-up after neuropsychological rehabilitation for severe brain injury: who benefits, who doesn’t, and why? Presented at the Fourth Annual Houston Conference on Neurotrauma, Houston, Texas, February.

    Google Scholar 

  • Pepping, M., Roueche, J. R., Zeiner, H. K., Dirham, J. D., Meyer, R., Heilbronner, R. L., & Ayers, M. R. (1987). Brain injury service models: Learning from outcome dataPhase II. Presented at the Annual Meeting of the American Congress of Rehabilitation Medicine, Orlando, Florida, October.

    Google Scholar 

  • Prigatano, G. P. (1986a). Higher cerebral deficits: The history of methods of assessment and approaches to rehabilitation: Part I. BNI Quarterly 2 (3), 15–26.

    Google Scholar 

  • Prigatano, G. P. (1986b). Higher cerebral deficits: History of methods of assessment and approaches to rehabilitation: Part II. BNI Quarterly 2 (4), 9–17.

    Google Scholar 

  • Prigatano, G. P. (1986c). Neuropsychological rehabilitation after brain injury, Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Prigatano, G. P., Fordyce, D. J. (1986). Cognitive and psychosocial adjustment after brain injury. In G. P. Prigatano, Neuropsychological rehabilitation after brain injury. Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Rimel, R. W., Giordani, B., Barth, J. T., & Jane, J. A. (1982). Moderate head injury: Completing the clinical spectrum of brain trauma. Neurosurgery 11 (3), 344–350.

    Article  PubMed  CAS  Google Scholar 

  • Rimel, R. W., Giordani, B., Barth, J. T., Boll, T. J., & Jane, J. A. (1981). Disability caused by minor head injury. Neurosurgery 9 (3), 221–228.

    Article  PubMed  CAS  Google Scholar 

  • Rimel, R. W., & Jane, J. A. (1983). Characteristics of the head-injured patient. In M. Rosenthal, E. Griffith, M. Bond, & J. D. Miller (Eds.), Rehabilitation of the head injured adult (pp. 9–21). Philadelphia: F. A. Davis.

    Google Scholar 

  • Rosenbaum, M., & Najenson, T. (1976). Changes in life patterns and symptoms of low mood as reported by wives of severely brain-injured soldiers. Journal of Consulting & Clinical Psychology 44, 881–888.

    Article  CAS  Google Scholar 

  • Rosenthal, M., Griffith, E. R., Bond, M. R., & Miller, J. D. (Eds.), (1983). Rehabilitation of the head injured adult. Philadelphia: F. A. Davis.

    Google Scholar 

  • Ross, E. D., & Mesulam, M. M. (1978). Dominant language functions of the right hemisphere. Archives of Neurology 36, 144–148.

    Google Scholar 

  • Roueche, J. R., & Fordyce, D. J. (1983). Perceptions of deficits following brain injury and their impact on psychosocial adjustment. Cognitive Rehabilitation 1, 4–7.

    Google Scholar 

  • Sarno, M. T. (1984). Verbal impairment after closed head injury. The Journal of Nervous and Mental Disease 172 (8), 475–479.

    Article  PubMed  CAS  Google Scholar 

  • Semmes, J., Weinstein, S., Ghent, L., & Teuber, H.-L. (1960). Somatosensory changes after penetrating brain wounds in man. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Semmes, J., Weinstein, S., Ghent, L., & Teuber, H.-L. (1963). Correlates of impaired orientation in personal and extrapersonal space. Brain 86, 747–772.

    Article  PubMed  CAS  Google Scholar 

  • Smith, E. (1974). Influence of site of impact on cognitive impairment persisting long after severe closed head injury. Journal of Neurology, Neurosurgery, and Psychiatry, 37, 719–726.

    Article  PubMed  CAS  Google Scholar 

  • Teasdale, G., & Mendelow, D. (1984). Pathophysiology of head injuries. In N. Brooks (Ed.), Closed head injury. New York: Oxford University Press.

    Google Scholar 

  • Teuber, H.-L. (1962). Effects of brain wounds implicating right or left hemisphere in man. Discussion. In V. B. Mountcastle (Ed.), Interhemispheric relations and cerebral dominance, Baltimore: John Hopkins Press.

    Google Scholar 

  • Teuber, H.-L. (1964). The riddle of frontal lobe function in man. In J. M. Warren & K. Akert (Eds.), The frontal granular cortex and behavior. New York: McGraw-Hill.

    Google Scholar 

  • Thomsen, I. V. (1974). The patient with severe head injury and his family. Scandinavian Journal of Rehabilitation Medicine 6, 180–183.

    PubMed  CAS  Google Scholar 

  • Walker, A. E. (1972). Long-term evaluation of the social and family adjustment of head injuries. Scandinavian Journal of Rehabilitation Medicine 4, 5.

    PubMed  CAS  Google Scholar 

  • Walker, A. E., & Jablon, S. A. (1961). A follow-up study of head wounds in World War II. Washington, D.C.: Veterans Administration Medical Monograph.

    Google Scholar 

  • Weddell, R., Oddy, M., & Jenkins, D. (1980). Social adjustment after rehabilitation: A two-year follow-up of patients with severe head injury. Psychological Medicine 10, 257–263.

    Article  PubMed  CAS  Google Scholar 

  • Wertz, R. T. (1985). Neuropathologies of speech and language: An introduction to patient management. In D. F. Johns (Ed.), Clinical management of neurogenic communicative disorders (pp. 1–96). Boston: Little, Brown.

    Google Scholar 

  • Wienecke, R. (1980). (Personal communication)

    Google Scholar 

  • Wienecke, R. (1986) (Personal communication)

    Google Scholar 

  • Zimmerman, R. A., Bilaniuk, L. T., Bruce, D., Dolinskas, C., Obirst, W., & Kuhl, D. (1978). Computed tomography of pediatric head trauma: Acute general cerebral swelling. Radiology 126, 403.

    PubMed  CAS  Google Scholar 

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Pepping, M., Roueche, J.R. (1991). Psychosocial Consequences of Significant Brain Injury. In: Tupper, D.E., Cicerone, K.D. (eds) The Neuropsychology of Everyday Life: Issues in Development and Rehabilitation. Foundations of Neuropsychology, vol 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1511-7_9

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  • DOI: https://doi.org/10.1007/978-1-4613-1511-7_9

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