Advertisement

Treatment of Visual Imperception and Related Disorders

  • Wm. Drew Gouvier
  • Mark S. Warner

Abstract

Spontaneous recovery of behavioral deficits following cerebrovascular accidents (CVA’s) continues over a period of months and years (Hier, Mondlock, & Kaplan, 1983; Skilbeck, Wade, Hewer, & Wood, 1983) but many patients never regain sufficient adaptive skills to resume employment, or even enough independence to allow their caregivers to return to work. In many cases deficits in problem solving, social skills, memory, and visuo-perceptual processing abilities impose greater limits on occupational and interpersonal efficiency than physical limitations such as motor or speech deficits (Lewinshohn & Graf, 1973). Many of the factors limiting recovery have been recognized only in recent years, but there is a growing body of research on the remediation of these deficits (Blanton & Gouvier, 1986a, Diller & Gordon, 1981; Diller & Weinberg, 1977; Gianutsos & Matheson, 1986; Gouvier, Webster, & Blanton, 1986). This chapter will review recent studies in the area of visuoperceptual assessment and remediation strategies used to reduce morbidity among individuals afflicted with right hemisphere brain damage.

Keywords

Brain Damage Cognitive Rehabilitation Cortical Blindness Clinical Neuropsychology Brain Damage Patient 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bender, M. B., Fink, M., & Green, M. (1951). Patterns in perception simultaneous tests of face and hand. Archives of Neurology and Psychiatry, 66 ,355–362.PubMedGoogle Scholar
  2. Ben-Yishay, Y., Diller, L., Gerstmann, L., & Gordon, W. (1970). Relationship between initial competence and ability to profit from cues in brain damaged individuals. Journal of Abnormal Psychology, 75, 248–259.PubMedCrossRefGoogle Scholar
  3. Birch, H., Belmont, I., & Karp, E. (1967). Delayed information processing and extinction following cerebral damage. Brain, 90 ,113–124.PubMedCrossRefGoogle Scholar
  4. Blanton, P. D., & Gouvier, W. D. (1986a) Cognitive retraining therapies with neurologically impaired patients. The Behavioral Therapist, 3, 47-50.Google Scholar
  5. Blanton, P. D., & Gouvier, W. D. (1986b). Sex differences in visual information processing in nonneglecting right brain damaged subjects. Manuscript under editorial review, Louisiana State University and University of Alabama at Birmingham.Google Scholar
  6. Bolger, J. (1981). Cognitive retraining: A developmental approach. Clinical Neuropsychology, 4 ,66–70.Google Scholar
  7. Bracy, O. (1982). Cognitive rehabilitation programs for brain injured and stroke patients. Indianapolis: Psychological Software Services, Inc.Google Scholar
  8. Bracy, O. (1983). Computer based cognitive rehabilitation. Cognitive Rehabilitation, 1, 7–8.Google Scholar
  9. Castro-Caldas, A., & Salgado, V. (1984). Right hemifield alexia without hemianopsia. Archives of Neurology, 41 ,84–87.PubMedGoogle Scholar
  10. Colombo, A., DeRenzi, E., & Gentilini, M. (1982). The time course of visual hemi-inattention. Archives of Psychiatry and Neurological Sciences, 231 ,539–546.PubMedCrossRefGoogle Scholar
  11. Craine, J., & Gudeman, H. (1981). The rehabilitation of brain functions: Principles, procedures and techniques of neurotraining. Springfield, Illinois: Charles C. Thomas.Google Scholar
  12. Diller, L., Ben-Yishay, Y., Gerstman, G., Goodkin, R., Gordon, W., & Weinberg, J. (1974). Studies in cognition and hemiplegia. New York: New York University Medical Center, Institute of Rehabilitation Medicine.Google Scholar
  13. Diller, L., & Gordon, W. (1981). Interventions for cognitive deficits in brain-injured adults. Journal of Consulting and Clinical Psychology, 49 ,822–834.PubMedCrossRefGoogle Scholar
  14. Diller, L., & Weinberg, J. (1977). Hemi-inattention in rehabilitation: The evolution of a rational remediation program. Advances in Neurology, 18 ,63–82.PubMedGoogle Scholar
  15. Drymalski, W. (1981). Cortical blindness. Comprehensive Therapy ,7, 13–18.PubMedGoogle Scholar
  16. Gianutsos, R., Cochran, E., & Blovin, M. (1984). Computer programs for cognitive rehabilitation, Vol. III. Bayport, New York: Life Sciences Associates.Google Scholar
  17. Gianutsos, R., Glosser, D., Elbaum, J., & Vroman, G. (1983). Visual perception in brain-injured adults: Multifaceted measures. Archives of Physical Medicine and Rehabilitation, 64 ,456–461.PubMedGoogle Scholar
  18. Gianutsos, R., & Klitzner, C. (1981). Computer programs for cognitive rehabilitation. Bayport New York: Life Sciences Associates.Google Scholar
  19. Gianutsos, R., & Matheson, P. (1986). The rehabilitation of visual perceptual disorders attributable to head injury. In M. J. Meier, L. Diller, & A. R. Benton (Eds.), Neuropsychological rehabilitation, London: Churchill Livingstone.Google Scholar
  20. Goldman, H. (1966). Improvement of double simultaneous stimulation perception in hemiplegic patients. Archives of Physical Medicine and Rehabilitation, 47 ,681 -687.PubMedGoogle Scholar
  21. Gordon, W. A., Hibbard, M. R., Egelko, S., Diller, L., Shaver, M. S., Lieberman, A., & Ragnarsson, K. (1985). Perceptual remediation in patients with right brain damage: A comprehensive program.Archives of Physical Medicine and Rehabilitation, 66 ,353–359.PubMedGoogle Scholar
  22. Gouvier, W. D., Bua, B. G., Blanton, P. D., & Urey, J. R. (in press). Behavioral changes following visual scanning training: Observations of five cases. International Journal of Clinical Neuropsychology.Google Scholar
  23. Gouvier, W. D., Cottam, G., Webster, J. S., Beissel, G. F., & Woffard, J. D. (1984). Behavioral interventions with stroke patients for improving wheelchair navigation. International Journal of Clinical Neuropsychology, 4 ,186–190.Google Scholar
  24. Gouvier, W. D., Bua, B. G., & Blanton, P. D. (1986). Cognitive retraining with brain damaged patients. In D. Wedding, A. Horton, & J. Webster (Eds), The neuropsychology handbook: Clinical and behavioral perspectives ,New York: Springer-Verlag.Google Scholar
  25. Gouvier, W. D., Webster, J. S., & Warner, M. S. (1986). Treatment of acquired visuoperceptual and hemiinattentional disorders. Annals of Behavioral Medicine, 8 ,15–20.CrossRefGoogle Scholar
  26. Heilman, K., Watson, R., & Valenstein, E. (1985). Neglect and related disorders. In K. Heilman & E. Valenstein (Eds.), Clinical Neuropsychology (2nd ed.). New York: Oxford, 243–293.Google Scholar
  27. Hier, D. B., Mondlock, J., & Caplan, L. R. (1983). Recovery of behavioral abnormalities after right hemisphere stroke. Neurology, 33 ,345–350.PubMedGoogle Scholar
  28. Johnston, C. W., Sablow, D., & Johnson, M. (1986). Perceptual cognitive retraining in commissurotomyinduced hemialexia. Minneapolis MN, manuscript under editorial review.Google Scholar
  29. Jones, R., Giddens, H., & Groft, D. (1983). Assessment and training of brain damaged drivers. American Journal of Occupational Therapy, 37, 754–760.PubMedGoogle Scholar
  30. 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
  31. Lawson, I. R. (1962). Visual-spatial neglect in legions of the right cerebral hemisphere. Neurology, 12 ,23–33.PubMedGoogle Scholar
  32. Lewinsohn, P., & Graf, M. (1973). A followup study of persons referred for vocational rehabilitation who have suffered brain injury. Journal of Community Psychology ,1, 57–62.CrossRefGoogle Scholar
  33. Long, C. J., Gouvier, W. D., & Cole, J. C. (1984). A model of recovery for the total rehabilitation of individuals with head trauma. Journal of Rehabilitation, 50 ,39–45.PubMedGoogle Scholar
  34. Luria, A. R. (1963). Restoration of function after brain injury. Oxford: Pergamon.Google Scholar
  35. Luria, A. R. (1966). Higher cortical functions in man. New York: Basic Books Inc.Google Scholar
  36. Luria, A. R., & Tsvetkova, L. S. (1964). The reeducation of brain damaged patients and its psychoeducational applications. In J. Helmuth (Ed.), Readings in special education. New York: Grune & Stratton.Google Scholar
  37. Meerwaldt, J. D. (1983). Spatial disorientation in right handed infarction: A study of the speed of recovery. Journal of Neurology, Neurosurgery, & Psychiatry, 46 ,426–429.CrossRefGoogle Scholar
  38. Merrill, M. K., & Kewman, D. G. (In press). Training of color and form identification in cortical blindness: A case study. Archives of Physical Medicine and Rehabilitation.Google Scholar
  39. Reitan, R., & Davison, L. (1974). Clinical neuropsychology: Current status and applications. New York: Wiley.Google Scholar
  40. Riddoch, M. J., & Humphreys, G. W. (1983). The effect of cuing on unilateral neglect. Neuropsychologia, 21 ,589–599.PubMedCrossRefGoogle Scholar
  41. Savir, H., Michelson, I., David, C., Mendelson, L., & Najenson, T. (1977). Homonymous hemianopsia and rehabilitation in fifteen cases of CCI. Scandinavian Journal of Rehabilitation Medicine, 9 ,151–153.PubMedGoogle Scholar
  42. Sbordone, R. J. (1983). Computer programs for neuropsychological testing and cognitive rehabilitation. Fountain Valley, CA: RJ Sbordone, PhD, Inc.Google Scholar
  43. Shubert, R., & Irwin, E. (1985). Louisiana Tech’s tracking simulator. Engineering Tech Brief, NIHR Grant #G0083C0097, Ruston, Louisiana: Rehabilitation Engineering Center, Louisiana Tech University.Google Scholar
  44. Sivak, M., Hill, C. S., Henson, D. L., Butler, B. P., Silber, S. M., & Olson, P. L. (1984). Improved driving performance following perceptual training in persons with brain damage. Archives of Physical Medicine and Rehabilitation, 65 ,163–167.PubMedGoogle Scholar
  45. Sivak, M., Olson, P. L., Kewman, D. G., Won, H., Henson, D. L. (1981). Driving and perceptual/ cognitive skills: Behavioral consequences of brain damage. Archives of Physical Medicine and Rehabilitation, 62 ,476–483.PubMedGoogle Scholar
  46. Skilbeck, C. E., Wade, D. T., Hewer, R. L., & Wood, V. A. (1983). Recovery after stroke. Journal of Neurology, Neurosurgery, & Psychiatry, 46 ,5–8.CrossRefGoogle Scholar
  47. Stanton, K. M., Pepping, M., Brockway, J. A., Bliss, L., Frankel, D., & Waggener, S. (1983). Wheelchair transfer training for right cerebral dysfunctions: An interdisciplinary approach. Archives of Physical Medicine and Rehabilitation, 64, 276–279.PubMedGoogle Scholar
  48. Taylor, M. M., Schaeffer, N. J., Blumental, F. S., & Grissell, J. L. (1971). Perceptual Gaining in patients with left hemiplegia. Archives of Physical Medicine and Rehabilitation, 52, 163–169.PubMedGoogle Scholar
  49. Timmermans, S., Bouman, J., & Reed, P. (1986). The role of assessment and driving outcome for head injured individuals. Paper presented at the National Head Injury Foundation conference, November, Chicago, Illinois.Google Scholar
  50. Torkelson, R. M., Jellinek, H. M., Malec, J. F., & Harvey, R. F. (1983). Traumatic brain injury: Psychological and medical factors related to rehabilitation outcome. Rehabilitation Psychology , 28, 169–174.CrossRefGoogle Scholar
  51. Trobe, J. D., Acosta, P. C., Krischer, J. P., & Trick, G. L. (1981). Confrontation visual field techniques in the detection of anterior visual pathway lesions. Annals of Neurology, 10 ,28–34.PubMedCrossRefGoogle Scholar
  52. Webster, J. S., Jones, S., Blanton, P. D., Gross, R., Beissel, G. F., & Woffard, J. D. (1984). Visual scanning training with stroke patients. Behavior Therapy, 15 ,129–143.CrossRefGoogle Scholar
  53. Weinberg, J., Diller, L., Gordon, W. A., Gerstman, L. J., Lieverman, A., Lakin, P., Hodges, G., & Ezrachi, 0. (1977). Visual scanning training effect on reading related tasks in acquired right brain damage. Archives of Physical Medicine and Rehabilitation, 58 ,479–496.PubMedGoogle Scholar
  54. Weinberg, J., Diller, L., Gordon, W. A., Gerstmann, L. J., Lieberman, A., Lakin, P., Hodges, G., & Ezrachi, 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
  55. Weinberg, J., Piasetsky, E., Diller, L., & Gordon, W. (1982). Treating perceptual organization deficits in non-neglecting RBD stroke patients. Journal of Clinical Neuropsychology, 4, 59–75.PubMedCrossRefGoogle Scholar
  56. Young, G., Collins, D., & Hren, M. (1983). Effect of pairing scanning training with block design training in the remediation of perceptual problems in left hemiplegics. Journal of Clinical Neuropsychology, 5, 201–212.PubMedCrossRefGoogle Scholar
  57. Zihl, J. (1980). “Blindsight”: Improvement of visually guided eye movements by systematic practice in patients with cerebral blindness. Neuropsychologia, 18,11–11.CrossRefGoogle Scholar
  58. Zihl, J., & VonCramon, D. (1979). Restitution of visual functions in patients with cerebral blindness. Journal of Neurology, Neurosurgery, & Psychiatry, 42 ,312–322.CrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1987

Authors and Affiliations

  • Wm. Drew Gouvier
  • Mark S. Warner

There are no affiliations available

Personalised recommendations