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Cognitive Rehabilitation pp 131–151Cite as

Language-Cognitive Disorganization Following Closed Head Injury: A Conceptualization

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Abstract

Closed head injury (CHI), defined here as a blow to the head which may or may not produce a skull fracture, does not cause tearing of the dura but does alter the individual’s level of consciousness, frequently causes profound language and cognitive impairments that present the Speech-Language Pathologist with a diagnostic, prognostic and treatment challenge that is at once unique and complex. If the traditional language assessment instruments are applied one will obtain a diagnosis, prognosis and embark on a course of treatment only to find that all three aspects of patient management are inapropriate later that day, the following day or week. However, if one waits until the patient “stabilizes” they will find that not only have two to three months of valuable treatment time been lost but also that they are now confronted with a patient who has developed coping strategies that interfere with the effectiveness of treatment. Clearly, such patients cannot be successfully understood, diagnosed and treated within the framework of our traditional approach to language disorders.

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Author information

Authors and Affiliations

  1. Speech, Hearing and Neurosensory Center, San Diego, California, USA

    Chris Hagen Ph.D.

Authors
  1. Chris Hagen Ph.D.
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Editor information

Editors and Affiliations

  1. Neuropsychology Service Medical Psychology Department, Community Hospital of Indianapolis, Inc., 1500 North Ritter Avenue, Indianapolis, Indiana, USA

    Lance E. Trexler Ph.D. (Coordinator) (Coordinator)

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© 1982 Plenum Press, New York

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Hagen, C. (1982). Language-Cognitive Disorganization Following Closed Head Injury: A Conceptualization. In: Trexler, L.E. (eds) Cognitive Rehabilitation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4250-2_8

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  • DOI: https://doi.org/10.1007/978-1-4684-4250-2_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-4252-6

  • Online ISBN: 978-1-4684-4250-2

  • eBook Packages: Springer Book Archive

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