Training the Brain-Injured Client in Behavioral Self-Management Skills
Treatments based on clinical experience are often developed initially from theoretical assumptions exemplifying the state of the art in related scientific fields. In an area where clinical treatment of behavioral disorders following brain injury may occur without reference to the incompletely understood complex of relationships among behavioral/affective, neurological, and neuropsychological processes involved, a clear statement of assumptions on which behavioral treatments of the brain-injured are based is important. A behavior therapist, for instance, may recommend treatment for a brain-injured client based on the assumption that deviant behavior is learned and can be unlearned, but may fail to assess the effects of brain injury on the client’s learning abilities. A psychiatrist may recommend psychopharmacotherapy indicated by the presence of psychoticlike symptoms while failing to appreciate the way in which brain injury may have altered the neurochemical substrate on which therapeutic chemicals are layered. A rehabilitation counselor may fail to recognize a brain-injured client’s inability to perceive body schema and to function accurately and may thus incorrectly assume that, as for a spinal cord-injured person or an amputee, the brain-injured patient’s emotional lability is in reaction to perceived loss of physical abilities.
KeywordsBehavioral Disturbance Cognitive Disability Closed Head Injury Behavioral Rule Verbal Mediation
Unable to display preview. Download preview PDF.
- Bandura, A. Principles of behavior modification. New York: Holt, 1969.Google Scholar
- Beck, A. T., Rush, A. J., Shaw, B. G., & Emery, G. Cognitive therapy of depression. New York: Guilford Press, 1979.Google Scholar
- Benton, A. L. Behavioral consequences of closed head injury. In Guy L. Odom (Ed.), Central Nervous System Trauma Research Status Report 1979. Washington, D.C.: National Institute of Neurological and Communicative Disorders and Stroke, 1979.Google Scholar
- Ellis, A. Humanistic psychotherapy: The rational-emotive approach. New York: Julian Press, 1973.Google Scholar
- Lewinsohn, P. M., Biglan, A., & Zeiss, A. M. Behavioral treatment of depression. In P. O. Davidson (Ed.), The behavioral management of anxiety, depression and pain. New York: Brunner/Mazel, 1976.Google Scholar
- Levin, H. S., O’Donnell, V. M., & Grossman, R. G. The Galveston Orientation and Amnesia Test: A practical scale to assess cognition after head injury. The Journal of Nervous and Mental Disease, 1979, 675–684.Google Scholar
- Lezak, M. D. Neuropsychological assessment. New York: Oxford University Press, 1976.Google Scholar
- Luria, A. R. The working brain. New York: Basic Books, 1973.Google Scholar
- Reitan, R. M., & Davison, L. A. Clinical neuropsychology: Current status and applications. Washington, D.C.: Winston, 1974.Google Scholar
- Trieschmann, R. B. Spinal cord injuries: Psychological social, and vocational adjustment. New York: Pergamon Press, 1980.Google Scholar
- Varney, N. Assessment and classification of language comprehension deficits in aphasia. Presented at Midwest Neuropsychology Group, May 1980.Google Scholar