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William Winslade presents facts about traumatic brain injury; information about its financial and emotional costs to individuals, families, and society; and key ethical and policy issues. He illustrates each aspect with dramatic case studies, including his own childhood brain injury. He explains how the brain works and how severe injuries affect it, both immediately and over the long term, pointing out how resources are often squandered on patients with poor prognoses but adequate insurance, while underinsured patients with better prognoses often do not receive the best care. He describes the lack of regulation in the rehabilitation industry and what federal and state legislatures are doing to correct the situation. And he recommends policy changes for lowering the instances of traumatic brain injury (such as raising the minimum driving age) as well as practical steps that individuals can take to protect themselves from brain trauma. William J. Winslade is James Wade Rockwell Professor of Philosophy in Medicine at the Institute for the Medical Humanities, professor of preventive medicine and community health, and professor of psychiatry and behavioral sciences at the University of Texas Medical Branch at Galveston. He is also Distinguished Visiting Professor of Law at the University of Houston Health Law and Policy Institute.
This thoroughly revised and updated work covers numerous advances in traumatic brain injury diagnosis, evaluation, treatment, and pathophysiology. Since publication of the first edition in 2012, there has been greatly increased public awareness of the clinical consequences of even the mildest of head injuries, and the result has been a concerted effort of countries around the world to increase research funding. This second edition continues to focus on mild traumatic brain injury--or concussion--and contains updates to all the original chapters as well as adding new chapters addressing clinical sequelae, including pediatric concussion, visual changes, chronic traumatic encephalopathy, and blast-associated TBI. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, is a comprehensive resource designed for neurologists, primary care clinicians, sports physicians, and other medical providers, including psychologists and neuropsychologists, as well as athletic trainers who may evaluate and care for individuals who have sustained a TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies, and an updated appendix of ICD codes is included. An outstanding contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, again offers an invaluable resource for all providers who treat patients with TBI.
"This work uses public health laws as a tool to counter efforts to mask the health hazards that come with playing tackle football"--
Christian and Faith-based Counseling for Brain Injury is the first book of its kind to offer faith-based therapy to address the emotional, cognitive, and mental health needs of individuals who have suffered a traumatic brain injury (TBI). A highly researched piece of work, the book puts forth an innovative and effective method for not only addressing the challenges of a life-changing injury but also for creating a sense of purpose. Through the nuances of faith-based counselling, this book focuses on the spiritual and existential aspects of understanding the diagnosis and creating a purpose post-injury. It examines how brain injury can affect an individual by exploring the deficits of brain injury, the impact of brain injury, and the challenges specific to damage to certain brain lobes. It also describes the mental health issues, such as depression, anxiety, grief, anger, and posttraumatic stress, that can affect both the survivor and their family members. Offering targeted counseling techniques and adaptive strategies, it shows how faith-based counselors can effectively treat brain injury. This book is valuable reading for all individuals invested in providing support to the TBI community. It is aimed at counselors, lay counselors, healthcare professionals, social workers, psychotherapists, seminary students, and upper-level graduate students. It will further be of use to for clinicians working in the outpatient level of care and private practice settings.
Recovering from the "invisible disability"
This empirically based book provides conceptual knowledge and practical advice to enable clinicians to implement evidence-based methods drawn from learning theory for managing the catastrophic effects of challenging behaviour as an enduring outcome of acquired brain injury (ABI). Based on a conceptual framework of neurobehavioural disability, the book takes a holistic case formulation approach, incorporating functional assessment procedures arising from the operant learning tradition that underpins the design of treatment interventions. It bridges the knowledge gap in uniquely providing a single resource to enable practitioners to implement evidence-based methods to better manage ABI behaviour disorders. The authors, who are leading experts in the field, have described a model of intervention based on a functional analytic approach to understanding behaviour within an operant learning framework. The chapters provide a step-by-step approach to assessment, formulation, intervention and evaluation of behaviour support plans, and feature examples for specific challenging behaviours in a variety of different contexts. The book is organised to support the use of this model through expert contributions concerning the origins of challenging behaviour, assessment methods and formulation, and interventions. The practical orientation of this book makes it an indispensable read for neuropsychologists, clinical psychologists and other rehabilitation specialists involved in the care of people with ABI as well as researchers in these fields.
Whether caused by illness, accident, or incident, brain injury requires multi-tiered resources for the patient and considerable external care and support. When recovery is sidelined by depression, anger, grief, or turmoil, family members and the support network have critical roles to play and need their own guidance and compassionate therapeutic interventions. Psychotherapy for Families after Brain Injury offers theoretical frameworks and eclectic techniques for working effectively with adult patients and their families at the initial, active and post-treatment phases of rehabilitation. This practical reference clarifies roles and relationships of the support network in interfacing with the loved one and addresses the understandably devastating and sometimes derailing emotions and psychosocial adversities. The content promotes psychoeducation and guided exercises, delineates “helpful hints” and coping tools and proffers multimedia resources to overcome hurdles. Constructs of awareness, acceptance and realism for all parties are woven throughout, along with ideas to enhance the support network’s commitment, adjustment, positivity, hope and longevity. Case excerpts, instructive quotes from caregivers and nuggets of clinical advice assist in analyzing these and other topics in salient detail: The impact of brain injury on different family members. Treatment themes in early family sessions. Family therapy for moderate to severe brain injury, concussion and postconcussion syndrome. Family therapy after organic brain injury: stroke, anoxia, tumor, seizure disorders. Family group treatment during active rehabilitation. End-of-life and existential considerations and positive aspects of care giving. Aftercare group therapy for long-term needs. The hands-on approach demonstrated in Psychotherapy for Families after Brain Injury will enhance the demanding work of a range of professionals, including neuropsychologists, clinical psychologists, rehabilitation psychologists, family therapists, marriage and family counselors, psychiatrists, behavioral/mental health counselors, clinical social workers, rehabilitation specialists such as speech-language pathologists, physical and occupational therapists, and graduate students in the helping professions.
With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.