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Persisting neurobehavioural disability follows many forms of serious brain injury and acts as a major constraint on social independence. Rehabilitation services are often not organised in a way which addresses the needs of people with such disability, and relatively few professionals have experience in the clinical management of complex disability patterns which comprise the neurobehavioural syndrome. This book is a compilation of chapters, written by a group of clinicians with experience of post acute brain injury rehabilitation to ameliorate the social handicap experienced by a growing number of people who survive serious brain injury. The aim of the book is to describe the nature of neurobehavioural disability, how it translates into social handicap, and what can be done to address the problems generated by such handicap, through social and behavioural rehabilitation, vocational training, and family education. Consideration is also given to evaluating post-acute rehabilitation methods and selecting the most appropriate form of rehabilitation, both in terms of clinical and cost effectiveness. The book is aimed at clinical psychologists, psychiatrists and neurologists working in brain injury rehabilitation, plus all the rehabilitation disciplines, and social workers. The book will also be of interest to relatives of brain injured people who are seeking a better knowledge base in order to understand neurobehavioural disability. Additionally, the book should be helpful to the growing number of therapy care assistants, case managers, and support workers, responsible for the day to day care of brain injured people in the community.
Neurobehavioural disability (NBD) follows many forms of serious brain injury and is a major constraint on social independence. This book brings together a group of leading academics and practising clinicians to provide an overview of the nature of NBD, considering how it translates into social handicap, and what can be done to address associated problems, through social and behavioural rehabilitation, vocational training and family education. This fully revised edition takes into account advances in the field, exploring the range of cognitive, emotional, and behavioural effects of brain damage most commonly associated with damage to the frontal and associated structures of the brain that govern social behaviour. This edition also features increased emphasis on psychological interventions, as well as new chapters on brain imaging, pharmacotherapy and assistive technology for disability. Neurobehavioural Disability and Social Handicap Following Traumatic Brain Injury is essential reading for clinical psychologists, psychiatrists and neurologists working in brain injury rehabilitation. The book will also be of interest to relatives of those with brain injury seeking better knowledge to understand neurobehavioural disability, as well as the growing number of therapy care assistants, case managers, support workers, and social workers responsible for the day to day care of brain injured people in the community.
New from Oxford Textbooks in Psychiatry, the Oxford Textbook of Neuropsychiatry bridges the gap between general psychiatric textbooks and reference texts in neuropsychiatry. Divided into four sections, it covers core knowledge and skills for practice in all psychiatric disciplines, with key information for training in neuropsychiatry.
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.
This book brings together theoretical and clinical aspects of Neuropsychological Rehabilitation. Following an introductory chapter and a brief history of Neuropsychological Rehabilitation, there are chapters on specific cognitive deficits (attention, executive deficits, memory, and language). The next section addresses rehabilitation of emotional, social and behavioural disorders. Then comes a section on specific groups of people (children, people with dementia and people in reduced states of awareness. Although the main focus of the book is on adults with non-progressive brain injury, these other groups are included as NR is being increasingly employed with them. The book concludes with a chapter on systems of service delivery and another on the future of NR. Thus this book covers a number of aspects of NR and is broader in outlook than most existing books in this area. It presents current practice techniques in cognitive rehabilitation from a conceptual and theoretical perspective. It offers both clinicians and researchers a sense of the research and theory underlying current clinical applications. The main audience will be clinical neuropsychologists especially those working in rehabilitation. Other audiences include clinical psychologists working with people who have mental health problems, schizophrenia or are elderly; occupational therapists; speech and language therapists and rehabilitation doctors. It is likely that some social workers, nurses psychiatrists and neurologists will also want to read the book.
These evidence-based guidelines cover clinical care and service provision for the management of adults with aquired brain injury.
While there are many excellent texts addressing cognitive impairment and behavioural difficulties and on rehabilitation associated with traumatic brain injury, few textbooks specifically address the most common emotional problems that can have such an adverse effect on rehabilitation and outcome. Uniquely this book deals exclusively with the identification and psychotherapeutic management of mood and anxiety disorders after traumatic brain injury. Furthermore, a systematic approach to identifying and diagnosing anxiety and mood disorders is followed throughout the text. As well as providing an introduction to anxiety and mood disorders after traumatic brain injury, it provides a psychological perspective on their evolution and management. It is aimed at a range of professionals in training (or those responsible for providing training in psychopathology, neuropsychology and psychotherapy), as well as those who may have an interest in working with the type of patients with anxiety or depression, commonly seen in post-acute brain injury rehabilitation settings. Case studies, summaries and suggested references for further reading are used throughout to facilitate understanding and teaching where relevant.
The psychological effects of traumatic brain injury (TBI) provide a major challenge to rehabilitation services. This text will increase understanding of the nature of these effects and provide practical guidance from experienced practitioners about psychological interventions for use in both rehabilitation and long-term adjustment. Provides practical guidance and illustrative case examples from experienced practitioners. Structured around five main areas: overview of psychological effects and services; cognitive rehabilitation; managing emotional and behavioural problems; vocational rehabilitation; and family impact and interventions.
This outstanding new handbook offers unique coverage of all aspects of neuropsychological rehabilitation. Compiled by the world’s leading clinician-researchers, and written by an exceptional team of international contributors, the book is vast in scope, including chapters on the many and varied components of neuropsychological rehabilitation across the life span within one volume. Divided into sections, the first part looks at general issues in neuropsychological rehabilitation including theories and models, assessment and goal setting. The book goes on to examine the different populations referred for neuropsychological rehabilitation and then focuses on the rehabilitation of first cognitive and then psychosocial disorders. New and emerging approaches such as brain training and social robotics are also considered, alongside an extensive section on rehabilitation around the world, particularly in under-resourced settings. The final section offers some general conclusions and an evaluation of the key issues in this important field. This is a landmark publication for neuropsychological rehabilitation. It is the standalone reference text for the field as well as essential reading for all researchers, students and practitioners in clinical neuropsychology, clinical psychology, occupational therapy, and speech and language therapy. It will also be of great value to those in related professions such as neurologists, rehabilitation physicians, rehabilitation psychologists and medics.
There has been significant progress in the field of neurorehabilitation over the past twenty years, particularly in the assessment and management of cognitive impairment. More recently, the stakeholders in neurorehabilitation - clinicians, researchers, purchasers of services and clients - have become aware of the need to develop systems and services for managing the wide ranging psycho-social sequelae of acquired brain injury (ABI). Mood, behavioural and neuropsychiatric conditions have been found to be highly prevalent. Such disorders, at clinical or sub-clinical levels, are disturbing for clients themselves, and for their families, and present a challenge for enabling survivors to regain social roles. Many individuals also experience difficulties in related areas, such as pain management, drug and alcohol misuse, and in maintaining relationships. Given the wide-ranging psychological, psychiatric, health and social sequelae of ABI, rehabilitation services are often responding to people whose needs are complex and for which the evidence base for practice may be limited. In this Special Issue of Neuropsychological Rehabilitation, leading international experts provide reviews of current thinking on mood, behaviour and neuropsychiatric conditions, along with issues of drug and alcohol use, pain, sexuality and relationships after brain injury. Assessment and management issues are addressed, along with implications for service delivery in developed and in developing world contexts. This Special Issue will be invaluable to a wide range of neurorehabilitation professionals including clinical psychologists, neuropsychologists, speech and language therapists, occupational therapists, neurologists, neuropsychiatrists, clinical nurse specialists, physiotherapists, and case managers. The volume will also be of benefit to those planning or purchasing brain injury rehabilitation services.