Neuropsychological Rehabilitation: Theory, Models, Therapy and Outcome

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The aim of neuropsychological rehabilitation is to enable people with cognitive, emotional, or behavioural deficits to achieve their maximum potential in the domains of psychological, social, leisure, vocational or everyday functioning. Describing the holistic programme devised and adopted at the world famous Oliver Zangwill Centre and embracing a broad theoretical base, incorporating a variety of frameworks, theories and models, this book proposes an integrated approach to brain injury rehabilitation by an interdisciplinary team. The coverage explains the underlying principles involved, describes the group therapies employed, highlights a selection of real case examples and reviews the outcomes measured and achieved. This book is essential reading for clinical neuropsychologists, clinical psychologists, speech and language therapists, occupational therapists, psychiatrists, neurologists, physiotherapists, social workers and nurses.

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Editorial Reviews

From the Publisher
"Overall, this is a helpful book for practical rehabilitation techniques and structuring programs. Readers already working in this field will relate to the case examples and glean important strategies from them."
--Doody's Review Service
Doody's Review Service
Reviewer: Christopher J Graver, PhD, ABPP-CN(Madigan Healthcare System)
Description: Neuropsychological rehabilitation, once heralded as the gold-standard treatment for brain injury, has recently come under greater scrutiny due to the weakness in empirical evidence for its benefits. Several large meta-analyses have been conducted in the last decade, testifying to the growing body of scientific literature. This book helps to consolidate that information.
Purpose: The main purpose is to summarize the scientific literature on neuropsychological rehabilitation, but the book does so without losing sight of the clinical and practical aspects of an integrated program. It also includes patient outcomes, which are often neglected in this field.
Audience: This will be of interest primarily to neuropsychologists, but also will intrigue paraprofessionals involved in rehabilitation, such as speech and occupational therapists. It is written at an appropriate level for graduate students through professionals. The editors are well respected in the neuropsychological rehabilitation arena, but contributing authors are selected from a very narrow pool, most from the same rehabilitation facility.
Features: An introduction to rehabilitation begins the book before it tackles the topic of research design and methodology. Designs ranging from randomized clinical trials to ecologically valid case studies are reviewed. Outcomes and cost-effectiveness are also detailed, which is a critical component of research. There is a fair review of the current literature in this regard. What follows is a history and description of the rehabilitation facility where most of the editors and authors work. The relevance of this inclusion is dubious. Fortunately, subsequent chapters get back on track with specific outlines of rehabilitation programs for attention and memory, which include specific suggestions and sample materials. Consideration of mood management is also included. Some helpful case examples allow readers to see how the assessment results informed specific interventions. Later in the book, more diverse interventions are addressed, including communication skills, groups, and family involvement. More in-depth case examples are presented at the end of the book for a variety of different problems from aphasia to stroke to traumatic brain injury. Lamentably, the final chapter returns to the editors' facility and does not provide much in the way of methodologically strong quantitative outcome studies, but rather mentions some qualitative studies and subjective impressions.
Assessment: Overall, this is a helpful book for practical rehabilitation techniques and structuring programs. Readers already working in this field will relate to the case examples and glean important strategies from them. Convincing empirical support for the benefits of rehabilitation and outcomes continues to be sparse and is not bolstered by this book.
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Product Details

  • ISBN-13: 9780521841498
  • Publisher: Cambridge University Press
  • Publication date: 6/11/2009
  • Edition description: New Edition
  • Pages: 380
  • Product dimensions: 6.10 (w) x 9.30 (h) x 0.90 (d)

Meet the Author

Barbara A. Wilson is Founder of the The Oliver Zangwill Centre, Princess of Wales Hospital, Ely, Cambridgeshire. She is also a senior scientist (visitor status) at the Medical Research Council's Cognition and Brain Sciences Unit, Cambridge and visiting Professor of Rehabilitation Studies at the University of Southampton, UK.

Fergus Gracey is Lead Clinical Psychologist at The Oliver Zangwill Centre, Princess of Wales Hospital, Ely, Cambridgeshire, and Honorary Clinical Associate at The MRC Cognition and Brain Sciences Unit, Cambridge, UK.

Jonathan J. Evans is Professor of Applied Neuropsychology at the Section of Psychological Medicine, University of Glasgow, UK. He is also Honorary Consultant Clinical Psychologist at NHS Greater Glasgow and Clyde, and was the first Clinical Director of the Oliver Zangwill Centre.

Andrew Bateman is Clinical Manager and Director of Research at The Oliver Zangwill Centre, Princess of Wales Hospital, Ely, Cambridgeshire, and Honorary Clinical Associate at The MRC Cognition and Brain Sciences Unit, Cambridge, UK.

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Table of Contents

Contents; Preface; Foreword Keith Cicerone; Part I. Background and Theory: 1. Towards a comprehensive model of neuropsychological rehabilitation Barbara A. Wilson and Fergus Gracey; 2. Evidence for the effectiveness of neuropsychological rehabilitation Barbara A. Wilson; 3. Goal setting as a way of planning and evaluating neuropsychological rehabilitation Barbara A. Wilson, Jonathan J. Evans and Fergus Gracey; 4. The Oliver Zangwill Centre approach to neuropsychological rehabilitation Barbara A. Wilson, Fergus Gracey, Donna Malley, Andrew Bateman and Jonathan J. Evans; Part II. Group Interventions: 5. The Understanding Brain Injury (UBI) Group Barbara A. Wilson, Andrew Bateman and Jonathan J. Evans; 6. The Cognitive Group, part 1: attention and goal management Jonathan J. Evans; 7. The Cognitive Group, part 2: memory Jonathan J. Evans; 8. The Mood Management Group Kate Psaila and Fergus Gracey; 9. The Psychological Support Group Fergus Gracey, Giles Yeates, Siobhan Palmer and Kate Psaila; 10. Working with families in neuropsychological rehabilitation Giles Yeates; 11. Communication Group Clare Keohane; 12. Practically-based project groups Donna Malley, Andrew Bateman and Fergus Gracey; Part III. Case Illustrations: 13. Peter: successful rehabilitation following a severe head injury with cerebro-vascular complications Barbara A. Wilson; 14. Lorna: applying models of language, calculation, and learning within holistic rehabilitation - from dysphasia and dyscalculia to independent cooking and travel Leyla Prince, Clare Keohane, Fergus Gracey, Joanna Cope, Sarah Connell, Carolyne Threadgold, Jacqui Cooper, Kate Psaila, Donna Malley and Barbara A. Wilson; 15. Caroline: treating PTSD after traumatic brain injury Jonathan J. Evans and W. Huw Williams; 16. Interdisciplinary vocational rehabilitation addressing pain, fatigue, anxiety and impulsivity: Yusuf and his 'new rules for business and life' Fergus Gracey, Donna Malley and Jonathan J. Evans; 17. Judith: learning to do things 'at the drop of a hat': behavioural experiments to explore and change the 'meaning' in meaningful functional activity Fergus Gracey, Susan Brentnall and Rachel Megoran; 18. Simon: brain injury and the family - the inclusion of children, family members and wider systems in the rehabilitation process Siobhan Palmer, Kate Psaila and Giles Yeates; 19. Adam: extending the therapeutic milieu into the community in the rehabilitation of a client with severe aphasia and apraxia Jacqui Cooper and Andrew Bateman; 20. Malcolm: coping with the effects of Balint's syndrome and topographical disorientation Barbara A. Wilson; 21. Kate: cognitive recovery and emotional adjustment in a young woman who was unresponsive for several months Barbara A. Wilson; Part IV. Outcomes: 22. Is this approach effective? Outcome measurement at the Oliver Zangwill Centre Andrew Bateman; Index.
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