Physical Medicine Rehabilitation

Principles of Neuropsychological Rehabilitation by George P. Prigatano

By George P. Prigatano

With no guiding rules, clinicians can simply wander off within the maze of difficulties brain-damaged sufferer provides. This ebook underlines the significance of sufferers' subjective adventure of mind affliction or harm, and the disappointment and confusion they suffer. It exhibits that the symptom photo is a mix of premorbid cognitive and private features with the neuropsychological alterations without delay linked to mind pathology. through heavily looking at the patient's habit, the clinician can educate her or him in regards to the direct and oblique results of mind harm. The publication presents guidance either for the remediation of upper cerebral disturbances and the administration of sufferers interpersonal difficulties. It offers a brand new standpoint on issues of self-awareness and restoration in addition to deterioration phenomena after mind harm. it will likely be a useful source for psychologists, neurologists, and psychiatrists fascinated about neuropsychological rehabilitation.

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Principles of Neuropsychological Rehabilitation

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Brodal published an extraordinary paper on what he experienced after "an infarction of part of the right internal capsule and its surroundings" (p. 676). He described the tremendous energy needed to "force" a paretic muscle to contract and how exhausting it was to exert "mental energy" during rehabilitation. " Even though his verbal IQ was 142 and his performance IQ was 122 after his stroke, he found it difficult to follow arguments in scientific papers and to remember abstract concepts or symbols.

1947). Psychological aspects of rehabilitation in cases of brain injury. Br. J. Psychol. 37: 60-69. 2 The Patient's Experience and the Nature of Higher Cerebral Functions As soon as I regained consciousness ... I began to insist that I was soon to go home from the hospital... My visitors were apparently the living proof of my disability; I forgot their visits immediately upon their leaving, and disavowed that they had ever been there when asked ... I became quite concerned about the groaning of some patients who shared the intensive care unit with me, attempting to care for them in the role of nonimpaired physician.

Perhaps the clinical application of cognitive psychology can help elucidate this important issue. At present, however, clinicians must strive to understand their patients better when they say that they are frustrated and confused. Mental Fatigue and Brain Dysfunction Careful listening to patients' descriptions of their altered mental functioning after various brain lesions can produce extremely important clues for neurorehabilitation. In 1973, Professor A. Brodal published an extraordinary paper on what he experienced after "an infarction of part of the right internal capsule and its surroundings" (p.

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