Neuropsychotherapy and Community Integration: Brain Illness, by Tedd Judd

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By Tedd Judd

The first time I walked onto a neurology ward in the course of my graduate education i used to be stunned (much as family of individuals with mind health problems most likely are). I had realized very much in school approximately aphasia, amnesia, agnosia, apraxia, and different cognitive issues, yet I had now not been ready for the behavioral issues i used to be to come across, for the serious actual disabilities, for the indignities of the sufferer function. little by little I overcame this surprise. I realized to appear humans within the eye who appeared to have extra tubes than the recent York subway method, humans whose faces were scraped off the pavement and who have been drooling, incontinent, and critically dysarthric. I realized to work out past what nervous and repulsed me to the people inside. I want i'll say that I observed in everybody a deep human soul craving to respire loose and to like, an essence, an intrinsic goodness, a wholeness; i didn't. relatively, it sort of feels like each targeted part of human habit, one's skills, and one's wishes will be destroyed by means of a few mind lesion, whereas leaving a uniquely human individual in the back of. not just are there losses, yet behaviors emerge from time to time that aren't visible in individuals with intact brains yet which nonetheless exhibit a human trying to cope. I do believe that I observed and nonetheless see in each one such individual whatever intrinsically human, yet no longer an analogous factor in each.

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Extra resources for Neuropsychotherapy and Community Integration: Brain Illness, Emotions, and Behavior

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Behavior modification programs often require large investments of time, training, and resources in structuring a controlled environment that may outweigh the benefits. 5. Behavior modification programs often require a stability of institution and of a culture that allows for their implementation. Not all treatment settings, families, schools, and cultures are conducive to such programs. 6. Classical behavior modification programs are typically framed in a language many find alienating or confusing.

THE PROCESS-SPECIFIC APPROACH The process-specific approach to cognitive rehabilitation (Sohlberg & Mateer, 1989) is founded in cognitive theory, which identifies specific cognitive processes disturbed by brain illnesses. These main processes are attention, memory, language, visual-spatial skills, motor programming, reasoning, and executive functions. Each area is sometimes further fractionated by specific brain lesions (cf. Lezak, 1995; Sohlberg & Mateer; Squire, 1987), and treatment can be highly focused on specific deficits (Riddoch & Humphreys, 1994).

Deal with subtle consequences of illness. Educate and counsel the person, the family, the staff, and the community. Train and cue self-control strategies. Fade cues as appropriate. Work on generalizing strategies. Work on ways to tell others about his brain illness and about special understanding or accommodations he needs. Monitor medical well-being, physical needs and finances, overruling decisions when necessary. Someone should usually be available. Teach the person how to cope with difficulties.

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