Minding Behavior in Adults after Brain Injury

Minding Behavior in Adults after Brain Injury

Harvey E. Jacobs, Ph.D.
Problem behavior after brain injury in adults can be changed by using information on positive supports in rehabilitation, home and community.
Item: MBCA
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Full Description

Tip card explains misunderstandings about “behavior problems” by defining behavior and its purpose. Shows how behavior is produced by the interaction of an individual with the environment.

Explains how families and staff often react to difficult behaviors and gives principles for evaluating behavior. Written to help professionals better understand the complexity of behavior. Shows how to use positive approaches to support behavioral change rather than punishment for negative behaviors.

Details
Item MBCA
Pages 8
Year 2008, second edition

Authors

Harvey E. Jacobs, Ph.D.

Dr. Jacobs has special expertise in behavioral rehabilitation for individuals with neurological, psychiatric, medical and developmental disorders. He is a national leader and expert in the treatment of behavior disorders following brain injury. His innovative programs have addressed community integration, social support networks, vocational rehabilitation, behavioral rehabilitation, and psychiatric rehabilitation.

Throughout his practice, Dr. Jacobs has worked with persons of diverse ages ranging from pediatrics to geriatrics. A gifted writer and trainer, he is well known for his pragmatic approach to treatment in the community. In 2005, he joined Lash and Associates as Vice President and Director of Training.

Contents

This tip card helps professionals...

  • understand the functional nature of behavior
  • use positive approaches to address challenging behavior
  • understand the role that each of us contributes to a problem situation

Introduction

What is Behavior?

Behavior May Be Dysfunctional, But Never Disordered!

Judging and Evaluating Behavior

So, What Are You Going to Do?

Behavior Has a Purpose

Knowing Where You Are Going

Knowing When You Get There

Conclusion

References

Excerpts

Sample excerpt. Preview only – please do not copy.

Introduction

Many people talk about “behavior problems” after brain injury. Sometimes the person with the brain injury complains of feeling anxious, depressed, or frustrated. Often somebody else recognizes the problem. For example, a wife feels that her husband is more moody than before his injury. A supervisor notes that a worker no longer follows through on orders. Friends learn that they can’t disagree with Ralph anymore because he loses his temper.

Problems often occur when a person is not aware of or has trouble monitoring behavior. For example, the person may take over a conversation, continue telling jokes that others find offensive, or mistake an innocent gaze as an invitation for flirtation. The kitchen may be a mess after a “cooking episode” because the person got frustrated that the cake did not rise, and went to pieces when an ingredient wasn’t on hand, or did not clean up afterwards being “unaware” of the mess.

It is too easy to simply blame the brain injury. There are many other factors to consider, including:

  • what the person was like before the brain injury
  • current skills and abilities
  • what is now expected of the person
  • the daily living environment
  • resources and supports in the person’s life
  • behavior of other people
  • normal changes over the lifespan

Brain injury may change a person’s life, but it should never define a person’s life!

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