Modalities For TBI Improvement by William C. Jarvis, Ed.D.

Jarvis Rehabilitation Method

Bill Jarvis portraitTraumatic Brain Injury improvement can be maximized when the TBI survivor uses strategies at home during recovery. Specific strategies are presented in the Jarvis Rehabilitation Method and center around different modalities of effort. These modalities are: Speaking-Hearing; Seeing; Feeling; Thinking; Experiencing.  These are further discussed in the Jarvis Rehabilitation Method,  and is available at http://billjarvis.org/

Speaking – Hearing

This modality I also reference as ‘verbalization.’  Several of the strategies used are Sharing Improvement with Others, Giving Verbal Presentations, Small Group Discussion, or anything where speaking is routinely involved.

There are many reasons why this is helpful. Speaking involves organizing thoughts in your mind and develops cognition. The content of what you are speaking also psychologically affirms you are getting better by the example of sharing improvement with others. Verbalizing what you have improved to others, no matter how small, provides optimism. The process of hearing comments of optimism will have a positive psychological effect.

Seeing (recording)

Keeping a record of progress (making daily tally marks to indicate you are using a strategy) involves seeing your progress visually on a chart. This holds you accountable as the days go by. You will see progress when you visually look over your tally marks or comments in four to five months. The Improvement Charts of the Jarvis Rehabilitation Method are key components of this system.

Feeling

This modality is very real and important. Your awareness of being able to perform a strategy more easily is essential to maximizing progress. Examples of this are things like being able to stand longer, being less fatigued, or finding it slightly easier to cognitively converse.

Awareness that your mind is clearer in thinking through things is not the same as short term memory issues. This example of a clear mind is something you will be aware of in the moment of conversing. It is almost the process of communicating. It is important to note that the feeling for every TBI survivor may be different, but no less affirming.

Thinking (Cognition)

As mentioned before, it is important to do as many different cognitive activities as possible.  Speaking and writing are essential for cognitive improvement. Equally important are activities such as computer work, games that involve thinking, (scrabble, chess, card games, etc.).

Another strategy for improvement is to have a hobby. Performance of a hobby reinforces all the levels of thinking in Blooms Taxonomy. The cognitive benefits are best understood by reviewing Bloom’s Taxonomy for the Cognitive Domain (1956). This represents the various levels of thinking from the most basic to higher level thinking:

1.         Knowledge (content)

2.         Comprehension (understand how to do it)

3.         Application (performance of a skill)

4.         Analysis (how to do it best)

5.         Synthesis (ideas of your own)

6.         Evaluation (how did I do; reflection)

A good example is how the hobby of magic can help with attention and verbal presentation skills. The presentation of a person’s hobby to others can help language skills. Also, a hobby can greatly help your cognitive thought process.

Let’s take a general hobby as an example and see how it addresses all elements in Bloom’s Taxonomy of Cognitive skills. Usually a hobby comes with directions; that can be representative of knowledge. A person reads and attempts to follow the directions for doing the hobby. That is, “comprehension” or understanding the important aspects of the hobby. Then “application” is the actual “doing” of the hobby or a person’s personal involvement in participating in the requirements of the hobby. In the case of painting or “magic,” it is the respective actual creation of a picture or performance of a trick.

It is interesting to note that Bloom’s Taxonomy was revised in mid-nineties to be stated as “verbs” instead of “nouns.” Also the highest level of cognition was changed to Creating. This is exactly what you do with a hobby.

1.         Remembering

2.         Understanding

3.         Applying

4.         Analyzing

5.         Evaluating

6.         Creating

Experiencing

The combination of each of the modalities gives the survivor a complete and integrated experience in improvement. It is this experience that creates internal motivation on the road to recovery. As each modality is integrated into the total rehabilitation process, the survivor will maximize improvement possibilities.

Please remember, every TBI survivor will be different in the areas of improvement, but including these modalities will absolutely increase the hope of improvement.

One response to “Modalities For TBI Improvement by William C. Jarvis, Ed.D.”

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