In the book Turning Points, six initially intractable individuals are presented. In each case, the authors provide explicit and detailed descriptions of clinical approaches that produced significant breakthroughs in overcoming obstacles in the path toward the successful rehabilitation of these individuals. Working clinicians will learn how to apply techniques in their own practices. The efficacy of cognitive remedial and psychotherapeutic interventions - modified to suit the learning capacity of traumatically brain injured persons - has been well documented. Similarly intensive holistic neuropsychologically - rehabilitative programs - particularly when organized to function as "therapeutic community" types of programs - have been shown to produce outcomes that are superior to conventional approaches.
About the authors
Chapter 1., Introduction - Ego-Functions: Their Role in Psychotherapeutic interventions in the context of neuropsychological rehabilitation.
Chapter 2., Techniques capable of optimizing information processing, facilitating receptivity, and inducing self-enhancing behaviors in brain injured individuals.
Chapter 3., Case studies
Chapter 4., Contributions from colleagues in the field of neuropsychological rehabilitation.
This book is based on our experiences – over a period of four decades – in intensive and multidimensional (cognitive and psychotherapeutic) neuropsychological rehabilitation of traumatically brain injured adults1, 2, 3. It is intended to supplement the education of students and professionals who plan to specialize in this field. This book should also be of interest to non-psychologist rehabilitation professionals as well as the family members of brain injured patients.
Chapter 1 describes eleven mental elements that comprise what are referred to as ego functions in the literature. The chapter also addresses briefly the widely accepted idea that in order for an individual to benefit optimally from dynamic psychotherapeutic interventions (particularly the talking therapies), his or her ego functions must be intact.
Chapter 2 outlines some useful techniques which – when judiciously applied – can optimize the brain injured person’s understanding of therapeutic “messages” as well as motivate him or her to either desist from behaving maladaptively or to act in self-enhancing ways.
In Chapter 3, five cases from the NYU Rusk Institute Day Program are presented. These cases illustrate how specific problem situations – occurring in the program settings – were managed clinically. Such problem solving approaches are generally not included in standard curricula or training manuals. They are based on clinical experience, cannot be found in the scientific literature, and are usually discussed in clinical supervision or during staff meetings. The methods that were employed in the counseling of these patients are not prescriptive. They are merely illustrative.
While the personal background information and the medical histories of the five cases were published elsewhere, the rationales for the special interventions as well as the actual interactions with these patients (during the personal counseling sessions), have been largely reconstructed from memory.
Chapter 4 includes three additional case illustrations by experienced colleagues in the field of neuropsychological rehabilitation.