Turning Points: Positive outcomes of intensive psychotherapeutic interventions in holistic neuropsychological rehabilitation settings

Turning Points: Positive outcomes of intensive psychotherapeutic interventions in holistic neuropsychological rehabilitation settings

Yehuda Ben-Yishay, Ph.D. and Leonard Diller, Ph.D.

Turning Points is an innovative new clinical textbook/manual by international leaders in brain injury treatment and rehabilitation, Yehuda Ben-Yishay, Ph.D. and Leonard Diller, Ph.D., with contributions by George P. Prigatano, Ph.D. and E. Daniels-Zide and D. Biderman. Featuring case studies, authors explore psychotherapeutic interventions for neuropsychological rehabilitation. They explore techniques for optimizing information processing, facilitating receptivity, and inducing self-enhancing behaviors in individuals with brain injury. Ideal for clinicians, graduate students, and trainees working in brain injury.

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Full Description

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.

Details
Item TRNPTS
ISBN# 978-1-931117-27-2
Pages 74
Year 2016

Authors

Yehuda Ben-Yishay, Ph.D.

Yehuda Ben-Yishay, Ph.D., was, prior to his recent retirement, a tenured Professor of Clinical Rehabilitation Medicine, Assistant Chief of Behavioral Sciences, and the Founder and Director of the Brain Injury Day Treatment Program of Rehabilitation at New York University School of Medicine, Rusk Institute. Together with Dr. Diller, he established and co-directed an intensive “Therapeutic Community” type of program in Israel, which was the precursor of the Israeli National Institute of Rehabilitation of the Brain Injured. Drs. Diller and Dr. Ben-Yishay also established and co-directed – for several years – the Kurt Goldstein Institute of Neuropsychological Rehabilitation in Steinach Germany. Dr. Ben-Yishay has been a consultant to a number of programs in the US and abroad, authored many seminal articles in the field, and conducted many workshops around the world.

Leonard Diller, Ph.D.

Leonard Diller, Ph.D., is a research professor at NYU School of Medicine. He is currently retired after serving more than 50 years as Director of Psychology at the Rusk Institute of Rehabilitation Medicine. He has been active in professional organizations, having served as president of the American Congress of Rehabilitation Medicine, and the Division of Rehabilitation Psychology of the American Psychological Association, which has been featuring an annual Leonard Diller Lecture. Dr. Diller has served as the Director of more than 20 federally funded research projects and has published widely in peer reviewed journals and books in the field of neurorehabilitation.

Contents

About the authors

Acknowledgements

Introduction

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.

Excerpts

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.

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