A review of awareness interventions in brain injury rehabilitation

Fleming, JM and Ownsworth, T (2006) A review of awareness interventions in brain injury rehabilitation. Neuropsychological Rehabilitation, 16 4: 474-500. doi:10.1080/09602010500505518


Author Fleming, JM
Ownsworth, T
Title A review of awareness interventions in brain injury rehabilitation
Journal name Neuropsychological Rehabilitation   Check publisher's open access policy
ISSN 0960-2011
Publication date 2006
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1080/09602010500505518
Volume 16
Issue 4
Start page 474
End page 500
Total pages 27
Editor B.A. Wlson
Place of publication U.K.
Publisher Psychology Press
Collection year 2006
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Abstract Unawareness related to brain injury has implications for participation in rehabilitation, functional outcomes, and the emotional well-being of clients. Addressing disorders of awareness is an integral component of many rehabilitation programmes, and a review of the literature identified a range of awareness interventions that include holistic milieu-oriented neuropsychological programmes, psychotherapy, compensatory and facilitatory approaches, structured experiences, direct feedback, videotaped feedback, confrontational techniques, cognitive therapy, group therapy, game formats and behavioural intervention. These approaches are examined in terms of their theoretical bases and research evidence. A distinction is made between intervention approaches for unawareness due to neurocognitive factors and approaches for unawareness due to psychological factors. The socio-cultural context of unawareness is a third factor presented in a biopsychosocial framework to guide clinical decisions about awareness interventions. The ethical and methodological concerns associated with research on awareness interventions are discussed. The main considerations relate to the embedded nature of awareness interventions within rehabilitation programmes, the need for individually tailored interventions, differing responses according to the nature of unawareness, and the risk of eliciting emotional distress in some clients.
Keyword Neurosciences
Psychology
Impaired Self-awareness
Traumatic Head-injury
Deficits
Adults
Unawareness
Knowledge
Anosognosia
Dysfunction
Disability
Feedback
Q-Index Code C1
Additional Notes This document is a journal review.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Wed, 15 Aug 2007, 08:09:05 EST