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Contributors | |
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Preface | |
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Acknowledgements | |
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Brain-injury rehabilitation: from theory to practice | |
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Severity of brain injury | |
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Family and social consequences of brain injury | |
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Theories of recovery after brain injury | |
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Restitution | |
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Substitution | |
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Is rehabilitation effective? | |
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Cognitive rehabilitation models | |
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Models of therapy | |
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A functional behavioural-learning approach to brain-injury rehabilitation | |
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Conclusion | |
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Summary | |
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Medical considerations in brain-injury rehabilitation | |
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Introduction | |
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Mechanisms of injury | |
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What goes wrong? | |
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Natural history of recovery | |
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Mechanisms of recovery | |
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Organization of services | |
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General principles of management | |
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Medical assessment | |
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Conclusion | |
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The pharmacotherapeutic management of behavioural and emotional disturbances following brain injury | |
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Behavioural syndromes | |
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Strategies for intervention | |
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The practice of behavioural treatment in the acute rehabilitation setting | |
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Acute rehabilitation | |
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Initial assessment and philosophy | |
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Specialized management of behaviours related to medical complications | |
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Cognitive impairments | |
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Types of problem | |
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Behaviour-management approaches | |
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Interventions | |
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Conclusion | |
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Management of behavioural disregulation and non-compliance in the post-acute severely brain-injured adult | |
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Types of behaviour disorder | |
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Basic principles of learning theory | |
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Behavioural interventions | |
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Applications of learning principles to behavioural change | |
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Summary | |
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Functional skills training following severe brain injury | |
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Assessment | |
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Retraining methods | |
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Antecedent control | |
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Engaging the patient in therapeutic activities | |
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Elimination of unwanted behaviours | |
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Skill building | |
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Assessment and training in specific areas | |
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Outcome studies | |
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Motor learning following brain injury | |
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Motor control | |
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Components of a motor control model and related dysfunctions | |
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Assessment | |
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Motor learning principles | |
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Factors affecting performance and learning | |
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Rehabilitation of physical deficits in the post-acute brain-injured adult: four case studies | |
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Introduction | |
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Case studies | |
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Conclusion | |
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Treating cognitive/language and oral motor dysfunction in the brain-injured adult | |
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Evaluation of the minimally responsive patient | |
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Coma | |
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Formal rating and assessment systems | |
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Acute evaluation and treatment | |
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Treatment principles and methods | |
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Conclusion | |
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Lack of insight following severe brain injury | |
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Definition of terms | |
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The nature of self-awareness | |
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Dynamic theories of denial | |
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Metacognition | |
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Cognitive behavioural models of self-awareness | |
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Stress and coping | |
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Denial in neurological illness | |
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The neuropsychological account of lack of insight | |
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The psychological account of lack of insight | |
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Assessment | |
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Treatment | |
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Summary and conclusions | |
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Vocation and occupation | |
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Factors influencing work entry or re-entry after brain injury | |
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Approaches to facilitate work entry | |
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Occupational activities and leisure time | |
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Conclusion | |
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Problems in implementing an integrated programme for brain-injury rehabilitation | |
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The rehabilitation team | |
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The problem of role definition | |
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Functional behaviour management: a user's guide | |
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Functional assessment | |
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Specific techniques in functional behaviour management | |
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Why behavioural management may fail | |
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A note on working with the families of brain-injured people | |
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Conclusion | |
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The social and emotional consequences of severe brain injury: a social work perspective | |
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Introduction | |
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Family needs in the acute stage of recovery | |
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The social work role | |
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Counselling | |
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The experience of readjustment - some family profiles | |
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The family and the rehabilitation team | |
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The social worker and the rehabilitation team | |
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Planning for future needs | |
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Conclusion | |
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Community reintegration after brain injury | |
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Background | |
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What is community reintegration? | |
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Community reintegration - how to do it? | |
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Conclusions | |
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Future directions in brain-injury rehabilitation | |
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Introduction | |
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Developments in rehabilitation | |
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The structure of service provision | |
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References | |
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Index | |