Title

Models of exceptional adaptation in recovery after traumatic brain injury: A case series

Authors

Authors

L. E. Schutz

Comments

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Abbreviated Journal Title

J. Head Trauma Rehabil.

Keywords

acquired brain injury; adaptation; central executive; cognitive; rehabilitation; executive functions; head injury; neurorehabilitation; rehabilitation outcome; supervisory attentional system; traumatic brain; injury; PERFORMANCE; DAMAGE; Clinical Neurology; Rehabilitation

Abstract

Objective: The remarkable persistence of disablement in chronic traumatic brain injury and the dearth of accommodation define the condition as a disorder of adaptation. This construct is extended to explain exceptional recoveries after postacute treatment. Method: Nine severely injured graduates of holistic cognitive rehabilitation were selected for their exceptional postmorbid academic, vocational, and social accomplishments. Results: In interviews, they attributed their successes to continuing reliance on, and ongoing elaboration and modification of, cognitive compensation strategies. Unlike their disabled cohorts, they implement a deliberate procedure for self-corrective self-management that minimizes the functional impact of their permanent deficits.

Journal Title

Journal of Head Trauma Rehabilitation

Volume

22

Issue/Number

1

Publication Date

1-1-2007

Document Type

Article

Language

English

First Page

48

Last Page

55

WOS Identifier

WOS:000243820400006

ISSN

0885-9701

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