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

    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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