Citation

Schutz LE. J. Head Trauma Rehabil. 2007; 22(1): 48-55.

Affiliation

Department of Speech Sciences and Communication Disorders, University of Central Florida, Orlando, FL 32828, USA. edsyke@earthlink.net

Copyright

(Copyright © 2007, Lippincott Williams and Wilkins)

DOI

unavailable

PMID

17235231

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.

Language: en