Historical and present-day ideas concerning recovery of higher brain functions and so-called cognitive retraining are the focus of this article. Clinical guidelines for helping patients understand and compensate for residual higher cerebral deficits are suggested. A holistic or milieu oriented program is considered the most helpful form of intervention at this time. The use of pharmacological treatment, coupled with educational activities, is also discussed.
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References
1.
Bach-y-Rita, P. (Ed.). (1986). Recovery of function: Theoretical considerations for brain injury rehabilitation. Toronto: Hans Huber.
2.
Basso, A., Capiiani, E., & Vignolo, A. (1979). Influence of rehabilitation on language skills in aphasic patients. Archives of Neurology, 36, 190–196.
3.
Ben-Yishay, Y., & Diller, L. (1983). Cognitive remediation. In E. Griffith & M. Rosenthal (Eds.), Rehabilitation of the head injured adult. Philadelphia: FA. Davis.
4.
Ben-Yishay, Y.Piasetsky, E.B., & Rattok, J. (1987). A systematic method for ameliorating disorders in basic attention. In M. J. Meier, A. L. Benton, & L. Diller (Eds.), Neuropsychological rehabilitation (pp. 165–181) London: Churchill Livingstone.
5.
Ben-Yishay, Y., & Prigatano, G.P. (in press). Cognitive remediation. In E. Griffith & M. Rosenthal (Eds.), Rehabilitation of the adult and child with traumatic brain injury. Philadelphia: F.A. Davis.
6.
Ben-Yishay, Y.Rattok, J., Lakin, P., Piasetsky, E.B., Ross, B., Silver, S., Zide, E., & Ezrachi, O. (1985). Neuropsychologic rehabilitation: Quest for a holistic approach. Seminars in Neurology, 5(3), 252–258.
7.
Bond, M.R. (1975). Assessment of the psychosocial outcome after severe head injury. In Ciba Foundation Symposium, Outcome of severe damage to the central nervous system (pp. 141–157), New York: American Elsevier/Excerpta Medica/North-Holland.
8.
Brooks, D.N. (1976). Wechsler memory scale performance and its relationship to brain damage after severe closed head injury. Journal of Neurology, Neurosurgery, and Psychiatry, 39, 593–601.
9.
Brown, J.C. (1975). Late recovery from head injury: Case report and review. Psychological Medicine, 5, 239–248.
10.
Chapman, L.F., & Wolff, H.G. (1959). The cerebral hemispheres and the highest integrative functions of man. Archives of Neurology, 1, 357–424.
11.
Cotman, C.W.W., & Neito-Sampedro, M. (1985). Progress in facilitating the recovery of function after central nervous system trauma. In F. Nottebohm (Ed.), Hope for a new neurology. Annals of the New York Academy of Sciences. New York: New York Academy of Sciences.
12.
Diller, L., & Weinberg, J. (1986). Learning from failures in perceptual cognitive retraining in stroke. In B.P. Uzzell & Y. Gross (Eds.), Clinical neuropsychology of intervention (pp. 283–293) Boston: Martinus Nijhoff.
13.
Evans, R.W., Gualtieri, C.T., & Patterson, D. (1987). Treatment of chronic closed head injury with psychostimulant drugs: A controlled case study and an appropriate evaluation procedure. The Journal of Nervous and Mental Disease. 175(2), 106–110.
14.
Finney, D.M., Gonzalez, A., & Law, W.A. (1982). Amphetamine, haloperidol, and experience interact to affect rate of recovery after motor cortex injury. Science, 217, 855–857.
15.
Goldstein, K. (1942). Aftereffects of brain injury in war. New York: Grune & Stratton.
16.
Goldstein, F.C., & Levin, H.S. (1987). Disorders of reasoning and problem-solving ability. In M.J. Meier, A.L. Benton, & L. Diller (Eds.), Neuropsychological rehabilitation (pp. 327–354) New York: Churchill Livingstone.
17.
Hagen, C. (1982). Language cognitive disorganization following closed head injury A conceptualization. In L.E. Trexler (Ed.), Cognitive rehabilitation: Conceptualization and intervention (pp. 131–172) New York: Plenum Press.
18.
Jackson, J.H. (1898). Relation of different divisions of the central nervous system to one another and to parts of the body. Lancet, 1, 79–87.
19.
Jennett, B., & Teasdale, G. (1981). Management of head injuries. Philadelphia: FA. Davis.
20.
Lashley, K.S. (1938). Factors limiting recovery after central nervous lesions. The Journal of Nervous and Mental Diseases, 88, 733–755.
21.
Levin, H.S., Benton, A.L. & Grossman, R.G. (1982). Neurobehavioral recovery. In D.P. Becker & J.T. Povlishock (Eds.), Central nervous system trauma status report (pp. 281–299) Washington, DC: National Institute of Health, National Institute of Neurological and Communicative Disorders and Stroke.
22.
Levin, H.S., (1985). Outcome after head injury: General considerations and neurobehavioral recovery, Part II: Neurobehavioral recovery. In D.P. Becker & J.T. Povlishock (Eds.), Central nervous system trauma status report, (17) (pp. 281–302) Washington, DC: National Institute of Health, National Institute of Neurological and Communicative Disorders and Stroke.
23.
Lezak, M.D. (1979). Recovery of memory and learning functions following traumatic brain injury. Cortex, 15, 63–72.
24.
Lezak, M.D. (1983). Neurological assessment. New York: Oxford University Press.
25.
Luria, A.R. (1963). Restoration of function after brain trauma. London: Pergamon.
26.
Luria, A.R., Naydin, V.L., Tsvetkova, L.W., & Vinarskava, E.N. (1969). Restoration of higher cortical function following local brain damage. In P.J. Vinken & G.W. Bruyn (Eds.), Handbook of clinical neurology (Vol. 3 pp. 368–433) New York: Elsevier-North Holland.
27.
McLean, A., Stanton, K.M., Cardenas, D.D., & Bergerud, D.B. (in press). Memory training combined with the use of oral physostigmine.
28.
Miller, E. (1984). Recovery and management of neuropsychological impairments. New York: Wiley.
29.
Newcombe, F. (1985). Rehabilitation in clinical neurology: Neuropsychological aspects. In P.J. Vinken, G.W. Bruyn, H.L. Klawans, & J.A.M. Frederiks (Eds.), Handbook of clinical neurology (Vol. 46) New York: Elsevier-North Holland.
30.
Porch, B., Wyckes, J., & Finney, D.M., (1985). Haloperidol, thiazides and some antihypertensives slow recovery from aphasia. Paper presented at Society for Neuroscience Meeting, Dallas.
31.
Prigatano, G.P. (1986). Higher cerebral deficits: The history of methods and assessment and approaches to rehabilitation: Part 2. BNI Quarterly, 2(4), 9–17.
32.
Prigatano, G.P. (1987). Neuropsychological deficits, personality variables and outcome. In M. Ylisaker & M.R. Gobble (Eds.), Community re-entry for head injured adults. San Diego: College Hill Press.
33.
Prigatano, G.P. (in press). Emotion and motivation in recovery and adaptation to brain damage. In S. Finger, T. LeVere, C.R. Almli, & E. Stein (Eds.), Theoretical and controversial issues in recovery after brain damage. New York: Plenum Press.
34.
Prigatano, G.P., & Klonoff, P.S. (in press). Psychotherapy and neuropsychological assessment after brain injury. Journal of Head Trauma Rehabilitation.
35.
Prigatano, G.P., Klonoff, P.S., & Bailey, I. (1987). Psychosocial adjustment associated with traumatic brain injury: Statistics BNI neurorehabilitation must beat. BNI Quarterly, 3(1), 10–17.
36.
Prigatano, G.P. & Others (1986). Neuropsychological rehabilitation after brain injury. Baltimore: Johns Hopkins University Press.
37.
Schacter, D.L., & Crovitz, H.F. (1977). Memory function after closed head injury: A review of the quantitative research. Cortex, 13, 150–176.
38.
Schacter, D.L., & Glisky, E.L. (1986). Memory remediation: Restoration, alleviation and the acquisition of domain-specific knowledge. In B.P. Uzzell & Y. Gross (Eds.), Clinical neuropsychology of intervention (pp. 257–282) Boston: Martinus Nijhoff.
39.
Thomsen, I.V. (1984). Late outcome of very severe blunt head trauma: A 10–15 year second followup. Journal of Neurology, Neurosurgery, and Psychiatry, 47, 260–268.
40.
Uzzell, B.P., Dolinskas, C.A., Wiser, R.F., & Langfitt, T.W. (1987). Influence of lesions detected by computed tomography on outcome and neuropsychological recovery after severe head injury. Neurosurgery, 20(3), 396–402.
41.
Vignolo, L.A. (1964). Evolution of aphasia and language rehabilitation: A retrospective exploratory study. Cortex, 1, 344–367.
42.
Von Zomeren, A.H., & Deelman, B.G. (1978). Longterm recovery of visual reaction time after closed head injury. Journal of Neurology, Neurosurgery, and Psychiatry, 41, 452–457.
43.
Wilson, B. (1987). Rehabilitation of memory. New York: Guilford Press.
