Emphasis on the process and content of the emotional aspects of rehabilitation are presented as a process interwoven with a patient's physical rehabilitation. The impact of trauma and subsequent rehabilitation involves for patients the resolution of these stages: shock, denial, depressive reaction, reaction against independence, and adaptation. Factors which facilitate and impede the negotiation of these steps on both the part of the patient and attending staff are examined from the prospective of the psychiatrist as a member of the medical rehabilitation team.
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References
1.
StewartT., Coping Behavior and the Moratorium Following Spinal Cord Injury, Paraplegia, 15, pp. 338–342, 1978.
2.
HohmannG., Psychological Aspects of Treatment and Rehabilitation of the Spinal Cord Injured Person, Clin. Orthop., 112, pp. 81–88, 1975.
3.
StegerH., Understanding the Psychologic Factors in Rehabilitation, Geriatrics, 31, pp. 68–73, 1976.
4.
FordyceW., Psychological Assessment and Management, KrusenF.KottkeF.EllwoodP. (eds.), Handbook of Physical Medicine and Rehabilitation, W. B. Saunders, Philadelphia, 1971.
5.
MisselJ., Suicide Risks in the Medical Rehabilitation Setting, Arch. Phys. Med. Rehabil., 59, pp. 351–376, 1978.
6.
BebringE., Mechanisms of Depression, GreenacreP. (ed.), Affective Disorders: Psychoanalytic Contribution to Their Study, International Universities Press, Inc., New York, pp. 13–48, 1953.
7.
WeismanA., The Realization of Death, Jason Aronson, New York, 1974.
8.
BeckA., Childhood Bereavement and Adult Depression, Arch. Gen. Psychiat., 9, pp. 295–302, 1963.
9.
BrownF., Depression and Childhood Bereavement, J. Ment. Science, 107, pp. 745–777, 1961.
10.
SethiB., Relationship of Separation to Depression, Arch. Gen. Psychiat., 10, pp. 486–496, 1964.
11.
KatzV.GordonR.IversenD.MyersS., Past History and Degree of Depression in Paraplegic Individuals, Paraplegia, 16, pp. 8–14, 1978.
12.
KruegerD., Psychotherapy of Adult Patients with Problems of Parental Loss in Childhood, Curr. Conc. Psych., 4, pp. 2–7, 1978.