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

Full 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.

Author information

Author/s: Schutz, Larry E (LE);

Affiliation: Department of Speech Sciences and Communication Disorders, University of Central Florida, Orlando, FL 32828, USA. edsyke(-atsign-)earthlink.net

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: The Journal of head trauma rehabilitation (J Head Trauma Rehabil), published in United States. (Language: eng)

Reference: -2007 Jan-Feb; vol 22 (issue 1) : pp 48-55

Dates: Created 2007/01/19; Completed 2007/03/09;

PMID: 17235231, status: MEDLINE (last retrieved date: 2/18/2009)

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