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Summary
This book presents hands on tools for addressing the multiple ways that brain injury can affect psychological functioning and well being. The author is a leader in the field who translates her extensive clinical experience into clear cut yet flexible guidelines that therapists can adapt for different challenges and settings. With a focus on facilitating awareness, coping, competence, adjustment, and community reintegration, the book features helpful case examples and reproducible handouts and forms. It shows how to weave together individual psychotherapy, cognitive retraining, group and family work, psychoeducation, and life skills training, and how to build and maintain a collaborative therapeutic relationship.
‘’Klonoff is a talented therapist who combines a wealth of experience and expertise with a deep personal commitment to the process of assisting individuals and families in the challenging process of adjustment following brain injury. This extraordinary volume guides the reader through assessment, diagnosis, and treatment, illustrating the course of therapy with many practical examples. It is essential reading for professionals working in brain injury rehabilitation or with clients who have experienced a brain injury, and an invaluable resource for students and trainees in clinical psychology, clinical neuropsychology, rehabilitation medicine, neuropsychiatry, and social work."-Linda Clare, PhD, Professor of Clinical Psychology and Neuropsychology, Bangor University, United Kingdom
‘’Klonoff provides a window into the unique world of brain injury, where psychology and biology intertwine. What is remarkable about this book is its level of detail. It delineates step by step the goals, tasks, and challenges of each stage of recovery, and features forms, checklists, and lists of adjunctive resources. Excellent case material illustrating both successful and unsuccessful treatment brings the work alive. A welcome resource for treating clients who have experienced any type of brain injury."-Robert Taibbi, LCSW, private practice, Charlottesville, Virginia
‘’An impressive accomplishment. The author is a sure footed, experienced clinician who shows how to guide clients in their arduous climb toward optimal rehabilitation outcomes. She addresses the client's need to regain functional competence and a feeling of 'belonging,' reconstitute a sense of self, accept limitations posed by the brain injury, and find meaning in post rehabilitation attainments. Many suggestions for facilitating essential compensatory processes are included. This book should become part of the reference library of both novice and seasoned practitioners in the field of neuropsychological rehabilitation."-Yehuda Ben-Yishay, PhD, Director, Brain Injury Day Treatment Program, Rusk Institute of Rehabilitation Medicine, New York University
Author Biography
Table of Contents
Introduction and Overview | p. 1 |
The Collaborative Model of Psychotherapy after Brain Injury | p. 2 |
Theoretical Frameworks Applicable for Patients with Brain Injury | p. 4 |
The Working Alliance | p. 9 |
Characteristics of Psychotherapists and Patients | p. 12 |
Understanding the Patient's Experience after Brain Injury | p. 14 |
Guidelines for Early Psychotherapy Sessions and General Treatment Considerations | p. 20 |
The Initial Consultation | p. 20 |
The In-Depth Interview Process | p. 28 |
General Treatment Considerations | p. 32 |
Coordination of Care | p. 41 |
The Reimbursement Process | p. 42 |
Increasing Patients' Self-Awareness | p. 45 |
Self-Awareness and Organic Unawareness | p. 45 |
A Baseline Determination of Awareness | p. 46 |
Individual Psychotherapy Interventions | p. 50 |
Adjunct Therapies for Generalizing Awareness Training | p. 59 |
Cognitive Retraining | p. 61 |
Psychoeducation Group | p. 66 |
Group Psychotherapy | p. 69 |
Sense of Self and Identity | p. 75 |
Grief and Mourning | p. 76 |
Sense of Self | p. 77 |
Narcissistic Rage | p. 82 |
Suicidality | p. 87 |
Values | p. 89 |
Identity and Social Roles | p. 93 |
Increasing Acceptance | p. 100 |
The Nature and Determinants of Acceptance | p. 100 |
Adjustment = Adaptation + Assimilation | p. 101 |
Considerations in the Acceptance Process | p. 102 |
Baseline Determination of Acceptance | p. 105 |
Increasing Acceptance in Individual Psychotherapy | p. 106 |
Increasing Acceptance in Group Psychotherapy | p. 114 |
Three Extended Cases | p. 115 |
Life Skills Training | p. 125 |
The Datebook | p. 126 |
The Home Independence Checklist | p. 134 |
Implementation Challenges with the HIC | p. 136 |
"Milieu Meetings" for the Household | p. 144 |
Driving | p. 144 |
Family Life | p. 150 |
The Impact of Brain Injury on the Whole Family | p. 150 |
The Family's Role in the Patient's Recovery | p. 152 |
Family Interventions | p. 153 |
The Family Experiential Model of Recovery | p. 160 |
Two Extended Cases | p. 161 |
Communication and Social Skills | p. 171 |
The Pragmatics of Communication | p. 172 |
Treating Pragmatic Communication Problems in Individual Psychotherapy | p. 174 |
Adjunct Group Therapies for Increasing Social Skills and Leisure Activities | p. 183 |
Reestablishing Friendships and Pursuing Enjoyable Pastimes | p. 188 |
Substance Abuse and Social Activities | p. 191 |
Dating and Romantic Relationships | p. 192 |
Group Psychotherapy | p. 194 |
Adjustment and Treatment Termination | p. 198 |
The Adaptation Dimension | p. 198 |
The Intrapsychic Assimilation Dimension | p. 217 |
The Existential Assimilation Dimension | p. 223 |
Termination of Psychotherapy | p. 227 |
Psychotherapist Self-Care: Managing Stress and Avoiding Burnout | p. 235 |
Countertransferences | p. 236 |
Comorbid Diagnoses | p. 237 |
Burnout | p. 240 |
Avoiding Burnout: The Psychotherapist's "Survival Kit" | p. 240 |
References | p. 249 |
Index | p. 281 |
Table of Contents provided by Ingram. All Rights Reserved. |
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