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Psychotherapy after Brain Injury : Principles and Techniques

ISBN: 9781606238615 | 1606238612
Edition: 1st
Format: Trade Book
Publisher: The Guilford Press
Pub. Date: 6/9/2010

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SummaryTable of ContentsAuthor Biography

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 ... MORE

‘’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



St. Joseph's Hospital, Phoenix, AZ. Explains the challenges brain-injured patients and their families face and provides a framework for conceptualizing the recovery journey. Topics include increasing acceptance, life skills training, and psychotherapists self-care. Includes case studies. For practitioners. DNLM: Brain Injuries--rehabilitation.
Introduction and Overviewp. 1
The Collaborative Model of Psychotherapy after Brain Injuryp. 2
Theoretical Frameworks Applicable for Patients with Brain Injuryp. 4
The Working Alliancep. 9
Characteristics of Psychotherapists and Patientsp. 12
Understanding the Patient's Experience after Brain Injuryp. 14
Guidelines for Early Psychotherapy Sessions and General Treatment Consider... MOREp. 20
The Initial Consultationp. 20
The In-Depth Interview Processp. 28
General Treatment Considerationsp. 32
Coordination of Carep. 41
The Reimbursement Processp. 42
Increasing Patients' Self-Awarenessp. 45
Self-Awareness and Organic Unawarenessp. 45
A Baseline Determination of Awarenessp. 46
Individual Psychotherapy Interventionsp. 50
Adjunct Therapies for Generalizing Awareness Trainingp. 59
Cognitive Retrainingp. 61
Psychoeducation Groupp. 66
Group Psychotherapyp. 69
Sense of Self and Identityp. 75
Grief and Mourningp. 76
Sense of Selfp. 77
Narcissistic Ragep. 82
Suicidalityp. 87
Valuesp. 89
Identity and Social Rolesp. 93
Increasing Acceptancep. 100
The Nature and Determinants of Acceptancep. 100
Adjustment = Adaptation + Assimilationp. 101
Considerations in the Acceptance Processp. 102
Baseline Determination of Acceptancep. 105
Increasing Acceptance in Individual Psychotherapyp. 106
Increasing Acceptance in Group Psychotherapyp. 114
Three Extended Casesp. 115
Life Skills Trainingp. 125
The Datebookp. 126
The Home Independence Checklistp. 134
Implementation Challenges with the HICp. 136
"Milieu Meetings" for the Householdp. 144
Drivingp. 144
Family Lifep. 150
The Impact of Brain Injury on the Whole Familyp. 150
The Family's Role in the Patient's Recoveryp. 152
Family Interventionsp. 153
The Family Experiential Model of Recoveryp. 160
Two Extended Casesp. 161
Communication and Social Skillsp. 171
The Pragmatics of Communicationp. 172
Treating Pragmatic Communication Problems in Individual Psychotherapyp. 174
Adjunct Group Therapies for Increasing Social Skills and Leisure Activitiesp. 183
Reestablishing Friendships and Pursuing Enjoyable Pastimesp. 188
Substance Abuse and Social Activitiesp. 191
Dating and Romantic Relationshipsp. 192
Group Psychotherapyp. 194
Adjustment and Treatment Terminationp. 198
The Adaptation Dimensionp. 198
The Intrapsychic Assimilation Dimensionp. 217
The Existential Assimilation Dimensionp. 223
Termination of Psychotherapyp. 227
Psychotherapist Self-Care: Managing Stress and Avoiding Burnoutp. 235
Countertransferencesp. 236
Comorbid Diagnosesp. 237
Burnoutp. 240
Avoiding Burnout: The Psychotherapist's "Survival Kit"p. 240
Referencesp. 249
Indexp. 281
Table of Contents provided by Ingram. All Rights Reserved.
Pamela S, Klonoff, PhD, ABPP-CN, is a faculty neuropsychologist and (since 1993) Clinical Director of the Center for Transitional NeuroRehbilitation, Barrow Neurological Insitute of st. Joseph's Hospital and Medical center, Phoenix, Arizona. She has been affiliated with the program since 1986. Dr. klonoff is board certified in Clinical Neuropsychology by the American Board of Professional Psychology. She specializes in outpatient milieu-oriented neurorehabilitation, with patients and their families after brain injury. Dr. Klonoff has published many articles and presented theoretical and clinical papars around the world; her expertise adn research focus on holistic neurorehabilitation, including psychotherapy and cognitive retraining after traumatic and other acquired brain injury.


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