摘要:

Emotional risk factors are explored in four case studies, each of whom had sustained a mild traumatic brain injury (MTBI). Selected pre-existing personality traits that compounded the symptom presentation included over-achievement, dependency, grandiosity and borderline personality traits. Premorbid risk factors are described and their influence on co-morbid and post-morbid difficulties is discussed. We also touched upon the therapeutic issues involved in our cases. General treatment considerations are highlighted for dealing with grandiosity, narcissistic features and borderline traits. Over-achievement and perfectionism are discussed in the context of providing treatment for stress management. Finally, the effect of pre-existing emotional trauma combined with the MTBI is discussed.

ISSN:0269-9052    

DOI:10.1080/026990596124124

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

This study reports the major aetiological factors and incidence rates of head injury in an adolescent sample, and compares them with previous research in New Zealand and overseas. Subjects had come to medical attention, but also included were those who had sustained a head injury but had not sought medical attention. An overall incidence rate of almost 14% was reported, with the major cause of head injury in male students being sport, and collisions in the females.

ISSN:0269-9052    

DOI:10.1080/026990596124133

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

This paper examines the inter-rater reliability of 148 persons with traumatic brain injury (PwTBI) and their significant others (SO) on the Functional Independence Measure (FIM), and the Community Integration Questionnaire (CIQ). Results reveal that agreement differs across instruments and subscales, with greatest response comparability on the productivity CIQ subscale, followed by the motor FIM, social integration CIQ, cognitive FIM, and home integration CIQ. These findings have important implications for the future of TBI outcomes studies.

ISSN:0269-9052    

DOI:10.1080/026990596124142

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

In motor aprosodia, imitation and production of emotional prosody and facial gestures are compromised. Despite the frequency with which aprosodia occurs after brain damage, and its potential to cause social and vocational disability, no formal treatments are available for this disorder. A case of motor aprosodia treated with voice pitch biofeedback and modelling of affective communication is presented. Utilizing the patient as her own control, the affective communication treatment was compared to traditional rehabilitation therapy. The results obtained suggest that affective communication treatment has potential in improving affective communication in brain-injured patients. Also notable was the fact that the improvements in emotional expression were stable over a 2-month follow-up period, and could not be attributed to recovery of function as a result of time passage, the effect of traditional rehabilitation, the effect of the extra attention paid to the patient, or examiner bias.

ISSN:0269-9052    

DOI:10.1080/026990596124151

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

摘要:

We report on the clinical and radiological features in 16 adult patients who suffered a traumatic brain injury and subsequently developed pathological laughter and crying. Patients with pathological laughter and crying were identified from among 301 consecutive brain-injured admissions to a trauma centre and subsequently to a rehabilitation facility. Patients displaying pathological laughter and crying had a greater severity of injury than patients without the syndrome; they also had other associated neurological features compatible with pseudobulbar palsy. Pathological laughter alone, or combined with crying, was more frequent than crying alone. An attempt to correlate clinical features with focal lesions on neuroimaging studies yielded inconsistent results. The theoretical anatomical substrate for pathological laughter and crying in patients with traumatic brain injury is discussed.

ISSN:0269-9052    

DOI:10.1080/026990596124160

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor

ISSN:0269-9052    

DOI:10.1080/026990596124188

出版商:Taylor&Francis    

年代:1996

数据来源: Taylor