1st Edition

Systemic Approaches to Brain Injury Treatment Navigating Contemporary Practice

Edited By Ndidi Boakye, Amanda Mwale Copyright 2023
    230 Pages 16 B/W Illustrations
    by Routledge

    230 Pages 16 B/W Illustrations
    by Routledge

    This book is an exploration of key systemic and socio-political considerations when working with people whose lives have been impacted by neurological injury and those who care for them.

    Expert contributors consider the impact of intersectionality across domains that include gender, sexuality, class, education, religion and spirituality, race, culture, and ability/disability. It offers relevant literature in the field of neuropsychology as well as clinical case studies that provide inspiration and key reflections for clinicians, neurological specialist therapists, and medical staff alike. Chapters discuss navigating intersectionality in couple therapy, hidden social inequalities in paediatric neurorehabilitation, racial microaggression in inpatient settings, and more.  

    This book is essential for all health and social-care practitioners working in the field of brain injury and chronic illness who want to challenge the status quo and advocate for diversity and inclusion.

    Part 1: Setting the Scene 

    1. Multicultural Neuropsychology -a UK perspective Ndidi Boakye

    Part 2: Diversity matters in System working

    2. Good Teams Mind their GGRRAAACCEEESSS Ndidi Boakye, Amanda Mwale, Camille Julien

    3. Using the Tree of Life in Brain Injury contexts: an invitation to accessible and culturally sensitive practices Amanda Mwale, Ndidi Boakye, Camille Julien, Claire Whitelock

    4. Navigating Intersectionality in Couple therapy for Brain Injury Ndidi Boakye

    5. Hidden Social Inequalities in Paediatric Neurorehabilitation Jenny Jim, Gemma Costello, Valéria Lowing, Steve Nash, Chezelle Scholes and Alison Perkins

    Part 3: Inclusion and the Neuropsychological Setting

    6. RACE-L framework: Carrying out Multi Cultural Neuropsychological Assessments Dr Sheeba Ehsan 

    7. Beyond the Index Injury: Creating space for Race and Ethnicity in Personal Injury Neurorehabilitation work Shabnam Berry-Khan

    8. Racial Microaggression in Inpatient Settings Ndidi Boakye & Sue Copstick

    9. Harnessing technology to level the playing field: A route to more efficient and accessible services in rehabilitation Penny Trayner 

    10. Queering Clinical Neuropsychology Rob Agnew

    Part 4: Socio-Political Sensitivity in Leadership

    11. Leading with Humility Lorraine Haye, Eva Sundin & Masuma

    12. Leading Neuropsychology Services in the 21st Century: Deconstructing leadership Amanda Mobley

    Part 5: Moving Forward

    13. Neuropsychology workforce Carol Sampson

    14. Future Directions in Neuropsychology and concluding comments Ndidi Boakye and Amanda Mwale


    Dr Ndidi Boakye is Head of Neuropsychology and Clinical Health (Croydon NHS Trust) and Director of The Psych Practice Limited (an independent psychology & rehabilitation service). Dr Boakye is a Consultant Clinical Neuropsychologist, Couple Therapist and lecturer with extensive experience across multiple settings. Her interests involve using systemic & critical psychology approaches in neurorehabilitation, long term conditions, couple/family work, teams and organisations.

    Dr Amanda Mwale is a UK clinical psychologist with experience working across clinical health settings including neurorehabilitation. She has a special interest in systemic practices, including working in collaboration with a diverse workforce. She is also committed to staff support and wellbeing in teams and organisations. She co-authored the book, Becoming a Clinical Psychologist: Everything you need to know.

    "Boakye, Mwale and colleagues shine a much needed light on the current limitations and health inequalities of clinical neuropsychology in the UK serving an increasingly diverse population in terms of ethnicity and culture. With fascinating case examples, recent data on the risk of comorbidities, and illustration of practical applications in navigating intersectionality and cultural sensitivities in teamworking, technology and neurorehab, they provide a thought-provoking and inspirational guide for all clinical neuropsychologists."

    Katherine Carpenter, Consultant Clinical Neuropsychologist; President of The British Psychological Society 2021-22

    "This book adjoins the ‘socio-politico-cultural’ context to biopsychosocial neuropsychological formulation, adding absolutely essential understanding of the patient experience and influences on outcomes in neurorehabilitation. It seamlessly interlaces historic influences, fortitude of thought, clinical experience and case examples, the zeitgeist and events of our time to provide a necessary and humane roadmap for individual clinicians and services, which will start the moment you crack the first page of this book. In its totality it reaches all levels, from knowing thyself and humility, to organisational and institutional structures and cultures, showing what we must do and be." 

    Dr Gerald (‘Jerry’) Burgess, Director of Clinical Neuropsychology Programmes, Salomons Institute for Applied Psychology; SPANS-X author 

    "This is a book with enthralling lived experience case studies in clinical neuropsychology bringing Boakye and Mwale’s work to life highlighting key health inequalities across UK. Having vast years of senior nursing experience in neurorehabilitation, the systemic approaches in this book encompassing a culturally diverse cohort of clients provides not only a tool but a ‘stop and challenge own bias moment’ for the whole multidisciplinary team.  Barriers of neuropsychology are explored, and these deliberately challenge the status quo. This is a book eloquently written for everyone to read whether you want to holistically refocus on the client as a person or have insight into multicultural neuropsychology."

    Dee Kapfunde, Divisional Director of Nursing & Governance, Children’s, Women’s, Diagnostics, Therapies, Outpatients, Pharmacy, Critical Care, St George's University Hospitals, NHS Foundation Trust

    "This very timely book offers a radical and creative new approach to the assessment and treatment of brain injury. It presents an alternative discourse on disability and disadvantage in neurorehabilitation, challenging us to develop culturally sensitive practices that lead to meaningful person-centred change. It draws on the growing literature on diversity and inclusion, with experts in the field offering thoughtful, compassionate and pragmatic recommendations for culturally informed assessment, formulation and intervention. This is a hopeful, inspirational and serious textbook. Experienced and trainee practitioners alike should read it."

    Dr Noelle Blake, Consultant Clinical Neuropsychologist and Teaching Fellow, University of Surrey