© 2008 – Psychology Press
Rehabilitation provides a core concept around which to organise support, intervention and care for people with impairments in memory and other cognitive functions. This book introduces a conceptual framework and rationale for the application of a neuropsychological rehabilitation approach for people with dementia, helping them to manage, bypass or overcome these problems and experience optimum well-being.
Methods and techniques of cognitive rehabilitation are described and the process of goal-setting is discussed in detail, showing how effective strategies may be linked to form an individualised, goal-oriented approach to intervention. The application of a rehabilitation approach in real-life contexts is explored, demonstrating the role and value of neuropsychological rehabilitation within a holistic, psychotherapeutic framework of care and support.
This overview of the neuropsychological rehabilitation approach to dementia care will be of great interest to psychologists as well as to those studying or practising in the area.
"Neuropsychological rehabilitation of individuals with dementia is a very important, timely topic. By writing a book that provides details concerning a range of cognitive rehabilitation approaches that have been used with individuals who have dementia, clinical researchers may become motivated to develop randomized control studies to evaluate the effectiveness of these interventions in this increasing population." - Julie B. Hautamaki and Linda K. Laatsch, Journal of Clinical and Experimental Neuropsychology
"This extraordinary book provides a thoughtful and practical framework for treatment of people with dementia. Over the years, what has passed for care of people suffering from this disorder has been a conglomeration of well-meaning, but ill-informed ideas; Clare demonstrates that we can do much better, and can do it now. Everyone who works with people with dementia and their families or has a concern for their well-being should read this book." - Steven H. Zarit, Professor and Head of the Department of Human Development and Family Studies, The Pennsylvania State University, USA
"This positive, practical book, shows how neuropsychological rehabilitation techniques can be effectively applied with people with dementia. Setting the work in a biopsychosocial context, Linda Clare moves smoothly from theory to clinical practice, the extensive use of case illustrations bringing to life the issues and interventions discussed. I recommend it." - Jonathan Evans, Professor of Applied Neuropsychology, University of Glasgow, UK
"… Linda Clare’s book Neuropsychological Rehabilitation and People With Dementia could not have been released at a more critical juncture… Truly a ‘handbook’ in every sense of the word, Neuropsychological Rehabilitation and People With Dementia offers a substantive, well-organized approach to an insidious disease… With this book, Clare offers the promise of new hope by focusing on what individuals with dementia still can do, not on what they have lost." - Carol A. Gosselink, PsycCRITIQUES
Dementia, Disability and Rehabilitation. Understanding the Experience of Dementia. Awareness and the Person with Dementia. Neuropsychology, Plasticity and Learning in Dementia. Towards Individualised Rehabilitation Interventions. Methods of Memory Rehabilitation. Clinical Application of Cognitive Rehabilitation. An Holistic Approach to Neuropsychological Rehabilitation in Dementia.
Rehabilitation is a process whereby people, who have been injured by injury or illness, work together with health service staff and others to achieve their optimum level of physical, psychological, social and vocational well-being (McLellan, 1991). It includes all measures aimed at reducing the impact of handicapping and disabling conditions and at enabling disabled people to return to their most appropriate environment (WHO, 1986; Wilson, 1997). It also includes attempts to alter impairment in underlying cognitive and brain systems by the provision of systematic, planned experience to the damaged brain (Robertson & Murre, 1999). The above views apply also to neuropsychological rehabilitation, which is concerned with the assessment, treatment and natural recovery of people who have sustained an insult to the brain.
Neuropsychological rehabilitation is influenced by a number of fields both from within and without psychology. Neuropsychology, behavioural psychology and cognitive psychology have each played important roles in the development of current rehabilitation practice. So too have findings from studies of neuroplasticity, linguistics, geriatric medicine, neurology and other fields. Our discipline, therefore, is not confined to one conceptual framework; rather, it has a broad theoretical base.
We hope that this broad base is reflected in the modular handbook. The first book was by Roger Barker and Stephen Dunnett which set the scene by talking about "Neural repair, transplantation and rehabilitation". The second title, by Josef Zihl, addressed visual disorders after brain injury. The most recent book by Barbara Wilson, Camilla Herbert and Agnes Shiel focussed on behavioural approaches to rehabilitation. Future titles will include volumes on specific cognitive functions such as language, memory and motor skills, together with social and personality aspects of neuropsychological rehabilitation. Other titles will follow as this is the kind of handbook that can be added to over the years.
Although each volume will be based on a strong theoretical foundation relevant to the topic in question, the main thrust of a majority of the books will be the development of practical, clinical methods of rehabilitation arising out of this research enterprise.
The series is aimed at neuropsychologists, clinical psychologists and other rehabilitation specialists such as occupational therapists, speech and language pathologists, rehabilitation physicians and other disciplines involved in the rehabilitation of people with brain injury.
Neuropsychological rehabilitation is at an exciting stage in its development. On the one hand, we have a huge growth of interest in functional imaging techniques to tell us about the basic processes going on in the brain. On the other hand, the past few years have seen the introduction of a number of theoretically driven approaches to cognitive rehabilitation from the fields of language, memory, attention and perception. In addition to both the above, there is a growing recognition from health services that rehabilitation is an integral part of a health care system. Of course, alongside the recognition of the need for rehabilitation is the view that any system has to be evaluated. To those of us working with brain injured people including those with dementia, there is a feeling that things are moving forward. This series, we hope, is one reflection of this move and the integration of theory and practice.
Barbara A. Wilson
Ian H. Robertson