Brain Injury and Neuropsychological Rehabilitation: International Perspectives

By Anne-Lise Christensen; Barbara P. Uzzell | Go to book overview

CHAPTER THREE
Head Trauma Destiny: Interactions of Neuropharmacology and Personality

D. Nathan Cope


ABSTRACT

Much progress has occurred in the past 5 years in understanding the indications for and responsiveness to psychopharmacologic agents in the rehabilitation of traumatic brain-injured patients. There are definite therapeutic uses for these agents in a variety of syndromes, which have been thoroughly reviewed elsewhere. To date no formal integration of this technology advance into the overall rehabilitation plan has been made. This chapter presents such an integration and suggests that a more active role for psychopharmacologic agents is appropriate for multiple indications. Particularly overlooked in clinical practice is the use of these agents for disturbances of cognition. It is important to distinguish three distinct clinical phases of treatment of TBI: (a) emergent, (b) acute recovery, and (c) long-term or chronic phase. Each has its own risk-benefit aspects that must be considered in the decision to utilize psychopharmacologic approaches.

In keeping with the theme of a 5-year reappraisal of the state of traumatic brain injury (TBI) treatment, I begin by noting that in all significant cases, the patient is still consistently left with major functional disabilities despite the most aggressive treatment and the most optimal outcome. It is likely that some form of permanent residual also persists for minor brain injuries (which do not now routinely come to the attention of rehabilitation professionals) to some extent, although these disabilities are more subtle.

-41-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Brain Injury and Neuropsychological Rehabilitation: International Perspectives
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen
/ 341

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.