Individuality, Lesion Location, and Psychotherapy After Brain Injury
George P. Prigatano
An attempt is made to address Christensen and Rosenberg's ( 1991) critique of a previous article on psychotherapy of brain-dysfunctional patients ( Prigatano, 1991a). Specifically, three questions are addressed: (a) How does psychotherapy of the brain-injured person attend to individual needs and characteristics? (b) Is there anything about the nature of the brain injury that influences the psychotherapeutic approach? (c) Is the psychotherapeutic approach in (my) neuropsychological rehabilitation program essentially a form of Freudian psychoanalytic supportive psychotherapy?
In their critique of the role of psychotherapy in brain-injury rehabilitation, Christensen and Rosenberg ( 1991) reviewed, among others, a recent article that expressed some of my ideas concerning psychotherapy with brain-dysfunctional patients ( Prigatano, 1991a).
The purpose of this chapter is to address these comments and clarify my position on the points they raised. However, before doing so a few comments concerning psychotherapy within the context of neuropsychological rehabilitation are needed.