By Barbara A. Wilson

The opportunity of behavioural ways for making improvements to the lives of individuals with got mind harm is titanic. the following that strength is laid out and explored with a thoroughgoing regard for scientific perform and the theoretical frameworks that underpin that perform. This e-book will turn out a useful source for medical psychologists and the entire diversity of therapists operating with sufferers being affected by obtained mind harm.

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However, Kazdin (1980) also warns of the risk of unreliability and bias in using such techniques and recommends strongly that all behaviours being assessed are operationally defined. However, as long as the behaviours being assessed are defined explicitly, behavioural assessment can be a powerful tool in examining a complex issue such as recovery after severe traumatic brain injury. The WHIM was developed in response to a need for such an assessment identified by Wilson (1988). The aim was to develop an assessment technique in which data could be collected by observation and by testing tasks used in everyday life.

All of these goals were addressed by the rehabilitation team and were encouraged during nursing care, physiotherapy, and occupational therapy as well as by the patient’s family. BR continued to make steady progress over the following months and as his level of function improved, assessment on functional scales and neuropsychological tests commenced and more demanding goals were set as appropriate. However, use of the WHIM facilitated starting his rehabilitation programme while he was still in the intensive care environment, and provided an appropriate and sensitive measure of subtle changes in the earliest stage of recovery.

He BEHAVIOURAL APPROACHES TO ASSESSMENT AND MANAGEMENT 37 FIG. 1 GCS and WHIM in early recovery. was cared for in bed and spent most of the day lying flat facing a wall with his eyes closed. FC was referred to the occupational therapy department at the continuing care unit. Standard functional and neuropsychological assessments were inappropriate at this stage, so assessment was commenced using the WHIM. Initial assessment suggested that he was unresponsive, as he remained motionless and kept his eyes closed.

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