Two approaches to behavior disorder after traumatic brain injury

TitleTwo approaches to behavior disorder after traumatic brain injury
Publication TypeJournal Article
Year of Publication2006
AuthorsGiles, GM, Manchester, D
JournalJournal of Head Trauma Rehabilitation
Date PublishedMar-Apr
Publication Languageeng
ISBN Number0885-9701 (Print)0885-9701 (Linking)
Accession Number16569990
KeywordsAggression, Behavior Therapy/*methods, Brain Injuries/psychology/*rehabilitation, Health Personnel/education, Humans, Internal-External Control, Motivation, Professional-Patient Relations, Reinforcement (Psychology)

A 3-stage model of intervention is used to contrast the philosophy and treatment practices of 2 behavioral approaches to behavior disorder following traumatic brain injury. The first referred to here as the Operant Neurobehavioral Approach developed from neuropsychology and learning theory. The second referred to as the Relational Neurobehavioral Approach builds on the nonaversive behavioral techniques of the Operant Neurobehavioral Approach. It also incorporates principles of motivational interviewing, places more overt emphasis on the therapeutic relationship, and targets staff attributions for aggression in staff training. The strengths and weaknesses of both approaches are discussed. It is suggested that the Relational Neurobehavioral Approach is more likely to engage and/or reengage clients with traumatic brain injury who are resistant to behavior change. Research implications are discussed including the need to measure the fidelity of all intervention variables.

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