Use of self-instructional strategies with three neurologically impaired adults

Author(s): Couvadelli, B.

Journal/Book: Cognitive Ther Res. 1998; 22: 233 Spring St, New York, NY 10013. Plenum Publ Corp. 91-107.

Abstract: Although traditional therapies failed, use of individualized scripts to remediate executive and visuo-motor deficits in three patients with frontal and parietal injuries resulted in improved motor sequencing, problem solving, use of left neglect compensatory strategies, and decreased perseveration and frustration. Therapists modeled script use with correct movements. After learning scripts by heart, patients verbalized each move they were to make (overt self-guidance) while carrying out transfers, wheelchair navigation, and visuo-motor tasks. Finally, patients recited scripts silently (internalized self-guidance).

Note: Article OCallaghan ME, Neuropsychol & Neurofeedback Practice, 8 Crystal Creek Trail, Austin,TX 78737 USA

Keyword(s): self-talk; self-instruction; cognitive therapy; neuropsychological deficits; HEAD-INJURY; CHILDREN

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