Evaluation of cognitive rehabilitation as a treatment paradigm.
OBJECTIVE
The construct of 'cognitive rehabilitation' has not been defined in a consensual manner and the variations in usage have produced misunderstanding and controversy. At one extreme, it refers to a paradigm of complex, sophisticated, integrated interventions and at the other to a poorly conceptualized and largely ineffectual service modality. A number of articles criticizing cognitive rehabilitation make little effort to differentiate between these usages, thus subjecting very different clinical procedures to the same complaints.


METHODS
This article abstracts five major criticisms from this literature to examine the best-developed, 'holistic' versions.


CONCLUSIONS
A treatment selection standard is proposed, specifying the conditions under which a holistic model or the 'contextualized' training alternative is likely to be more viable.
Schutz
Larry E
LE
University of Central Florida, GiveBack, Inc., FL 32826, USA. edsyke@earthlink.net
Trainor
Karen
K
D001930:Brain Injuries / Q000523:psychology* / Q000534:rehabilitation; D003072:Cognition Disorders / Q000209:etiology / Q000534:rehabilitation*; D006694:Holistic Health; D006801:Humans; D012046:Rehabilitation / Q000458:organization & administration*; D016896:Treatment Outcome