[Neuropsychotherapy in brain injury rehabilitation]

Rev Neurol. 2014 Feb 1;58(3):125-32.
[Article in Spanish]

Abstract

Introduction: Persons who have suffered brain damage can experience a wide range of cognitive, behavioural and emotional disorders. However, neuropsychological rehabilitation usually focuses, almost exclusively, on the cognitive deficits and pays very little attention to the emotional challenges associated with the psychological impact of the lesion. It is in this more personal side of brain damage where neuropsychotherapy can be of great aid to facilitate the process of acceptance and adaptation following a neurological lesion.

Development: In this article, we describe the theoretical and conceptual aspects of psychotherapy oriented towards persons with brain damage, the implications of cognitive deficits in the practice of neuropsychotherapy and the evidence regarding its effectiveness.

Conclusions: In the past, neuropsychotherapy was considered to be of little use in the rehabilitation of brain damage. Today, however, a growing number of professionals are acknowledging its importance in the management of the psychological/emotional suffering associated with brain damage. The aim of neuropsychological rehabilitation is not just to promote the recovery of the altered brain functions, but also to improve the individual's functional capacity, deal with his or her experiences of loss and help him or her to again find a meaning to life.

Title: Neuropsicoterapia en la rehabilitacion del daño cerebral.

Introduccion. Las personas que han sufrido lesiones cerebrales pueden experimentar un amplio abanico de alteraciones cognitivas, conductuales y emocionales. No obstante, la rehabilitacion neuropsicologica acostumbra a centrarse, de manera casi exclusiva, en los deficits cognitivos y presta escasa atencion a los retos emocionales asociados al impacto psicologico de la lesion. En esta faceta mas personal del daño cerebral es donde la neuropsicoterapia puede ser de gran utilidad para facilitar el proceso de aceptacion y adaptacion despues de una lesion neurologica. Desarrollo. En el presente articulo se describen los aspectos teoricos y conceptuales de la psicoterapia orientada a personas con daño cerebral, implicaciones de los deficits cognitivos en la practica de la neuropsicoterapia y evidencias sobre su efectividad. Conclusiones. En el pasado se considero que la neuropsicoterapia tenia escasa utilidad en la rehabilitacion del daño cerebral. Hoy en dia, cada vez son mas los profesionales que reconocen su importancia en el abordaje del sufrimiento psicologico/emocional asociado al daño cerebral. El objetivo de la rehabilitacion neuropsicologica no es unicamente promover la recuperacion de las funciones cerebrales alteradas, sino tambien mejorar la capacidad funcional del individuo, tratar con sus experiencias de perdida y ayudarle a encontrar, de nuevo, sentido a la vida.

Publication types

  • Review

MeSH terms

  • Adaptation, Psychological
  • Affective Symptoms / etiology
  • Affective Symptoms / psychology
  • Affective Symptoms / rehabilitation
  • Brain Damage, Chronic / psychology
  • Brain Damage, Chronic / rehabilitation
  • Brain Injuries / psychology
  • Brain Injuries / rehabilitation*
  • Clinical Trials as Topic
  • Cognition Disorders / etiology
  • Cognition Disorders / psychology
  • Cognition Disorders / rehabilitation
  • Grief
  • Humans
  • Neuropsychology
  • Psychotherapy / methods*
  • Quality of Life
  • Self Concept
  • Stress, Psychological
  • Stroke / complications
  • Stroke / psychology
  • Stroke Rehabilitation
  • Treatment Outcome
  • Uncertainty