The development of the therapeutic working alliance, patients' awareness and their compliance during the process of brain injury rehabilitation.


PURPOSE:To examine the development and interaction of the therapeutic alliance, patients' compliance and awareness during the process of brain injury rehabilitation and the role of demographic and injury related variables in this process. Subjects were 86 patients who underwent a holistic neuropsychological outpatient rehabilitation programme. Patients had suffered a traumatic brain injury (n = 27), a cerebrovascular accident (n = 49) or another neurological insult (n = 10). MEASURES:The therapeutic alliance between clients and their primary therapists, clients' awareness and their compliance were rated four times during the 14-week rehabilitation programme. The therapeutic alliance was rated by both clients and therapist using the Working Alliance Inventory (WAI), awareness and compliance were rated by the therapists. RESULTS:The development of the process measures over time is described in the article. Clients' and therapists' perspectives on their alliance tended to converge over time. Clients' experience of their emotional bond with their therapist added as much to the prediction of clients' awareness as the localization of their brain injury. Clients' awareness was related to their compliance and mediated the impact of the therapeutic alliance on their compliance. DISCUSSION:A good working alliance is the basis of successful rehabilitative work. The article discusses therapeutic implications of the results.


Brain Inj


Brain injury


Schönberger M,Humle F,Teasdale TW




Has Abstract


2006-04-01 00:00:00














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    pub_type: 杂志文章,多中心研究


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    更新日期:2010-01-01 00:00:00

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    authors: Bellon ML,Rees RJ

    更新日期:2006-09-01 00:00:00

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    abstract:OBJECTIVES:We report on a patient who suffered traumatic axonal injury (TAI) of various neural tracts despite airbag deployment following mild traumatic brain injury (TBI), which was demonstrated by diffusion tensor tractography (DTT). CASE DESCRIPTION:A 58-year-old female patient suffered from head trauma resulting f...

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    authors: Kersel DA,Marsh NV,Havill JH,Sleigh JW

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    abstract:OBJECTIVE:Determine (a) if there are sub-groups of individuals with substance use disorders distinguished by their pattern of sustaining traumatic brain injury (TBI) over the lifetime and (b) whether sub-group membership affects current functioning. DESIGN:Secondary analysis. SETTINGS:Outpatient substance abuse treat...

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    authors: Corrigan JD,Bogner J,Holloman C

    更新日期:2012-01-01 00:00:00

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    abstract:PRIMARY OBJECTIVE:To examine the influence of social support on the physical activity behaviours of individual's with a traumatic brain injury. MAIN OUTCOMES AND RESULTS:The paper defines social support as a multi-dimensional construct and reviews relevant literature describing how the type and source of social suppor...

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    pub_type: 杂志文章,评审


    authors: Driver S

    更新日期:2005-12-01 00:00:00

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    abstract:OBJECTIVES:Individuals with traumatic brain injury may have difficulty accepting other viewpoints, but there is not yet a clinical test to measure the readiness with which one accepts new information as true. This study examined the truth effect-the tendency to rate previously seen material as being 'more true' than ne...

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    pub_type: 杂志文章,随机对照试验


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    authors: Peterson A,Kostick KM,O'Brien KA,Blumenthal-Barby J

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    authors: Jaffe MP,O'Neill J,Vandergoot D,Gordon WA,Small B

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    authors: Haq MZ,Prakash R,Soy A,Gupta A,Akhtar S

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    authors: Maeshima S,Ueyoshi A,Matsumoto T,Boh-Oka S,Yoshida M,Itakura T

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    pub_type: 杂志文章


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    更新日期:2016-01-01 00:00:00

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    pub_type: 杂志文章


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    pub_type: 杂志文章,评审


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    更新日期:2006-06-01 00:00:00

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    journal_title:Brain injury

    pub_type: 杂志文章


    authors: Rao N,Rosenthal M,Cronin-Stubbs D,Lambert R,Barnes P,Swanson B

    更新日期:1990-01-01 00:00:00