Abstract:
:In the push for quantifiable outcome-based rehabilitation programmes, sensitivity to the integrity and uniqueness of the individual has been moved to the background. This has been particularly noticeable in the area of social skills therapy for persons who have suffered a traumatic head injury. We review some of the patterns of normal communication, with particular reference to roles, communicative relationships and individual differences, in order to clarify the difficulties in making clinical judgements about these skills. We propose a shift in focus to establishing a symmetrical therapeutic relationship in which communication is based on respect rather than structure and control. We utilize the clients' insights into their own social communication problems to enable them to be primary managers of their activities. The clinician's responsibility is not only to be a resource but also to be actively involved in the therapeutic process by reviewing his or her own social communication patterns in and outside of the therapy sessions. We argue that, with this perspective, activities can focus on principles of communication rather than specific skills, resulting in improved generalization and long-term outcome.
journal_name
Brain Injjournal_title
Brain injuryauthors
McGann W,Werven Gdoi
10.3109/02699059509004575subject
Has Abstractpub_date
1995-01-01 00:00:00pages
93-102issue
1eissn
0269-9052issn
1362-301Xjournal_volume
9pub_type
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