Book contents
- Frontmatter
- Contents
- List of contributors
- Foreword by Keith Cicerone
- Preface
- Section 1 Background and theory
- Section 2 Group interventions
- Section 3 Case illustrations
- 13 Peter: successful rehabilitation following a severe head injury with cerebrovascular complications
- 14 Lorna: applying models of language, calculation and learning within holistic rehabilitation: from dysphasia and dyscalculia to independent cooking and travel
- 15 Caroline: treating post-traumatic stress disorder after traumatic brain injury
- 16 Interdisciplinary vocational rehabilitation addressing pain, fatigue, anxiety and impulsivity: Yusuf and his ‘new rules for business and life’
- 17 Judith: learning to do things ‘at the drop of a hat’: behavioural experiments to explore and change the ‘meaning’ in meaningful functional activity
- 18 Simon: brain injury and the family – the inclusion of children, family members and wider systems in the rehabilitation process
- 19 Adam: extending the therapeutic milieu into the community in the rehabilitation of a client with severe aphasia and apraxia
- 20 Malcolm: coping with the effects of Balint's syndrome and topographical disorientation
- 21 Kate: cognitive recovery and emotional adjustment in a young woman who was unresponsive for several months
- Section 4 Outcomes
- Index
- Plate section
20 - Malcolm: coping with the effects of Balint's syndrome and topographical disorientation
from Section 3 - Case illustrations
Published online by Cambridge University Press: 03 March 2010
- Frontmatter
- Contents
- List of contributors
- Foreword by Keith Cicerone
- Preface
- Section 1 Background and theory
- Section 2 Group interventions
- Section 3 Case illustrations
- 13 Peter: successful rehabilitation following a severe head injury with cerebrovascular complications
- 14 Lorna: applying models of language, calculation and learning within holistic rehabilitation: from dysphasia and dyscalculia to independent cooking and travel
- 15 Caroline: treating post-traumatic stress disorder after traumatic brain injury
- 16 Interdisciplinary vocational rehabilitation addressing pain, fatigue, anxiety and impulsivity: Yusuf and his ‘new rules for business and life’
- 17 Judith: learning to do things ‘at the drop of a hat’: behavioural experiments to explore and change the ‘meaning’ in meaningful functional activity
- 18 Simon: brain injury and the family – the inclusion of children, family members and wider systems in the rehabilitation process
- 19 Adam: extending the therapeutic milieu into the community in the rehabilitation of a client with severe aphasia and apraxia
- 20 Malcolm: coping with the effects of Balint's syndrome and topographical disorientation
- 21 Kate: cognitive recovery and emotional adjustment in a young woman who was unresponsive for several months
- Section 4 Outcomes
- Index
- Plate section
Summary
Acquired cognitive deficits can present themselves in many ways and can be confusing for the people affected as well as for those around them. This case illustrates the use of cognitive models for understanding an unusual neuropsychological syndrome that was not initially apparent.
Initial meeting and background
We first met Malcolm at Headway House in Cambridge in 1991. At that time his difficulty with the localization of objects was thought to be due to poor eyesight. We were starting a memory group there and wanted to administer a number of tests to the people coming to the group. One of the tests was the Raven's Standard Progressive Matrices (Raven, 1960). This test requires the person being tested to look at a matrix with a piece missing and then choose one of six or eight stimuli at the bottom of the page that will complete the matrix. Although Malcolm was articulate and had a fund of general knowledge, it was immediately obvious that he had difficulty with the Raven's test. He appeared to have problems seeing the missing part in the matrix and he could not point accurately to the stimuli at the bottom of the page. He frequently pointed to a blank part of the page or else placed his finger over two adjacent stimuli. Given that one of the major characteristics of Balint's syndrome (Balint, 1909) is an inability to localize in space (optic ataxia), we wondered if that was the explanation for Malcolm's poor pointing ability.
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- Chapter
- Information
- Neuropsychological RehabilitationTheory, Models, Therapy and Outcome, pp. 304 - 316Publisher: Cambridge University PressPrint publication year: 2009
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