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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Mentalising and social problem-solving after brain injury.

Shelley Channon1, Sarah Crawford

  • 1Department of Cognitive, Perceptual and Brain Sciences, University College London, London, UK. S.Channon@ucl.ac.uk

Neuropsychological Rehabilitation
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Adults with acquired brain injury (ABI) struggle with social cognition, showing impairments in understanding actions and sarcasm. Rehabilitation programs can be tailored using these findings to address social communication and problem-solving deficits.

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Area of Science:

  • Neuroscience
  • Psychology
  • Rehabilitation Medicine

Background:

  • Social cognition deficits are common after acquired brain injury (ABI).
  • Assessing these deficits is crucial for effective rehabilitation planning.
  • Previous tasks by Channon and Crawford (1999) provide a foundation for current research.

Purpose of the Study:

  • To evaluate the social cognition performance of adults with ABI.
  • To assess abilities in mentalistic interpretation and social problem-solving.
  • To determine the clinical utility of specific social cognition tasks.

Main Methods:

  • Twenty participants with ABI (traumatic brain injury or cerebrovascular accident) and 20 matched controls completed social cognition tasks.
  • Tasks included the Mentalistic Interpretation Task and the Social Problem Resolution Task.
  • Performance was compared between the ABI group and the control group.

Main Results:

  • Participants with ABI demonstrated significant impairments in interpreting actions and sarcasm.
  • The ABI group performed worse on social problem-solving and generated fewer responses.
  • Individuals with ABI had difficulty identifying social awkwardness and selecting appropriate solutions.

Conclusions:

  • Social cognition tasks can effectively identify social communication and problem-solving deficits in adults with ABI.
  • These findings support the use of these tasks for creating individualized rehabilitation programs.
  • Targeted interventions can improve social functioning post-brain injury.