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Strengthening goal-directed functioning after traumatic brain injury.

Anthony J-W Chen1, Fred Loya2

  • 1VA Northern California Health Care System, Martinez, CA, United States; Department of Neurology, University of California San Francisco, San Francisco, CA, United States.

Handbook of Clinical Neurology
|October 9, 2019
PubMed
Summary

Brain injury can impair goal-directed functioning. This chapter outlines neuroscience-based principles and practical strategies to enhance cognitive-emotional regulation and improve daily life after neurological trauma.

Keywords:
AttentionExecutive functioningMilitary veteransPost-traumatic stress disorderRehabilitationSleepTrainingTraumatic brain injuryWorking memory

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Area of Science:

  • Neuroscience
  • Rehabilitation Psychology

Background:

  • Acute brain trauma can cause chronic neurological deficits, significantly impacting goal-directed functioning.
  • Dysfunctions following brain injury are often complex and difficult to treat effectively.

Purpose of the Study:

  • To delineate key principles for improving goal-directed functioning after brain injury.
  • To emphasize practical, neuroscience-grounded approaches for maximizing functional recovery.

Main Methods:

  • Grounded in neuroscience and theoretical underpinnings.
  • Focuses on practical strategies for personal life improvements.
  • Highlights targeting prefrontal cortical networks for strengthening core functions.

Main Results:

  • Rehabilitation is maximized through cohesive, individualized treatments addressing multiple facets of functioning.
  • Specific training approaches can target and strengthen prefrontal cortical functions.
  • Addressing factors modulating brain processes is crucial for optimization.

Conclusions:

  • Optimizing post-brain injury functioning requires individualized, multi-faceted rehabilitation.
  • Cognitive-emotional regulation during goal pursuit is critical, especially for military trauma.
  • Foundations are laid for innovative approaches to enhance goal-directed functioning.