What is cognitive rehabilitation?
Rehabilitation involves ‘enabling people who are disabled by injury or disease to achieve their optimum physical, psychological, social and vocational well-being’ (McLellan 1991, p. 785). Cognitive rehabilitation applies this concept specifically to people with cognitive impairments (Mateer 2005), taking into account the particular needs and challenges resulting from damage to the brain. Cognitive rehabilitation interventions aim ‘to enable clients or patients, and their families, to live with, manage, by-pass, reduce or come to terms with deficits precipitated by injury to the brain’ (Wilson 1997, p. 488). Where the neurological damage cannot be ameliorated, there is still scope to reduce the resulting disability (limitations on engaging in activity) and handicap (restrictions on social participation) (World Health Organisation 1980, 1998), and to address any excess or unnecessary disability arising from secondary responses to the situation, for example depression or loss of self-este
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