Purpose: Narrative discourse (e.g., telling anecdotes or relating personal events) comprises a key part of social interaction and is commonly affected after traumatic brain injury (TBI). Research over the past decades has enabled improved characterization of discourse impairment after TBI, but a critical lack of research into discourse…

The Shock Trauma Center of the Maryland Institute for Emergency Medical Services Systems instituted a comprehensive speech-language pathology program to provide acute intervention for communicative disorders in a critical/intensive care environment. This article provides a profile of the Center, a review of communicative impairments, and examples…

This article presents a family-centered perspective in rehabilitation of individuals with cognitive-communicative impairments following traumatic brain injury (TBI). The approach focuses on capacity rather than dysfunction in families and includes family members as collaborators in rehabilitation. Suggestions for understanding family responses to…

Cognitive-communicative intervention with children and adults with head injuries should emphasize such aspects of cognitive functioning as the knowledge base and the executive system. Assessment and intervention should focus on realistic goal setting, planning, self-directing and initiating, self-inhibiting, self-monitoring, self-evaluating,…

This examination of the impact of the head-injured student's cognitive-communicative deficits upon school performance and interpersonal relationships focuses on: the educator's perspective regarding the head-injured student, specific cognitive-communicative deficits, typical classroom behaviors of the student, teaching strategies, useful…

Described is a two-pronged approach to assessment of cognitive-communicative functions in head injury, incorporating elements of both restorative and compensatory models. The approach combines: (1) use of standardized cognitive measures, and (2) observational protocols for systematic evaluation of functioning on integrated, multicomponent tasks…

This article presents an intervention framework in which speech-language pathologists and behavioral psychologists view the challenging behaviors of individuals with traumatic brain injury from a communication perspective and address these problems in a way that is positive, integrated, functional, collaborative, and environmental. (Author/JDD)