The decision to withdraw life support from a loved one, especially in the absence of an advance directive, can be complicated and painful. This article is the author's personal account of her brother's brain injury, his resulting condition, and the choice made to allow his death. In addition, the author discusses how this experience affected her…

The present study determined specificity and sensitivity to malingered neurocognitive dysfunction (MND) in traumatic brain injury (TBI) for several Wechsler Adult Intelligence Scale (WAIS) Digit Span scores. TBI patients (n = 344) were categorized into one of five groups: no incentive, incentive only, suspect, probable MND, and definite MND.…

Objective: Though children exposed to familial violence are reported to have difficulties with a range of emotional and behavioral problems (e.g., lower school achievement) that implicate executive function (EF) deficits, relatively little research has specifically examined EF as a function of trauma exposure in children. Methods: Based on parent…

This abstract summarizes recent statistics on the prevalence and causes of traumatic brain injuries (TBI), the populations it affects, and the degree of disability it causes. Estimates are based on 1985-1987 data from the National Health Interview Survey, a household survey of the noninstitutionalized U.S. population. Analysis indicates: the…

A survey of Virginia's local school divisions was conducted to obtain data on the number of students in Virginia with traumatic brain injury (TBI) and the nature of the services provided to them. A definition of traumatic brain injury is presented, and disorders resulting from TBI are listed, followed by a list of services required by this…

Discusses how treatment of memory disorders resulting from traumatic brain injury must extend beyond intervention strategies focusing on deficit reduction to embrace models centering on disability reduction. Disability oriented approaches that emphasize rehearsal and encoding strategies and the use of memory aids are described. (Author/CR)

Review of the cases of 95 fatal head injuries in children found that brain swelling could be detected as early as 1 hour 17 minutes postinjury using computerized topography scans. Results also suggested that a reported history of a lucid interval in a case not involving an epidural hematoma is likely to be false and the injury probably inflicted.…

A 44-item questionnaire consisting of teacher competency statements was completed by 54 educators of students with traumatic brain injury (TBI). Competencies rated as most important for educators working with students with TBI focused on instructional strategies, program planning, and collaboration with other specialists. Respondents rated the…

Obscene verbalizations in an individual with traumatic brain injury were treated using stimulus fading as the singular form of intervention. Results of a functional assessment revealed the obscenity was maintained by negative reinforcement. Stimulus fading (the gradual reintroduction of instructional demands) produced immediate and substantial…

Two studies involving 164 employed adults and 30 brain-injured and 30 noninjured patients investigated a modification of the Cognitive Estimation Test of Shallice and Evans (1978). The normative and clinical data serve as a starting point for further validation of the newly developed measure. (SLD)

Two basic models are presented of emotional functioning as it is commonly considered relative to brain damage. Methodological concerns in the literature are reviewed, and issues of measurement are highlighted to demonstrate the importance of empirically defining the prevalence of emotional effects. (SLD)

Two studies with nine children with severe traumatic brain injury (TBI) were conducted. Study 1, focusing on longitudinal changes in speaking rate, found markedly slower speaking rates for five subjects. Study 2, examining possible causes of slowed speaking rate, found that both reduced articulatory speed and increased pausing may contribute…

The clinical utility of using fewer than 12 trials of the Selective Reminding Test, a task to assess verbal memory, was studied with 100 cardiac patients and 100 brain injury patients. Results suggest that as few as 6 trials might be adequate, providing information consistent with that from 12 trials. (SLD)

Study evaluated bicycling habits and helmet use in 100 university students. Only 31 owned helmets, and 17 wore them during most trips. Helmet ownership was most strongly associated with previous injuries. Ethnicity and possession of bicycle injury insurance were also factors. Perceived risk was an important factor in helmet use. (SM)

This survey of 48 state directors of special education found that states are at various stages in developing policies and guidelines for serving individuals with traumatic brain injury, resulting in differing forms of technical assistance and training, definitions, and eligibility criteria. (JDD)