A treatment selection standard is proposed, specifying the conditions under which a holistic model or the 'contextualized' training alternative is likely to be more viable.

No abstract

Objective: To advance a methodological convention that balances concern for rigor (i.e., internal validity) with equal concern for relevance (i.e., external validity). Method: Conceptual. Results: A rating format for relevance is derived, determined, and applied to cognitive rehabilitation. Implications: The evidentiary base for applying research to practice can be properly determined through expert analysis of multidimensional criteria.

In interviews, they attributed their successes to continuing reliance on, and ongoing elaboration and modification of, cognitive compensation strategies. Unlike their disabled cohorts, they implement a deliberate procedure for self-corrective self-management that minimizes the functional impact of their permanent deficits.

Traditional accounts of right-posterior brain injury describe a syndrome of low-level perceptual sequelae producing marked acute dependency and transient safety concerns. The syndrome is also held to spare cognition and to carry a generally favorable long-term prognosis. The present paper reviews publications and anecdotal data that challenge this picture. Recent theoretical expositions and empirical studies stipulate three major cognitive functions of the right posterior association cortex: processing novel input, guiding reactions to emergencies, and anticipating consequences. Appearing benign after acute recovery, the impairment of these processes produces vocational, social and marital dysfunctions that increase as a function of chronicity, ultimately becoming more broadly disabling than focal injuries in other cortical loci. The unique symptom picture and serious implications suggest that the long-term syndrome should be labeled (Broad-Perspective Perceptual Disorder) and incorporated in future clinical taxonomies, underscoring the need for extraordinary long-term assistance and specialized therapeutics. Procedures for assessment and differential diagnosis are outlined.