Psychiatric interventions in spinal cord injury

Psychological Consequences of Spinal Injury: A Review of the Literature

“…Macleod also found that self-neglect was associated with depressive illness as defined by the DSM-111 criteria 161. Others have also found self-neglect to be a problem commonly encountered in persons with SCI [7,8,9].…”

Self-neglect of spinal injured patients

“…Encouraging personal responsibility for rehabilitation, decision making and planning for the future, involves the patient actively and con structively. Self-hypnosis and relaxation techniques are additional methods of enhancing some degree of mastery (Gallagher et al, 1982).…”

“…There is a multitude of references to such behaviour in the literature. These include the rejection of necessary surgical procedures (Nagler, 1950), a compulsive and self-destructive need for poly surgery (Seymour and Comarr, 1956), a proneness to self-destructive behaviour (Hopkins, 1971), the refusal to eat (Gallagher et al, 1982), inattention to skin care (Nyquist and Bors, 1967;Wilcox and Stauffer, 1972;Kerr and Thompson, 1972;Steward, 1977-78), the avoidance of, or difficulties with, bladder care (Stewart 1977-78;Gallagher et al, 1982), the neglect of self-care (Hohmann, 1975), mutilative self-biting (Dahlin, et al, 1985), the reluctance to participate in rehabilitation (Nagler, 1950;Arnott, 1984), lack of cooperation with staff (Petrus and Balaban, 1953;Gallagher et ai., 1982;Pinkerton and Griffin, 1983), and the reluctance of patients to return to specialist care despite deteriorating health (Bromley, 1984).…”