ABSTRACT

This chapter considers the issue of generalisation of improvements achieved as a result of rehabilitative intervention. In the consideration of generalisation, it addresses the important question of whether a single retraining programme can be used effectively with a number of subjects or whether it is preferable to design individualised programmes. No matter which type of retraining programme is contemplated, that is individual or group, a number of individual characteristics can be identified which could influence recovery. The majority of participants in retraining programmes are not self-referrals. A professional may refer the patient for retraining on the basis of a knowledge of the existence of deficits even when the patient is not dissatisfied with his or her lot. It is extremely important that the programme is described in such a way as to discourage the prospective participant from developing unrealistically high expectations of it.