ABSTRACT

Neuropsychological rehabilitation can provide both a general framework for intervention and a means of tackling speci®c issues. As a general framework, it allows for a biopsychosocial formulation within which understanding and acknowledgement of the person's cognitive impairments are central. This means, for example, that explanations and advice can be provided to the person and his or her carers, helping them to make sense of some of their dif®cult and distressing experiences. Speci®c dif®culties can be addressed using methods devised for people with dementia or adapted from those reported to be useful for people with brain injury or other forms of cognitive impairment. As will be evident from previous chapters, the way in which these two aspects of neuropsychological rehabilitation are implemented in practice varies according to the needs of the individual and the degree of severity of the dementia.