ABSTRACT

This chapter provides a short overview of the practice of Cognitive Rehabilitation Therapy (CRT), characterizes the various approaches utilized to rehabilitate patients with neurocognitive impairment, and summarizes the evidence on CRT outcome. Both remedial and compensatory CRT approaches are available for the three most commonly treated cognitive domains of attention, memory, and executive function/problem solving. Attention Process Training (APT) attempts to remediate deficits in sustained attention, working memory, selective attention, suppression of response to competing inputs, and alternating attention through the use of progressively more difficult cognitive exercises. Lumosity, PositScience, and SBTP also include Internet-based games to improve memory. Lumosity, for example, includes games that require the recall of spatial positions, associations between stimuli, and associations between names and faces. To varying degrees, the Internet and desktop computer remediation programs already discussed include exercises that target problem solving, reasoning, and related abilities. The chapter closes with some projections on what this now mature field will accomplish in the decades ahead.