Abstract
To dispute the aspect of standard Cognitive Rehabilitation and the indication of Psychological Treatment: First, we summarized clinical protocols of Process Oriented Cognitive Rehabilitation (POCR) and our group rehabilitation program 'Orange Club'. In these protocols, our main therapeutic target was simply the higher brain functions which are prefrontal functions. And we utilized the schematic paradigm of the neuropsychological pyramid developed by Dr. Ben-Yishay; Rusk Institute, New York University. Psychologists were there as skill-trainers for patients' families and had a coordinating role of group dynamics attributed to laughter and play in the sessions. Second, we extracted optional sub-symptoms, which were assigned special attention. As options with present symptoms of higher brain function disturbance, some cases showed PTSD symptoms, MDI-like symptoms, Schizophrenia-like symptoms, or any socio-financial problems, and so on. Psychologists are often expected to point out these symptomatic options, and therefore their clinical interventions should be practical. Stated another way, in the care of Traumatic Brain Injury sequela, we initially should consider the use of play, laughter, etc. The conventional medical treatment requires both psychotherapy and a new age approach. These will maintain Positive Behavioral Support, which are then experienced in a fun atmosphere created by patients and their families. Next, other problems are usually never investigated during the main session. Nevertheless, psychologists still need to recognize the importance of focusing on the special requirements of medical treatment for sychotherapeutic options, such as the above-mentioned psychiatric abnormalities. Interventions for these are also an essential role of psychologists. Third, we furthermore tried cost calculation of the concrete POCR individual interview, group rehabilitation, and also the price of these arrangements from the viewpoint of medical economics. Consequently, it reconfirmed the importance of a close collaboration among medical specialists. We think that the activity of NPO JUTRA will help to integrate and generate a new movement for such needs.
