刑事事件の被告人となった失語症患者の(1)訴訟能力を判定し、(2)裁判に向けての目的に特化した言語訓練を行い、(3)法廷での支援を行った。障害を正確に理解し、最大限に有効な支援方法を見出し実行するというこの仕事は、認知リハビリテーションそのものであったが、ゴールが刑罰の確定であるという点だけが異なっていた。

多くの高齢者は記憶の問題を抱えており、その問題に対する効果的な介入方法の開発の意義は高い．本研究では、高齢者における誤りなし学習と誤りあり学習の記憶促進効果および心理的負担度の違いを検討した．著明な認知機能障害がない高齢者20人に対して、実在する8人の顔写真に対応する名前の記銘と再生を2条件にて求めた．誤りなし学習条件では記銘段階で初めから正しい名前を呈示した．誤りあり学習条件では記銘段階では名前の推測を求め、20秒間経過または2回誤ったあとで正しい名前を呈示した．各セッションの終了後、課題の心理的負担度を7件法で聴取した．結果、正しく再生された名前の数は誤りなし条件で誤りあり条件よりも有意に多く、心理的負担度得点も誤りなし条件で誤りあり条件よりも有意に低かった．誤りなし学習は誤りあり学習に比べて記憶促進効果が高く、かつ心理的負担度が低く、病的な記憶の障害のない高齢者においても誤りなし学習が推奨されると考える．

・In this article, the prognosis 2 years post onset among 6 patients with anti-NMDAR encephalitis have investigated, which included 5 adult and 1 pediatric patient.

・To evaluate the prognosis, modified Rankin Scale, which runs from 0 to 6 (0, no symptoms; 6, death), was used.

・Of 6 patients, 5 improved completely (modified Rankin Scale of 0, no symptoms) and 1 improved almost completely (no significant disabilities), suggesting a good prognosis.

・A patient with traumatic brain injury (TBI), who had poor divided attention and reduced speed of processing, was received a psychoeducation program.

・This program included trying not only teaching information about sequences of TBI but also using compensated strategies practically in therapeutic milieu.

・He succeeded to modify some behaviors and return to his job.

・It was suggested that psychoeducation could be effective for improving patient’s self-awareness, though this education needed to be adapted to the patient with TBI.

・Relationship between linguistic dysfunction and findings of diffusion tensor tractography in patients with frontotemporal lobar degeneration has yet to be clarified.

・Decreased amount of white matter fiber tracts was found in anterior thalamic radiation and uncinate fasciculus in two individuals with frontotemporal lobar degeneration as their linguistic function deteriorated into almost being mute.

・Aphasia may be exacerbated by frailty and disuse of language function.

・Language sub-functions related to the core symptoms were fragile and could easily worsen. It was　suggested that these sub-functions may be difficult to recover even if speech　language therapy is resumed.

・For the prevention of the language function deterioration, it is necessary to regularly evaluate language function and daily activities, and to build a continuous follow-up system in which medical care, government, and local communities cooperate.

・Real-time support with Internet of Things might be practical for cognitive dysfunction, e.g. an automatic reading-out system for dyslexia and a remainder with smart speaker for attention/executive dysfunction.

・Rehabilitation with Internet of Things might have great potential for supporting patients with cognitive dysfunction.