AI Article Synopsis

  • The study assessed a rehabilitation program aimed at helping individuals like AM, who struggle with social and risk judgement due to brain injuries.
  • Previous research found that AM has trouble processing negative information automatically, but can manage both positive and negative data when using strategic thinking.
  • The treatment, called the Strategic Evaluation of Alternatives (SEA), trained AM to consciously evaluate potential actions, leading to better work-related outcomes and suggesting that the improvements were more about compensating for deficits rather than restoring lost abilities.

Article Abstract

The current study evaluated the effectiveness of a rehabilitation program developed to assist individuals such as AM who have impaired social and risk judgement. AM's difficulties developed after a severe traumatic brain injury that resulted in bilateral frontal and temporal lobe damage including damage to the amygdala. Previous work (Park et al., 2001) established that AM had impaired automatic processing of negative, but not positive evaluative information, and relatively spared processing of both types of evaluative information when using controlled or strategic processing. In the Strategic Evaluation of Alternatives (SEA) treatment program, AM was trained to compensate for his impairments by explicitly retrieving positive and negative attributes associated with potential actions prior to performing them. The SEA treatment focused specifically on improving AM's ability to obtain financial compensation for his work-related activities. Results showed improved performance on work-related activities and evidence of generalization. Analyses suggested that the process underlying improved performance was compensatory rather than restorative in nature. We discuss the implications of these results for the development of rehabilitation treatment for patients with impaired social and risk judgement.

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http://dx.doi.org/10.1076/neur.9.1.51.14371DOI Listing

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