Abstract
Social behavioral disorders and impaired self-awareness, which are sequelae of brain injuries, have negative effects on interpersonal relationships and employment. In this study, we performed a long-term client-centered approach to help the patient diagnosed with a social behavior disorder and impaired self-awareness return to work. Cognitive rehabilitation, cognitive-behavioral treatment, and positive behavioral support were provided while assessing the self-awareness using the Japanese version of the Self-Regulation Skills Interview. This patient exemplifies the importance of establishing methods for self-monitoring and rebuilding a positive self-identity while considering the complexities of self-awareness when helping patients with impaired self-awareness. The patient took the initiative in managing problematic behaviors due to social behavior disorder, and as a result, was able to achieve stable self-awareness. The strategies described in this patient can be used in the future to treat patients with social behavior disorder due to inadequate self-awareness. In order to practice a client-centered approach while assessing the patient's level of self-awareness, it is important to build a trusting relationship over a long period. To assess the level of self-awareness, existing interviews, questionnaires, and work to express one's mental and physical state as seen by the patient may be effective.
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The data that support the findings of this study are available from the corresponding author upon reasonable request.
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We would like to thank the patient and his family who participated in this study. We would also like to thank his employer at his company for sharing information with us.
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KK wrote the first draft of the paper, which was reviewed by each author, all of whom contributed to the clinical care of the patient; authors’ textual changes and additions were all incorporated. YN contributed to the assessment and interpretation of the SRSI. TM addressed the patient's treatment options and offered suggestions.
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Kawabata, K., Nakajima, Y., Makino, T. et al. Support for Returning to Work for a Patient of Social Behavior Disorder with Impaired Self-awareness. J Contemp Psychother 52, 165–171 (2022). https://doi.org/10.1007/s10879-021-09529-0
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DOI: https://doi.org/10.1007/s10879-021-09529-0