Abstract
This chapter addresses the effects of stroke and anoxic brain injury on the tier 1 caregiver and tier supports. First, the neuropathology of various types of strokes and anoxia is reviewed. Family scenarios are employed to address common sequelae of strokes and/or anoxia, specifically, aphasia; cognitive (especially attention, memory, and executive functions) and behavioral deficits as well as vision and motor changes (e.g., hemianopia, visuoperceptual, visuospatial, constructional skills, visual neglect, hemiplegia/hemiparesis, and other movement disorders). A series of psychotherapeutic “helpful hints” are presented for each realm for the caregiver and family to better comprehend and cope with their loved one’s stroke or anoxic symptoms and recovery. An emphasis is placed on new assistive technology that can be incorporated in therapy and at home to compensate for language, cognitive, vision, and motor impairments. This chapter also describes common areas of caregiver angst and disillusionment after stroke or anoxia with a variety of proposed psychoeducational and therapeutic tools to promote adaptation. Some of the unique challenges and useful strategies for spouses are also addressed within this chapter. Finally, an integrative case study is presented, illustrating core concepts and techniques.
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Klonoff, P. (2014). Family Psychotherapy after Stroke and Anoxic Brain Injury. In: Psychotherapy for Families after Brain Injury. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-8083-0_6
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