Journal of Occupational Rehabilitation

, Volume 7, Issue 2, pp 97–106 | Cite as

Solution-focused therapy and psychosocial adjustment to orthopedic rehabilitation in a work hardening program

  • Jack T. Cockburn
  • Frank N. Thomas
  • Orbie J. Cockburn


Orthopedic rehabilitation programs utilizing a multidisciplinary approach invite a greater appreciation for the factors which influence the recovery process. This study evaluated variables associated with the psychosocial adjustment of work hardening program participants when exposed to Solution-Focused psychotherapy. Orthopedic patients receiving workers’ compensation were engaged in a work hardening program in which they received either Solution-Focused therapy or the standard rehabilitation protocol. Patients and spouses completed questionnaires designed to evaluate psychosocial coping and adjustment to a medical condition. Patients across all investigated orthopedic categories demonstrated enhanced adjustment to their condition when treatment groups were compared with control groups. It is proposed that Solution-Focused therapy, in conjunction with work hardening protocols, is effective for patients when developing effective coping responses to the stressors associated with orthopedic rehabilitation.

Key words

orthopedic rehabilitation psychosocial adjustment work hardening workers’ compensation solution-focused psychotherapy 


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Copyright information

© Plenum Publishing Corporation 1997

Authors and Affiliations

  • Jack T. Cockburn
    • 1
  • Frank N. Thomas
    • 2
  • Orbie J. Cockburn
    • 3
  1. 1.Lewisville Rehabilitation CenterLewisville
  2. 2.Department of Family TherapyTexas Woman’s UniversityDenton
  3. 3.Orthopedic AssociatesLewisville

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