Emotional Consequences of Brain Injury

  • William J. Lynch


It should come as no surprise that there are significant emotional consequences to serious head injuries. Consider, for example, the extreme distress you yourself would experience if you were involved in a major automobile accident. As a result, you become unconscious for several days or weeks; you awaken half paralyzed in an eerie room full of strange sights and sounds, costing $500 per day. Because of the restraints, tubes, and catheters, you are unable to move your unaffected side. Your hemiparetic side both puzzles and frightens you. You are aware of a distressing memory loss for recently occurring events. Your ability to speak or to comprehend written or spoken language is disrupted.


Emotional Consequence Dysthymic Disorder Paranoid Patient Screening Inventory Delusional Jealousy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. American Psychiatric Association. Diagnostic and Statistical Manual: III. American Psychiatric Association, 1980, 115–120Google Scholar
  2. Beck, A., and Beck, R. Screening depressed patients in family prac-tice. Postgraduate Medicine, 1972, 52, 81–85.PubMedGoogle Scholar
  3. Blumer, D., and Benson, D. Personality changes in frontal and temporal lobe lesions. In D. Benson and D. Blumer (Eds.) Psychiatric aspects of neurologic disease. New York: Grune and Stratton, 1975.Google Scholar
  4. Bond, M. Assessment of the psychosocial outcome after severe head injury. In CIBA Foundation Symposium 34: Outcome of severe damage to the central nervous system. Amsterdam: Elsevier, 1975, 141–153.Google Scholar
  5. Booth, P., Doyle, M., and Malkmus, D. Meeting the challenge of the agitated patient. In: Rehabilitation of the head injured adult: Comprehensive management. Downey, CA: Professional Staff of Rancho Los Amigos Hospital, Inc., 1980.Google Scholar
  6. Derogatis, L. SCL-90 Administration, scoring and procedures manual - I for the revised edition. Baltimore: Johns Hopkins University School of Medicine, 1977.Google Scholar
  7. Diller, L., and Gordon, W. Rehabilitation in clinical neuropsychology. In S. Filskov and T. Ball (Eds.) Handbook of clinical neuropsychology. New York: Wiley, 1981, pp. 702–733.Google Scholar
  8. Fauman, M. Treatment of the agitated patient with an organic brain disorder. Journal of the American Medical Association, 1978, 240, 380–382.PubMedCrossRefGoogle Scholar
  9. Frankle, A. Sequential response shift rate: A correlate of human adaptivity measurable with existing personality inventories. Journal of Psychology, 1978, 98, 129–143.PubMedCrossRefGoogle Scholar
  10. Frankle, A. Perseverated yea-saying on a brief personality inventory (PSI) as a specific screening index for organic brain dysfunction. Paper presented to International Neuropsychological Society Meeting, San Francisco, CA Jan. 1980.Google Scholar
  11. Graham, J. The MMPI: A practical guide. New York: Oxford University Press, 1977, pp. 219–224.Google Scholar
  12. Hathaway, S., and McKinley, J. The Minnesota Multiphasic Personality Inventory. Minnesota: University of Minnesota Press, 1943.Google Scholar
  13. Kennie, D., and Moore, J. Management of senile dementia. American Family Physician, 1980, 22, 105–110.PubMedGoogle Scholar
  14. Kodimer, C., and Styzens, S. The psychology of the head-injured adult. In: Rehabilitation of the head-injured adult: Comprehensive management. Downey, CA: Professional Staff of Rancho Los Amigos Hospital, Inc. 1980.Google Scholar
  15. Lanyon, R. The psychological screening inventory. Goshen, NY: Research Psychologists Press, 1968.Google Scholar
  16. Lezak, M. Living with the characterologically altered brain injured patient. Journal of Clinical Psychiatry, 1978, 39, 592–598.PubMedGoogle Scholar
  17. Mauss-Clum, N., and Ryan, M. Brain injury and the family. Journal of Neurosurgical Nursing, August 1981 (in press).Google Scholar
  18. Newmark, C., Falk, R., and Finch, A. Interpretive accuracy of abbreviated MMPIs. Journal of Personality Assessment, 1976, 40, 266–268.PubMedCrossRefGoogle Scholar
  19. Overall, J., and Gomez-mont, F. The MMPI-168 for psychiatric screening. Educational and Psychological Measurement, 1974, 34, 315–319.CrossRefGoogle Scholar
  20. Sanford, J. Tolerance of debility in elderly dependents by supporters at home: Its significance for hospital practice. British Medical Journal, 1975, 3 (05981), 471–473.CrossRefGoogle Scholar
  21. Sbordone, R., and Caldwell, A. The “OBD-168”: Assessing the emotional adjustment to cognitive impairment and organic brain damage. Clinical Neuropsychology, 1979, 1 (4), 35–41.Google Scholar
  22. Weddell, R., Oddy, M., and Jenkins, D. Social readjustment after rehabilitation: A two year follow-up of patients with severe head injury. Psychological Medicine, 1980, 10, 257–263.PubMedCrossRefGoogle Scholar
  23. Zung, W. A self-rating depression scale. Archives of General Psychiatry, 1965, 12, 63–70.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1982

Authors and Affiliations

  • William J. Lynch
    • 1
  1. 1.Brain Injury Rehabilitation UnitVeterans Administration Medical CenterPalo AltoUSA

Personalised recommendations