A Contextual, Systemic Perspective in Child Neuropsychological Rehabilitation

  • Katie Byard


The variable, somewhat idiosyncratic long-term cognitive, physical, social, emotional and behavioural outcomes for children with brain injury, especially if the injury is severe, are well-documented (Stancin et al., 2002; Schwartz et al., 2003; Anderson et al, 2011). In addition, families of children with brain injury report high rates of psychological distress, enduring burden, social isolation, changes in family relationships and loss of income as they care for their child and adjust to the effects of brain injury (Rivara et al., 1992; Wade et al, 2001, 2002, 2004; Gan et al., 2006; Anderson et al., 2011).


Traumatic Brain Injury Brain Injury Family Therapy Systemic Perspective Acquire Brain Injury 
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  1. Aitken, M.E., Korehbandi, P., Parnell, D., Parker, J.G., Stefans, V, Tomkins, R. and Schultz E.G. (2005) Experiences from the development of a comprehensive family support programme for paediatric trauma and rehabilitation patients. Archives of Physical Medicine &amp, Rehabilitation 86, 175–9.CrossRefGoogle Scholar
  2. Altschuler, J. (1997) Working with Chronic Illness: A Family Approach (Basingstoke: McMillan).CrossRefGoogle Scholar
  3. Altschuler, J. (2012) Counselling and Psychotherapy for Families in Times of Illness and Death (Basingstoke: Palgrave Macmillan).Google Scholar
  4. Anderson, V.A., Catroppa, C., Haritou, E, Morse, S.A. and Rosenfeld, J.V. (2005) Identifying factors to child and family outcome 30 months after traumatic brain injury in children, J Neurol Neurosurg Psychiatry 76, 401–8.CrossRefGoogle Scholar
  5. Anderson, V.A., Brown, S., Newitt, H. and Hoile, H. (2011) Long-term outcome from childhood traumatic brain injury: Intellectual ability, personality and quality of life. Neuropsychology 25, 176–84.CrossRefGoogle Scholar
  6. Baum, S. and Lynngaard, H. (2006) Intellectual Disabilities: A Systemic Approach (London: Karnac Books).Google Scholar
  7. Bedell, G. (2009). Further validation of the Child and Adolescent Scale of Participation (CASP). Developmental Neurorehabilitation, 12(5), 342–351.CrossRefGoogle Scholar
  8. Begum, M. (2007). Conversation with children with disabilities and their mothers. International Journal of Narrative Therapy and Community Work 2007, 11–16.Google Scholar
  9. Boss, P. (2006) Loss, Frauma and Resilience: Therapeutic Work with Ambiguous Loss (New York: WW Norton).Google Scholar
  10. Boss, P. (2007). Ambiguous loss theory: Challenges for scholars and practitioners. Family Relations 56, 105–11.CrossRefGoogle Scholar
  11. Bowen, C. (2007) Family therapy and neuro-rehabilitation: Forging a link. International Journal of Therapy and Rehabilitation 14, 344–9.CrossRefGoogle Scholar
  12. Bowen, C, Yeates G. and Palmer S. (2010) A Relational Approach to Rehabilitation: Thinking About Relationships After Brain Injury (London: Karnac Books).Google Scholar
  13. Braga, L.W., Da Paz Junior, A.C. and Ylvisaker, M. (2005) Direct clinician-delivered versus indirect family-supported rehabilitation of children with traumatic brain injury: A randomised controlled trial. Brain Injury 19, 819–31.CrossRefGoogle Scholar
  14. Bronfenbrenner, U. (1979) The Ecology of Human Development: Experiments by Nature and Design (Boston, MA: Harvard University Press).Google Scholar
  15. Bronfenbrenner, U. (1986) Ecology of the family as a context for human development: Research perspectives. Developmental Psychology 22, 723–42.CrossRefGoogle Scholar
  16. Brown, F.L., Whittingham, K., Boyd, R. and Sofronoff, K. (2013) A systematic review of parenting interventions for traumatic brain injury: Child and parent outcomes. The Journal of Head Frauma Rehabilitation 28, 349–60.CrossRefGoogle Scholar
  17. Burnham, J. (1992) Approach-method-technique: Making distinctions and creating connections. Human Systems 3, 3–27.Google Scholar
  18. Byard, K. and Gosling, S. (2013) Rewriting the story of childhood brain injury: How systemic and narrative approaches help. Context: Systemic Approaches to Working with Acquired Brain Injury in Children 125, 18–21.Google Scholar
  19. Byard, K., Fine, H. and Reed, J. (2011) Taking a developmental and systemic perspective on neuropsychological rehabilitation with children with traumatic brain injury and their families. Clinical Child Psychology & Psychiatry 16, 165–84.CrossRefGoogle Scholar
  20. Cardone, D. and Hilton, A. (2006) Engaging people with intellectual disabilities in systemic therapy. In: S. Baum and H. Lynngaard (eds) Intellectual Disabilities: A Systemic Approach, 1st ed., pp. 83–99 (London: Karnac Books).Google Scholar
  21. Carr, A. (2006) Family Therapy: Concepts, Process and Practice, 2nd ed. (Horsham: Routledge).CrossRefGoogle Scholar
  22. Carr, A. (2009) The effectiveness of family therapy and systemic interventions for child-focused problems. Journal of Family Therapy 31, 3–45.CrossRefGoogle Scholar
  23. Carter, B. and McGoldrick, M. (1988) The Changing Family Life Cycle: A Framework for Family Therapy (New York: Gardner Press).Google Scholar
  24. Cole, W.R., Paulos, S.K., Cole, C.A.S. and Tankard, C (2009) A review of family intervention guidelines for paediatric acquired brain injuries. Developmental Disabilities Research Reviews 15, 159–66.CrossRefGoogle Scholar
  25. Cottrell, D. and Boston, P. (2002) Practitioner review: The effectiveness of systemic family therapy for children and adolescents. Journal of Child Psychology &amp, Psychiatry 43, 573–86.CrossRefGoogle Scholar
  26. Dallos, R. and Draper, R. (2005) An Introduction to Family Therapy: Systemic Theory and Practice, 2nd ed. (Maidenhead: McGraw-Hill).Google Scholar
  27. Edwards, M. and Titman, P. (2010). Promoting Psychological Well-being in Children with Acute and Chronic Illness, 1st ed. (London: Jessica Kingsley).Google Scholar
  28. Epston, D., Freeman, J. and Lobovits, D. (1997) Playful Approaches to Serious Problems: Narrative Therapy with Children and their Families (New York: W.W. Norton).Google Scholar
  29. Erskine, R. (2013) Systemic thinking and neuropsychological assessment following childhood stroke related to sickle-cell disease. Context: Systemic Approaches to Working with Acquired Brain Injury in Children 125, 3–6.Google Scholar
  30. Feeney T. and Ylvisaker, M. (2003) Context-sensitive behavioural supports for young children with brain injury: Short term effects and long-term outcome. Journal of Head Trauma Rehabilitation 18, 33–51.CrossRefGoogle Scholar
  31. Feeney, T. and Ylvisaker, M. (2006) Context-sensitive cognitive-behavioural supports for young children with TBI: A replication study. Brain Injury 20, 629–45.CrossRefGoogle Scholar
  32. Fishbane, M.D. (2007) Wired to connect: Neuroscience, relationships and therapy. Family Process 46, 395–412.CrossRefGoogle Scholar
  33. Fredman, G. and Christie, D. (2007) Reflecting teams with children: The Bear necessities. Clinical Child Psychology and Psychiatry 12, 211–222.CrossRefGoogle Scholar
  34. Gan, C, Campbell, K.A., Gemeinhardt, M. and McFadden, G.T. (2006) Predictors of family system functioning after brain injury. Brain Injury 20, 587–600.CrossRefGoogle Scholar
  35. Goodman, R. (2001) Psychometric properties of the Strengths and Difficulties Questionnaire. Journal of the American Academy of Child &amp, Adolescent Psychiatry 40, 1337–45.CrossRefGoogle Scholar
  36. Griffin, A. and Christie, D. (2008) Taking a systemic perspective on neuropsychological assessments and reports: Reflections of a paediatric and adolescent psychology service. Clinical Child Psychology and Psychiatry 13, 209–19.CrossRefGoogle Scholar
  37. Help, S. (2013) Why a child’s brain injury is a family affair. Context: Systemic Approaches to Working with Acquired Brain Injury in Children 125, 10–13.Google Scholar
  38. Jaffe, K.M., Polissar, NX., Fay, G.C. and Liao, S. (1995) Recovery trends over three years following paediatric traumatic brain injury. Archives of Physical Medicine & Rehabilitation 7, 17–26.CrossRefGoogle Scholar
  39. Kaur, G., Scior, K. and Wilson, S. (2009) Systemic working in learning disability services: A UK wide survey. British Journal of Learning Disabilities 3: 213–20.CrossRefGoogle Scholar
  40. Klonoff, H., Clark, C and Klonoff, P.S. (1993) Long-term outcome of head injuries: A 23 year follow-up study of children with head injuries. Journal of Neurology, Neurosurgery & Psychiatry 56, 410–15.CrossRefGoogle Scholar
  41. Kubler-Ross, E. (1969) On Death and Dying, 1st ed. (New York: Macmillan).Google Scholar
  42. Laroi, E. (2003) The family system approach to treating families of persons with brain injury: A potential collaboration between family therapist and brain injury professional. Brain Injury 17, 173–87.CrossRefGoogle Scholar
  43. Lezak, M.D. (1978). Living with the characterologically altered brain injured patient. Journal of Clinical Psychiatry 39, 592–8.Google Scholar
  44. Lezak, M.D. (1986) Psychological implications of traumatic brain damage for the patient’s family. Rehabilitation Psychology 31, 241–50.Google Scholar
  45. Maitz, E.A. and Sachs, PR. (1995) Treating families of individuals with traumatic brain injury from a family systems perspective. Journal of Head Trauma Rehabilitation 10, 1–11.CrossRefGoogle Scholar
  46. Micklewright, J.L., King, T.Z., O’Toole, K., Henrich, C. and Floyd, EJ. (2012) Parental distress, parenting practices, and child adaptive outcomes following traumatic brain injury. Journal of the International Neuropsychological Society 18, 343–50.CrossRefGoogle Scholar
  47. Minuchin, S., Montalvo, B., Guerney B.G., Rosman, B.L. and Schumer, F. (1967) Families of the Slums: An Exploration of their Structure and Treatment, 1 st ed. (New York: Basic Books).Google Scholar
  48. Morrison, J.E., Bromfield, L.M. and Cameron, H.J. (2003) A therapeutic model for supporting families of children with a chronic illness or disability. Child &amp, Adolescent Mental Health 8, 125–30.CrossRefGoogle Scholar
  49. Perkins, A. (2013) Adapted narrative therapy for children with severe traumatic brain injury. Context: Systemic Approaches to Working with Acquired Brain Injury in Children 125, 7–9.Google Scholar
  50. Potter J.L., Wade, S.L., Walz, N.C., Cassedy A., Stevens, M.H., Yeates, K.O. and Taylor, H. (2011) Parenting style is related to executive dysfunction after brain injury in children. Rehabilitation Psychology 56, 351–8.CrossRefGoogle Scholar
  51. Reder, P. and Fredman, G. (1996) The relationship to help: Interacting beliefs about the treatment process. Clinical Child Psychology &amp, Psychiatry 1, 457–67.CrossRefGoogle Scholar
  52. Rivara, J., Fay, G., Jaffe, K., Polissar, N., Shurtleff, H. and Martin, K. (1992) Predictors of family functioning one year following traumatic brain injury in children. Archives of Physical Medicine & Rehabilitation 73, 899–910.Google Scholar
  53. Rolland, J.S. (1988a) A conceptual model of chronic and life threatening illness and its impact on the family. In: C. Chilman, E. Nunnally and F. Cox (eds) Chronic Illness and Disability, pp. 17–68 (Newbury Park, CA: Sage).Google Scholar
  54. Rolland, J.S. (1988b) Chronic illness and the family life cycle. In: B. Carter and M. McGoldrick (eds) The Changing Family Life-cycle: A Framework for Family Therapy, pp. 433–56 (New York: Gardner Press).Google Scholar
  55. Rolland, J.S. (1994) Families, Illness &amp, Disability: An Integrative Treatment Model (New York: Basic Books).Google Scholar
  56. Satir, V.M., Stachowaik, J. and Taschman, H.A. (1975) Helping Families to Change (New York: Aronson).Google Scholar
  57. Schore, A. (2001) Effects of a secure attachment relationship on right brain development, affect regulation and infant mental health. Infant Mental Health Journal 22, 7–66.CrossRefGoogle Scholar
  58. Schwartz, L., Taylor, H.G., Drotar, D., Yeates, K.O., Wade, S.L. and Stancin, T. (2003) Long-term behaviour problems following paediatric traumatic brain injury: Prevalence, predictors & correlates. Journal of Paediatric Psychology 28, 251–63.CrossRefGoogle Scholar
  59. Stancin, T., Drotar, D., Taylor, H.G., Yeates, K.O., Wade, S.L. and Minich, M.N. (2002) Health-related quality of life of children and adolescents following traumatic brain injury. Paediatrics 109, E34.CrossRefGoogle Scholar
  60. Tal, G. and Tirosh, E. (2013) Rehabilitation of children with traumatic brain injury: A critical review. Paediatric Neurology 48, 424–31.CrossRefGoogle Scholar
  61. Taylor, H.G. (2004) Research on outcomes of paediatric traumatic brain injury: Current advances and future directions. Developmental Neuropsychology 25, 199–225.CrossRefGoogle Scholar
  62. Taylor, H.G., Yeates, K.O., Wade, S., Drotar, D., Stancin, T. and Burant, C. (2001) Bidirectional child-family influences on outcomes of traumatic brain injury in children. Journal of the International Neuropsychological Society 7, 755–67.CrossRefGoogle Scholar
  63. Varni, J.W., Seid, M. and Rode, C.A. (1999) The PedsQL ™: Measurement model for the Pediatric Quality of Life Inventory™. Medical Care 37, 126–39.CrossRefGoogle Scholar
  64. Vetere, A. (2001) Structural Family Therapy. Child Psychology &amp, Psychiatry Review 6, 133–9.Google Scholar
  65. Wade, S.L., Borawski, E.A., Taylor, H.G., Drotar, D., Yeates, K.O. and Stancin, T. (2001) The relationship of caregiver coping to family outcomes during the initial year following paediatric traumatic injury. Journal of Consulting Clinical Psychology 69, 406–15.CrossRefGoogle Scholar
  66. Wade, S.L., Taylor, H.G. and Drotar, D. (2002) A prospective study of long-term caregiver and family adaptation following brain injury in children. Journal of Head Trauma Rehabilitation 17, 96–111.CrossRefGoogle Scholar
  67. Wade, S.L., Stancin, T, Taylor, H.G., Drotar, D., Yeates, K.O. and Minich, N. (2004) Interpersonal stressors and resources as predictors of parental adaptation following paediatric traumatic brain injury. Journal of Consulting Clinical Psychology 72, 776–84.CrossRefGoogle Scholar
  68. Wade, S.L., Carey, J. and Wolfe, C.R. (2006a) An online family intervention to reduce parental distress following paediatric brain injury. Journal of Consulting and Clinical Psychology 74, 445–54.CrossRefGoogle Scholar
  69. Wade, S.L., Carey, J. and Wolfe, C.R. (2006b) The efficacy of an online cognitive-behavioural family intervention in improving child behaviour and social competence following paediatric brain injury. Rehabilitation Psychology 51, 179–89.CrossRefGoogle Scholar
  70. Wade, S.L., Oberjohn, K., Burkhardt, A. and Greenberg, I. (2009) Feasibility and preliminary efficacy of a web-based parenting skills program for young children with traumatic brain injury. Journal of Head Trauma Rehabilitation 24, 239–47.CrossRefGoogle Scholar
  71. Wade, S.L., Cassedy, A., Walz, N.C., Taylor, H.G., Stancin, T. and Yeates, K.O. (2011) The relationships of parental warm responsiveness and negativity to emerging behaviour problems following traumatic brain injury in your children. Developmental Psychology 47, 119–33.CrossRefGoogle Scholar
  72. Wade, S.L., Walz, N.C., Carey, J. and McMullen K.M. (2012) A randomised trial of teen online problem-solving: Efficacy in improving caregiver outcomes after brain injury. Health Psychology 31, 767–76.CrossRefGoogle Scholar
  73. Weatherhead, S. and Todd, D. (eds) (2013) Narrative Approaches to Brain Injury (London: Karnac Books).Google Scholar
  74. White, M. (1988) Saying hullo again: The incorporation of the lost relationship in the resolution of grief. Dulwich Centre Newsletter 2, 29–36.Google Scholar
  75. White, M. and Epston, D. (1990) Narrative Means to Therapeutic Ends (New York: Norton).Google Scholar
  76. Wickler, L., Waslow, M. and Hatfield, E. (1981) Chronic sorrow revisited: Parent versus professional depiction of the adjustment of parents of mentally retarded children. American Journal of Orthopsychiatry 51, 63–70.CrossRefGoogle Scholar
  77. Williams, J. (1991) Supporting families after head injury. In: J. Williams & T. Kay (eds) Head Injury: A Family Matter, pp. 65–80 (Baltimore, MD: Paul H. Brookes).Google Scholar
  78. World Health Organization (2001) International Classification of Functioning, Disability and Health: (ICF) (Geneva: World Health Organization).Google Scholar
  79. Yeates, K.O., Taylor, H.G., Walz, N.C., Stancin, T. and Wade, S.L. (2010a) The family environment as a moderator of psychosocial outcomes following traumatic brain injury in young children. Neuropsychology 2, 345–56.CrossRefGoogle Scholar
  80. Yeates, G.N., Luckie, M., de Beer, Z. and Khela, P. (2010b) Elucidating the psychosocial context of post-concussion syndrome: A case study from post-Milan systemic family therapy. Journal of Family Therapy 32, 186–202.CrossRefGoogle Scholar
  81. Ylvisaker, M., Todis, B. and Glang, A. (2001) Educating students with brain injury: Themes and recommendations. Journal of Head Trauma Rehabilitation 6, 76–93.CrossRefGoogle Scholar
  82. Ylvisaker, M., Turkstra, L., Coehlo, C., Yorkston, K., Kennedy, M., Sohlberg, M.M. and Avery, J. (2007) Behavioural interventions for children and adults with behaviour disorders after TBI: A systematic review of the evidence. Brain Injury 21, 769–805.CrossRefGoogle Scholar

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  • Katie Byard

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