A Multimodal Approach to Treatment of Aggression in a Severely Brain-injured Adolescent

Authors

  • Gordon Teichner PhD,

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    • Gordon Teichner is a postdoctoral fellow in neuropsychiatry at the Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC. William J. Giannaris is a doctoral candidate in clinical psychology at Nova Southeastern University, Fort Lauderdale, FL.

  • Charles J. Golden PhD,

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  • William J. Giannaris MS

    Search for more papers by this author
    • Gordon Teichner is a postdoctoral fellow in neuropsychiatry at the Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC. William J. Giannaris is a doctoral candidate in clinical psychology at Nova Southeastern University, Fort Lauderdale, FL.


  • Portions of this paper were presented at the Association for Advancement of Behavior Therapy (AABT) annual convention, Miami, FL, November 1997.

professor of psychology at the Center for Psychological Studies, Nova Southeastern University, 3301 College Avenue, Fort Lauderdale, FL 33314.

Abstract

This case study presents a multimodal treatment approach to the rehabilitation of a severely brain-injured adolescent exhibiting significant aggressive and noncompliant behaviors. All treatments were mass-rehearsed in an overly concrete manner, given her cognitive deficits. Specific interventions included contingency management, stimulus control, problem solving, social skills training, relaxation training, anger management, and parent training. Results indicated a significant reduction in delinquent and aggressive behaviors and in social and attention problems. This success was maintained at an 8-month follow-up. These findings may assist nurses, rehabilitation specialists, and families to better manage aggressive and noncompliant behaviors that frequently follow a traumatic brain injury.

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