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Rehabilitation of executive functioning: An experimental–clinical validation of Goal Management Training

Published online by Cambridge University Press:  01 March 2000

BRIAN LEVINE ,
IAN H. ROBERTSON ,
LINDA CLARE ,
GINA CARTER ,
JULIA HONG ,
BARBARA A. WILSON ,
JOHN DUNCAN  and
DONALD T. STUSS
BRIAN LEVINE
Affiliation:
Rotman Research Institute, Baycrest Centre for Geriatric Care, Toronto Departments of Psychology and Medicine (Neurology), University of Toronto
IAN H. ROBERTSON
Affiliation:
Medical Research Council Applied Psychology Unit, Cambridge, U.K. Department of Psychology, Trinity College Dublin, Ireland
LINDA CLARE
Affiliation:
Medical Research Council Applied Psychology Unit, Cambridge, U.K.
GINA CARTER
Affiliation:
Medical Research Council Applied Psychology Unit, Cambridge, U.K.
JULIA HONG
Affiliation:
Rotman Research Institute, Baycrest Centre for Geriatric Care, Toronto
BARBARA A. WILSON
Affiliation:
Medical Research Council Applied Psychology Unit, Cambridge, U.K.
JOHN DUNCAN
Affiliation:
Medical Research Council Applied Psychology Unit, Cambridge, U.K.
DONALD T. STUSS
Affiliation:
Rotman Research Institute, Baycrest Centre for Geriatric Care, Toronto Departments of Psychology and Medicine (Neurology), University of Toronto
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Abstract

Two studies assessed the effects of a training procedure (Goal Management Training, GMT), derived from Duncan's theory of goal neglect, on disorganized behavior following TBI. In Study 1, patients with traumatic brain injury (TBI) were randomly assigned to brief trials of GMT or motor skills training. GMT, but not motor skills training, was associated with significant gains on everyday paper-and-pencil tasks designed to mimic tasks that are problematic for patients with goal neglect. In Study 2, GMT was applied in a postencephalitic patient seeking to improve her meal-preparation abilities. Both naturalistic observation and self-report measures revealed improved meal preparation performance following GMT. These studies provide both experimental and clinical support for the efficacy of GMT toward the treatment of executive functioning deficits that compromise independence in patients with brain damage. (JINS, 2000, 6, 299–312.)

Keywords

Traumatic brain injuryFrontal lobesStrategy applicationGoal neglect
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 6 , Issue 3 , March 2000 , pp. 299 - 312
Copyright
© 2000 The International Neuropsychological Society

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