The First Attempt of Intensive Approaches in Cognitive Rehabilitation in Clients with Severe Traumatic Brain Injury

Cognitive rehabilitation (CR) was undertaken by two clients, A and B, using pen and paper method by an exclusive and intensive approach. Client A with very severe TBI showed improved attention and memory deficits and after undergoing a step-by-step trial, he finally landed a satisfactory job and maintained it, with the support of a large organization. Client B underwent CR with considerable effort by himself and attained a normal cognitive level but was still half way to the satisfactory social integration owing to an insufficient support system. Through the long process undergone by the two clients, it was suggested that environmental factors (support system) are extremely important for a satisfactory social life in severe TBI clients, together with the recovery of cognitive functions by CR.