Illness behavior after severe brain injury: two case reports
Giles, G.M.
American Journal of Occupational Therapy Official Publication of the American Occupational Therapy Association 48(3): 247-250
1994
ISSN/ISBN: 0272-9490 PMID: 8178919 Document Number: 438593
This paper introduces the concept of illness behavior to occupational therapists working with patients with acquired neurological impairments. The paper presents two case reports of patents with unequivocal severe brain trauma who demonstrated help-seeking and dependency behaviors that could not be accounted for by brain damage alone. Incorporating the illness behavior concept in an understanding of the patients' behavior difficulties assisted in the development of an appropriate treatment plan and interventions. This paper emphasizes that severe neurological sequelae and illness behavior may coexist in the same patient. Without an understanding of the personality and environmental factors that may influence recovery, rehabilitative efforts may be less than optimally effective.