Zencius A H, Lane I, Wesolowski M D
Florida Department of Health and Rehabilitative Services, Miami 33128.
Brain Inj. 1991 Oct-Dec;5(4):369-74. doi: 10.3109/02699059109008109.
Assessment of non-compliance has been discussed. This included exploration of reinforcement contingencies, age appropriateness, cultural background and social background. Several perspectives on this have been addressed. Memory deficits are also critical when assessing non-compliance. Specifically, when the TBI person has severe memory deficits. Consequence management and antecedent control techniques have shown to be highly effective in promoting participation. Additionally, non-compliance should not necessarily be viewed as non-desirable, in fact, the client may be communicating preferred and non-preferred interests. It is important to recognize individual talents, interests and preferences. This is a significant point when you consider that TBI survivors had pre-injury lifestyles, i.e. full-time employment, a working social network, and preferred interests and activities.
已对不依从性的评估进行了讨论。这包括对强化意外情况、年龄适宜性、文化背景和社会背景的探究。对此已探讨了几种观点。在评估不依从性时，记忆缺陷也很关键。具体而言，当创伤性脑损伤患者存在严重记忆缺陷时。结果管理和先行控制技术已被证明在促进参与方面非常有效。此外，不依从性不一定应被视为不可取，事实上，客户可能在表达偏好和非偏好的兴趣。认识到个人的才能、兴趣和偏好很重要。当你考虑到创伤性脑损伤幸存者有受伤前的生活方式，即全职工作、活跃的社交网络以及偏好的兴趣和活动时，这是一个重要的点。
