Bornhofen Cristina, McDonald Skye
School of Psychology, University of New South Wales, Sydney, Australia.
J Int Neuropsychol Soc. 2008 Jul;14(4):511-25. doi: 10.1017/S1355617708080703.
While the cognitive disturbances that frequently follow severe traumatic brain injury (TBI) are relatively well understood, the ways in which these affect the psychosocial functioning of people with TBI are yet to be determined and have thus received little attention in treatment research. Growing evidence indicates that a significant proportion of individuals with TBI demonstrate an inability to recognize affective information from the face, voice, bodily movement, and posture. Because accurate interpretation of emotion in others is critical for the successful negotiation of social interactions, effective treatments are necessary. Until recently, however, there have been no rehabilitation efforts in this area. The present review examines the literature on emotion perception deficits in TBI and presents a theoretical rationale for targeted intervention. Several lines of research relevant to the remediation of emotion perception in people with TBI are considered. These include work on emotion perception remediation with other cognitively impaired populations, current neuropsychological models of emotion perception and underlying neural systems, and recent conceptualizations of remediation processes. The article concludes with a discussion of the importance of carrying out efforts to improve emotion perception within a contextualized framework in which the day-to-day relevance of training is clear to all recipients.
虽然重度创伤性脑损伤（TBI）后经常出现的认知障碍已得到较好的理解，但这些障碍如何影响TBI患者的心理社会功能尚未确定，因此在治疗研究中很少受到关注。越来越多的证据表明，相当一部分TBI患者表现出无法从面部、声音、身体动作和姿势中识别情感信息的能力。由于准确解读他人的情绪对于成功进行社交互动至关重要，因此有效的治疗是必要的。然而，直到最近，这一领域还没有康复方面的努力。本综述考察了关于TBI患者情绪感知缺陷的文献，并提出了针对性干预的理论依据。考虑了与TBI患者情绪感知修复相关的几条研究线索。这些包括对其他认知受损人群进行情绪感知修复的工作、当前情绪感知的神经心理学模型和潜在的神经系统，以及修复过程的最新概念。文章最后讨论了在一个情境化框架内开展提高情绪感知能力的努力的重要性，在这个框架中，训练对所有接受者的日常相关性都是明确的。
