There are ways to try to teach people to function better
if they have executive function impairments, and one of the great
ways is you got to learn to trust the world.
And therefore, you have to choose people in the world that can help you.
If you do that, then the environment--in essence-- helps guide your behavior.
This can be done in all sorts of ways from having a device
that reminds you what you have to do next in a series of actions during the day,
how to carry out your plans, how to remember what to shop for when you are going shopping.
All that kind of thing can be prompted by devices,
and I'm sure into the future apps and other kinds of computer applications
that are really going to be on you all the time,
and will be part of how you navigate through life.
So that's one way to do it, but you have to adhere to that.
You can't dismiss it, you can't throw it out of your pocket.
You have to say and learn that this is something you should trust.
And that guidance can help us a little bit.
And the world helps all people, whether you have traumatic brain injury or not.
You're not--there are very few lone wolves that go out there
and just do what they want, and they don't adhere to rules or guidance.
So society gives us rules, but families can help us too and loved ones and trusted friends.
And so you do wind up having a greater sense of dependence
in those circumstances, but you--as a health care provider--can work with
caregivers to help train them to know how to behave and respond to situations,
and--in essence--to have their own foresight to prevent bad situations occuring
by giving feedback and working with the person who has had the traumatic brain injury.
So there's a combination of things that we can do in the world
that can be potentially as effective as any drug
in helping people accomodate to any executive function deficits they have.
We've also talked about social dysfunction, and there are some drugs
that can help manage and modulate aggressive tendencies,
but--in fact--cognitive behavioral therapy is very effective
in many people in helping to teach them manage their aggressive behavior.
So that's a therapy, it's not a drug; it's a talking therapy.
You learn to manage your behaviors.
For many other aspects of social behavior, we have no effective therapies yet.
And this is something that's being worked on at the moment.
Show transcript | Print transcript
Learning to trust the world, to trust caregivers, can be equally if not more effective than drugs for people with executive function or behavioral problems post-TBI.
Produced by Victoria Tilney McDonough, Justin Rhodes, and Erica Queen, BrainLine.
Jordan Grafman, PhD, is director of Brain Injury Research, Rehabilitation Institute of Chicago. His investigation of brain function and behavior contributes to advances in medicine, rehabilitation, and psychology, and informs ethics, law, philosophy, and health policy.
The contents of BrainLine Military (the “Web Site”), such as text, graphics, images, information obtained from the Web Site’s licensors and/or consultants, and other material contained on the Web Site (collectively, the “Content”) are for informational purposes only. The Content is not intended to be a substitute for medical, legal, or other professional advice, diagnosis, or treatment.
Specifically, with regards to medical issues, always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the Web Site. If you think you may have a medical emergency, call your doctor or 911 immediately. The Web Site does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Web Site. Reliance on any information provided by the Web Site or by employees, volunteers or contractors or others associated with the Web Site and/or other visitors to the Web Site is solely at your own risk.