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Ethical Issues in Using Deception to Facilitate Rehabilitation for a Patient With Severe Traumatic Brain Injury.
MedLine Citation:
PMID:  22166922     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE:: To explore ethical issues in using deception to improve participation in a patient with severe traumatic brain injury who had not responded to traditional behavioral and pharmacologic approaches. DESIGN:: Case study. PARTICIPANT:: A male in inpatient neurorehabilitation with history of severe traumatic brain injury and significant behavioral disruption that limited his therapy participation. METHODS:: Behavior modification program using principles of operant conditioning that required deception. RESULTS:: Participation in therapies significantly improved and disruptive behaviors decreased. CONCLUSION:: When used cautiously and with careful consideration of the ethical implications, deception may be permissible as part of an intervention strategy with this population but only as a last resort.
Authors:
Jessica Matthes; Heather Caples
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-1
Journal Detail:
Title:  The Journal of head trauma rehabilitation     Volume:  -     ISSN:  1550-509X     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8702552     Medline TA:  J Head Trauma Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Clinical Neuropsychology, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona.
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