Knowledge (XXG)

Rehabilitation psychology

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goals (career, academic, personal). Depending upon the referral question and individual patient goals, a structured and focused assessment may include any combination of the following components: cognitive function (decisional capacity, mental status, neurocognitive function); physical function (fatigue, health behavior, pain, sleep); psychological function (emotional adjustment, interpersonal/social functioning, personality, mental health conditions). Aspects of the individual's environment also are assessed, including cultural, community, home, rehabilitation, school, vocational, and social environments. In addition to clinical assessment and interview, standardized measures can be helpful for understanding each of these component areas in greater detail. Specifically, rehabilitation psychologist use data from standardized cognitive assessments to assess both cognitive limitations and positive cognitive abilities such as problem-solving skills.
71:; however, Rehabilitation Psychology is distinctive in its focus on working with individuals with all types of disability and chronic health conditions to maintain/gain and advance in vocation; in the context of interdisciplinary health care teams; and as social change agents to improve societal attitudes toward individuals living with disabilities and chronic health conditions. Rehabilitation psychologists work as advocates with persons with disabilities to eliminate attitudinal, policy, and physical barriers, and to emphasize employment, environmental access, and social role and community integration.   118:
care had led to an increased number of people surviving injuries and illnesses that would have been fatal in previous generations. Individuals living with disabilities and chronic health conditions needed help to adjust, and rehabilitation psychology emerged to meet these needs using psychological knowledge to help maximize independence, health, and welfare. In 1954, the Vocational Rehabilitation Act was passed, providing grant funding for research and program development. As a result of this act, many universities opened vocational
403:(HIPAA): This Act was initiated in 1996 in an effort to protect the privacy of patient information. It affects rehabilitation psychologists in a variety of important ways and occasionally contradicts aspects of the APA Ethical Code. For example, under the Act, tests designed to measure psychological and neurocognitive function may not be released to the general public. Instead of releasing the tests themselves, rehabilitation psychologists typically provide summaries of the data, interpretation, and treatment recommendations. 348:, or neuropsychological rehabilitation, refers to the broad range of evidence-based interventions designed to improve cognitive functioning impaired as a result of changes in the brain due to injury or illness.  Because of their specialized training in the nuances of impaired cognitive abilities, within the context of personality and emotional factors, rehabilitation psychologists are uniquely qualified to provide interventions for cognitive, behavioral, and psychosocial difficulties following brain injury. 381:(http://www.apa.org/ethics/code/). Rehabilitation psychologists also must follow federal laws relevant to individuals with disability. Rehabilitation psychologists often are faced with ethical and legal considerations when assisting patients with concerns such as end-of-life decision making, ability to return to driving (e.g., following acquired brain injury, stroke, or other medical conditions that may impair driving ability), and the role of faith/religion in the individual's health-care decision making. 432:, plus pre-doctoral and post-doctoral clinical training in healthcare settings. Rehabilitation psychologists must be licensed in order to provide services in their state of practice and to receive reimbursement from health insurance payers. In most states, obtaining a license requires a doctoral degree from an approved program, a minimum number of hours of supervised clinical experience, and a passing score on the 129:, as an organization of psychologists concerned with the psychological and social consequences of disability, and with the development of ways to prevent and resolve problems associated with disability. By the 1960s, rehabilitation psychology was considered a mature specialty and was prominent throughout the United States. However, it was not until 1997 that the 103:(APA), the American Board of Rehabilitation Psychology (ABRP), the Foundation for Rehabilitation Psychology (FRP), the Council of Rehabilitation Psychology Postdoctoral Training Programs (CRPPTP), and the Academy of Rehabilitation Psychology (ARP). RPSC represents the specialty to the Council of Specialties in Professional Psychology(CoS). 249:
thoughts, CBT works to change an individual's subjective experience and their resulting behavior. A variety of empirical studies have demonstrated CBT's effectiveness in cases of traumatic brain injury, spinal cord injury, and a variety of other conditions common to individuals living with disability
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To enhance the rehabilitation process, one must not only identify barriers to recovery, but also personal strengths and resiliency factors that foster continued recovery and social reintegration. Rehabilitation psychology's focus on personal strengths and resiliency has been influential in the field
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Theoretical models are important in rehabilitation psychology for understanding and explaining impairments, aiding treatment planning, and facilitating the prediction of outcomes. Models help organize, understand, explain, and predict phenomena. The models used integrate information from a number of
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approach, considering individuals within their broader social context and assessing environmental and demographic factors that may facilitate or impede functioning. This approach, integrating both personal (e.g., deficits, impairments, strengths, assets) and environmental factors, is consistent with
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Cognitive rehabilitation interventions have been used with people who have sustained brain injury, stroke, brain tumor, Parkinson's disease, multiple sclerosis, mild cognitive impairment, ADHD, and a variety of other medical conditions that affect cognitive functioning. Cognitive functions targeted
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Rehabilitation psychologists take into consideration the medical diagnosis, referral question, background history, pre-morbid functioning (independence with basic and instrumental activities of daily living), current functioning (physical, cognitive, psychological), personality characteristics, and
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examines the interaction of medical conditions, psychological stressors, the environment, and personal factors to understand an individual's adaptation to disability. This interdisciplinary model is an acknowledgement that disability only can be understood within a larger context, and reflects the
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Expected competencies were the capability to assess and treat disability adjustment, cognitive functioning, personality functioning, family functioning, social environment, social functioning, educational functioning, vocational functioning, recreational functioning, sexual functioning, substance
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Division of Rehabilitation Psychology (Division 22) and the American Congress of Rehabilitation Medicine spent four years developing guidelines leading up to the 1992 Ann Arbor Conference in Postdoctoral Training in Professional Psychology. Patterson and Hanson outlined the entrance requirements,
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is one example. As a Jew living in Germany during the early years of the Nazi regime, Lewin's experiences shaped his psychological work. This is reflected in his conceptualization of the insider-outsider distinction, as well as his understanding of stigma. Lewin is known for his conceptualization
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disciplines, such as biology, psychology, and sociology. A wide array of models is needed because of the diverse problems and concerns faced by individuals with disabilities and chronic health conditions. Often, more than one model must be applied to properly understand an individual's condition.
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The specialty of rehabilitation psychology was established well before psychologists were regularly involved in healthcare settings. In the 1940s and 1950s, psychologists became increasingly involved in caring for persons with disabilities, often the result of combat injuries. Advances in medical
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and holds that the environment can either aid or hinder an individual's adjustment. Wright's insights and her articulation of the beliefs and principles underlying rehabilitation psychology practice have come to be known as the "foundational principles of rehabilitation psychology" and her work
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The ABRP Board Certification process recognizes, certifies, and promotes competence in the specialty. The American Board of Professional Psychology specifies that in order to meet the standards of the speciality, an individual must complete a recognized internship program, have three years of
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Consistent with the foundational principles of rehabilitation psychology, contemporary rehabilitation psychology approaches to cognitive rehabilitation incorporate the subjective experience of the patient while targeting meta-cognition or self regulation. The ultimate goal of all cognitive
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treatment have shown promise in promoting adjustment, well-being, and overall health among individuals with disabilities and chronic health conditions. This model holds that thoughts and coping strategies directly impact feelings and behaviors. By emphasizing, identifying, and changing
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Rehabilitation psychologists provide clinical services in varied healthcare settings, including acute care hospitals, inpatient and outpatient rehabilitation centers, assisted living centers, long-term care facilities, specialty clinics, and community agencies. They typically work in
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Cicerone, Keith D.; Goldin, Yelena; Ganci, Keith; Rosenbaum, Amy; Wethe, Jennifer V.; Langenbahn, Donna M.; Malec, James F.; Bergquist, Thomas F.; Kingsley, Kristine (2019-08-01). "Evidence-Based Cognitive Rehabilitation: Systematic Review of the Literature From 2009 Through 2014".
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Cicerone, Keith D.; Dahlberg, Cynthia; Malec, James F.; Langenbahn, Donna M.; Felicetti, Thomas; Kneipp, Sally; Ellmo, Wendy; Kalmar, Kathleen; Giacino, Joseph T. (2005-08-01). "Evidence-Based Cognitive Rehabilitation: Updated Review of the Literature From 1998 Through 2002".
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In the United States, the specialty of Rehabilitation Psychology is coordinated by the Rehabilitation Psychology Specialty Council (RPSC), which comprises five professional organizations that represent the major constituencies in Rehabilitation Psychology: Division 22 of the
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Cicerone, Keith D.; Langenbahn, Donna M.; Braden, Cynthia; Malec, James F.; Kalmar, Kathleen; Fraas, Michael; Felicetti, Thomas; Laatsch, Linda; Harley, J. Preston (2011). "Evidence-based cognitive rehabilitation: updated review of the literature from 2003 through 2008".
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In addition to clinical practice, rehabilitation psychologists engage in consultation, program development, teaching, training, public policy, and advocacy. Rehabilitation psychology shares some technical competencies with the specialties of
397:(ADA): This Act was an extension of the Rehabilitation Act of 1973. The ADA's five titles prohibit discrimination on the basis of disability in employment, government, public and commercial facilities, transportation, and telecommunications. 391:: This Act prohibits discrimination of persons based on disability status in programs conducted by Federal agencies, those receiving Federal financial assistance, in Federal employment, and in the employment practices of Federal contractors. 95:, chaplain, and case manager also may be included depending on individual needs. Members of the team work together to create a treatment plan, set goals, educate both the patient and their support network, and facilitate discharge planning. 497:
abuse, and pain. In addition to displaying these competencies, rehabilitation psychologists are expected to collaborate and consult with other rehabilitation professionals within the interdisciplinary team throughout the treatment process.
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In clinical settings, rehabilitation psychologists apply psychological expertise and skills to improve outcomes for individuals living with disabilities or chronic health conditions. Common populations treated include individuals with:
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and emotional self-regulation. Cognitive rehabilitation can include computer-based tasks, with the caveat that such tasks are most effective when administered under the guidance of a trained clinician in an individualized setting.
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When addressing these chronic health conditions and disabilities, rehabilitation psychologists offer a variety of services with the goal of increasing an individual's functioning and quality of life. Specific services may include:
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Cicerone, K. D.; Dahlberg, C.; Kalmar, K.; Langenbahn, D. M.; Malec, J. F.; Bergquist, T. F.; Felicetti, T.; Giacino, J. T.; Harley, J. P. (2000). "Evidence-based cognitive rehabilitation: recommendations for clinical practice".
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can be applied to severe losses, such as the loss of a limb. This concept is reflected in Jerome Siller's stage theory of adjustment, designed to increase understanding of acceptance and adjustment following sudden disability.
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longstanding belief of rehabilitation psychologists that cultural attitudes and environmental barriers influence an individual's adaptation and accentuate disability. Notably, the tenets of this model are reflected in the
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approved the establishment of the American Board of Rehabilitation Psychology. Subsequently, the board elaborated on the guidelines from 1995 by requiring a board certification that assesses an individual on the expected
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Rath, Joseph F.; Simon, Dvorah; Langenbahn, Donna M.; Sherr, Rose Lynn; Diller, Leonard (2003-09-01). "Group treatment of problem-solving deficits in outpatients with traumatic brain injury: A randomised outcome study".
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Dunn, Dana S.; Ehde, Dawn M.; Wegener, Stephen T. (2016). "The foundational principles as psychological lodestars: Theoretical inspiration and empirical direction in rehabilitation psychology".
1647:"Clinical applications of problem-solving research in neuropsychological rehabilitation: Addressing the subjective experience of cognitive deficits in outpatients with acquired brain injury" 742: 1093:
Elliott, Timothy R.; Berry, Jack W. (2009). "Brief problem-solving training for family caregivers of persons with recent-onset spinal cord injuries: a randomized controlled trial".
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Langenbahn, Donna M.; Rath, Joseph F.; Diller, Leonard (2019-06-13), Barr, William B.; Bieliauskas, Linas A. (eds.), "Historical Development of Neuropsychological Rehabilitation",
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She also proposed the somatopsychological model, which advocates for interpreting disability within its social context. The somatopsychological model is derived from Lewin's
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By the 1960s, the need for standardized guidelines for postdoctoral training in rehabilitation psychology was recognized during the speciality's national conferences. The
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rehabilitation interventions is to improve the everyday functioning of people in the setting in which they live or work, consistent with their own values and priorities.
1835: 217:, two of Lewin's students, are recognized as pioneering figures in the history of rehabilitation psychology. Wright authored two of the field's seminal texts, 109:
is its official journal. Rehabilitation Psychology is certified as one of 14 specialty competencies by the American Board of Professional Psychology (ABPP).
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Patterson, David R.; Hanson, Stephanie L. (Winter 1995). "Joint Division 22 and ACRM guidelines for postdoctoral training in rehabilitation psychology".
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Rehabilitation psychologists adhere to the same general principles and ethical codes of conduct as all psychologists, under guidelines set forth by the
42:. As the conditions experienced by patients vary widely, rehabilitation psychologists offer individualized treatment approaches. The discipline takes a 1792:
Raskin, Sarah A.; Sohlberg, McKay Moore (2009-05-01). "Prospective Memory Intervention: A Review and Evaluation of a Pilot Restorative Intervention".
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Kennedy, Mary R. T.; Coelho, Carl (2005). "Self-Regulation after Traumatic Brain Injury: A Framework for Intervention of Memory and Problem Solving".
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Rath, J. F., & Langer, K. G. (2019). Consultation.  In L. A. Brenner, S. A. Reid-Arndt, T. R. Elliott, R. G. Frank, & B. Caplan (Eds.),
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Cox, David R.; Hess, David W.; Hibbard, Mary R.; Layman, David E.; Stewart, Robert K. (2010). "Specialty practice in rehabilitation psychology".
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Rath, J. F., Bertisch, H., & Elliott, T. R. (2017). Psychologists specializing in rehabilitation psychology.  In R. Sternberg (Ed.),
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Stevenson, Jennifer E.; Kortte, Kathleen B.; Salorio, Cynthia F.; Rohe, Daniel E. (2013), "Assessment in rehabilitation psychology.",
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Elliott, T. R., & Rath, J. F. (2011). Rehabilitation psychology. In E. M. Altmaier & J-I. C. Hansen (Eds.),
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aimed at maximizing the independence, functional status, health, and social participation of individuals with
1840:. Specialty Competencies in Professional Psychology. Oxford, New York: Oxford University Press. 2013-09-03. 309: 84: 1447:"An Evidence-Based Review of Cognitive Rehabilitation in Medical Conditions Affecting Cognitive Function" 421: 268: 149: 64: 1703: 1599: 1446: 437: 417: 413: 246: 436:(EPPP), a standardized knowledge-based examination. Most states also require a prescribed number of 537: 357: 326: 182:: The pioneers in rehabilitation psychology were a diverse group, but many came from the field of 1817: 1395: 1075: 525: 299: 291: 172: 80: 1014:
Wright, Beatrice A. (1972). "Value-laden beliefs and principles for rehabilitation psychology".
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MacLachlan, Malcolm; LeBlanc, Jeanne; Bruyère, Susanne M.; Bentley, Jacob A. (2016-02-01).
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Patient populations and didactics are related to disabilities and chronic health conditions
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continues to inform contemporary rehabilitation psychology research, theory, and practice.
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Reel, K., & Feaver, S. (2006). Models: Terminology and usefulness. In S. Davis (Ed.),
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and chronic health conditions. Assessment and treatment may include the following areas:
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Cappa, S. F.; Benke, T.; Clarke, S.; Rossi, B.; Stemmer, B.; Heugten, C. M. van (2005).
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Trott, Charlotte; Cantor, Joshua; Ashman, Teresa; Langenbahn, Donna M. (2013-02-01).
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In the United States, rehabilitation psychologists complete doctoral degrees (e.g.,
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experience within the field, and have supervised experience within the specialty.
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approved the establishment of the American Board of Rehabilitation Psychology.
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Bogdanova, Yelena; Yee, Megan K.; Ho, Vivian T.; Cicerone, Keith D. (2016).
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Rath, Joseph F.; Hradil, Amy L.; Litke, David R.; Diller, Leonard (2011).
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In 1958, Rehabilitation Psychology was established as Division 22 of the
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training length, curriculum requirements, supervision, and evaluations:
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Council of Rehabilitation Psychology Postdoctoral Training Programs
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Trainees are accepted only from doctoral programs approved by the
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International Classification of Functioning, Disability and Health
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International Classification of Functioning, Disability and Health
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Wendell, S. (1996).  The social construction of disability.
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Curriculum includes supervised practice, seminars, and coursework
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Career paths in psychology: Where your degree can take you
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The Oxford Handbook of History of Clinical Neuropsychology
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Rehabilitation: The use of theories and models in practice
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Perry, Kathryn Nicholson; Stiers, William (2012-07-16).
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There is a minimum of two hours of supervision per week
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Formal trainee evaluations occur at least twice a year
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There are a minimum of two supervisors during training
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There are written objectives for the training program
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Scherer, M. J. (2010). "Rehabilitation Psychology".
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Specialty Competencies in Rehabilitation Psychology
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Examination for Professional Practice in Psychology
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Health Insurance Portability and Accountability Act
1944:Council of Specialities in Professional Psychology 356:, memory, language, visual-perceptual skills, and 1708:Archives of Physical Medicine and Rehabilitation 1604:Archives of Physical Medicine and Rehabilitation 1451:Archives of Physical Medicine and Rehabilitation 1354:Archives of Physical Medicine and Rehabilitation 1310:Archives of Physical Medicine and Rehabilitation 1266:Archives of Physical Medicine and Rehabilitation 1222:Archives of Physical Medicine and Rehabilitation 1153:The Oxford Handbook of Rehabilitation Psychology 775:The Oxford Handbook of Rehabilitation Psychology 676:The Oxford Handbook of Rehabilitation Psychology 34:, cognitive, behavioral, and functional status, 799:"Social Security Bulletin Vol 17, No. 10, p 16" 223:, Physical Disability: A Psychosocial Approach. 167:: In the context of rehabilitation psychology, 574:Professional Psychology: Research and Practice 219:Physical Disability: A Psychological Approach 8: 985:(2nd ed.). New York: Harper & Row. 983:Physical disability, a psychosocial approach 1929:American Board of Rehabilitation Psychology 75:interdisciplinary teams, often including a 221:and the extensively revised second edition 1678: 1574: 1509: 1373: 903: 489:American Board of Professional Psychology 420:) in fields such as clinical psychology, 131:American Board of Professional Psychology 1934:Foundation for Rehabilitation Psychology 711:Oxford handbook of counseling psychology 122:programs within their graduate schools. 1161:10.1093/oxfordhb/9780199733989.013.0023 834:"Division of Rehabilitation Psychology" 684:10.1093/oxfordhb/9780199733989.013.0003 557: 384:Relevant federal legislation includes: 1182: 1180: 933: 931: 624:The Corsini Encyclopedia of Psychology 459:Minimum length of training is one year 1876: 1874: 1872: 1870: 1547:Journal of Head Trauma Rehabilitation 1423:10.1093/oxfordhb/9780199765683.013.22 1142: 1140: 1138: 1136: 1134: 1132: 876:(pp. 54-89). New York, NY: Routledge. 855: 853: 838:Division of Rehabilitation Psychology 737: 735: 727:Handbook of rehabilitation psychology 705: 703: 440:credits per year to renew a license. 7: 981:Wright, Beatrice Ann Posner (1983). 828: 826: 824: 822: 768: 766: 764: 762: 721: 719: 665: 663: 661: 659: 657: 655: 653: 651: 617: 615: 613: 611: 609: 607: 605: 603: 567: 565: 563: 561: 505:Notable rehabilitation psychologists 199:) is a function of both the person ( 483:Program evaluations occur annually 454:American Psychological Association 379:American Psychological Association 127:American Psychological Association 101:American Psychological Association 14: 1702:Cicerone, Keith D. (2012-02-01). 1052:Neuropsychological Rehabilitation 1511:10.1111/j.1468-1331.2005.01330.x 863:(pp. 49–62). New York: Elsevier. 632:10.1002/9780470479216.corpsy0785 373:Ethical and legal considerations 1751:Seminars in Speech and Language 395:Americans with Disabilities Act 250:and chronic health conditions. 1598:Diller, Leonard (2005-06-01). 1095:Journal of Clinical Psychology 806:Social Security Administration 352:may include processing speed, 1: 1498:European Journal of Neurology 346:cognitive remediation therapy 1559:10.1097/HTR.0000000000000203 238:Cognitive behavioral therapy 16:Specialty area of psychology 1417:, Oxford University Press, 773:Sherwin, Elisabeth (2012). 1985: 1895:10.1037/0090-5550.40.4.299 1720:10.1016/j.apmr.2011.12.003 1616:10.1016/j.apmr.2004.11.009 1463:10.1016/j.apmr.2012.09.011 1366:10.1016/j.apmr.2019.02.011 1322:10.1016/j.apmr.2010.11.015 1278:10.1016/j.apmr.2005.03.024 389:Rehabilitation Act of 1973 91:. A nurse, social worker, 1883:Rehabilitation Psychology 1651:Rehabilitation Psychology 1064:10.1080/09602010343000039 1016:Rehabilitation Psychology 940:Rehabilitation Psychology 892:Rehabilitation Psychology 544:Rehabilitation Psychology 240:(CBT) approaches such as 234:Cognitive-Behavior Theory 203:) and their environment ( 155:World Health Organization 137:Key principles and models 120:rehabilitation counseling 106:Rehabilitation Psychology 49:World Health Organization 20:Rehabilitation psychology 342:Cognitive rehabilitation 337:Cognitive rehabilitation 254:Clinical specialty areas 61:clinical neuropsychology 1969:Health care occupations 1234:10.1053/apmr.2000.19240 747:www.hopkinsmedicine.org 474:All trainees are funded 296:Neuromuscular disorders 22:is a specialty area of 408:Education and training 310:Traumatic brain injury 85:occupational therapist 1763:10.1055/s-2005-922103 422:counseling psychology 358:executive functioning 269:Acquired brain injury 150:biopsychosocial model 146:Biopsychosocial model 65:counseling psychology 38:, coping skills, and 1964:Behavioural sciences 1806:10.1375/brim.10.1.76 438:continuing education 165:Psychoanalytic model 89:and speech therapist 538:Neurorehabilitation 327:positive psychology 1959:Applied psychology 1107:10.1002/jclp.20527 952:10.1037/rep0000082 905:10.1037/rep0000068 526:Stephen T. Wegener 300:Spinal cord injury 292:Multiple sclerosis 195:, where behavior ( 173:castration anxiety 81:physical therapist 1228:(12): 1596–1615. 1197:10.1037/14048-029 874:The Rejected Body 430:school psychology 184:social psychology 180:Social psychology 69:health psychology 1976: 1925: 1924: 1922:Official website 1907: 1906: 1878: 1865: 1858: 1852: 1851: 1832: 1826: 1825: 1794:Brain Impairment 1789: 1783: 1782: 1746: 1740: 1739: 1699: 1693: 1692: 1682: 1663:10.1037/a0025817 1642: 1636: 1635: 1610:(6): 1075–1080. 1595: 1589: 1588: 1578: 1538: 1532: 1531: 1513: 1489: 1483: 1482: 1442: 1436: 1435: 1410: 1404: 1403: 1377: 1360:(8): 1515–1533. 1348: 1342: 1341: 1304: 1298: 1297: 1272:(8): 1681–1692. 1260: 1254: 1253: 1216: 1210: 1209: 1184: 1175: 1174: 1144: 1127: 1126: 1090: 1084: 1083: 1046: 1040: 1039: 1028:10.1037/h0090869 1011: 1005: 1004: 978: 972: 971: 935: 926: 925: 907: 883: 877: 870: 864: 857: 848: 847: 845: 844: 830: 817: 816: 814: 812: 803: 795: 789: 788: 770: 757: 756: 754: 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Index

psychology
disabilities
psychosocial
self-esteem
quality of life
holistic
World Health Organization
International Classification of Functioning, Disability and Health
clinical neuropsychology
counseling psychology
health psychology
physiatrist
physical therapist
occupational therapist
and speech therapist
prosthetist
American Psychological Association
Rehabilitation Psychology
rehabilitation counseling
American Psychological Association
American Board of Professional Psychology
biopsychosocial model
World Health Organization
International Classification of Functioning, Disability and Health
Freud's
castration anxiety
social psychology
Kurt Lewin
Tamara Dembo
Beatrice Wright

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