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Research Article  |   March 1994
Illness Behavior After Severe Brain Injury: Two Case Reports
Author Affiliations
  • Gordon Muir Giles, MA, DipCOT, OTR is Director of Occupational Therapy, Neurobehavioral Program at Highview, 1301 East 31st Street, Oakland, California 94602
Article Information
Neurologic Conditions / Traumatic Brain Injury / Special Issue on Brain Injury Rehabilitation
Research Article   |   March 1994
Illness Behavior After Severe Brain Injury: Two Case Reports
American Journal of Occupational Therapy, March 1994, Vol. 48, 247-250. doi:10.5014/ajot.48.3.247
American Journal of Occupational Therapy, March 1994, Vol. 48, 247-250. doi:10.5014/ajot.48.3.247
Abstract

This paper introduces the concept of illness behavior to occupational therapists working with patients with acquired neurological impairments. The paper presents two case reports of patents with unequivocal severe brain trauma who demonstrated help-seeking and dependency behaviors that could not he accounted for by brain damage alone. Incorporating the illness behavior concept in an understanding of the patients’ behavior difficulties assisted in the development of an appropriate treatment plan and interventions. This paper emphasizes that severe neurological sequelae and illness behavior may coexist in the same patient. Without an understating of the personality and environmental factors that may influence recovery, rehabilitative efforts may be less than optimally effective.