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Biopsychosocial approaches in neurorehabilitation—assessment and management of neuropsychiatric, mood and behaviour disorders
  1. J Cockburn

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    Edited by Huw Williams and Jonathan J Edwards. Published by Psychology Press Ltd, Hove, 2003, pp 325, £59.95 (Hardback). ISBN 1-84169-945-4

    As the title implies, this book is ambitious in its remit, encompassing the complexity of brain injury outcome for the sufferer and the wider community. The acknowledged aim is to highlight the “interaction of biological, psychological and social influences on affect and behaviour” (p 2) by presenting a compilation of information from several research fields to provide a focus for the development of clinical practice.

    The 17 papers are grouped into five sections covering assessment, mood and anxiety, behavioural health, relationships, and community services. There is no formal division between sections and, inevitably, there is some overlap. However, cross-referencing between papers is good. Perhaps not surprisingly, the overwhelming emphasis is on outcome after traumatic brain injury (TBI), but depression after stroke and psychosocial effects of aphasia are both covered.

    Among the contributions, Tate presents a comprehensive overview of attempts to tease out the respective influence of pre- and post-morbid factors on outcome and draws the conclusion that personality changes are largely independent of premorbid personality. She reminds us that psychosocial factors characterising the TBI population also characterise the age group in which TBI is most prevalent. A review of literature on substance misuse (Taylor et al) identifies the importance of inter-disciplinary collaboration, noting that rehabilitation professionals may lack specific expertise in substance misuse and its treatment. Zasler and Martelli present a useful paper on the effects of mild traumatic brain injury, which are still poorly understood despite their prevalence, but which might have been strengthened by acknowledgement of recent UK work findings (for example King, 19961). In the final paper, Judd presents telling statistics to illustrate the mismatch that still exists, even in developed countries, between prevalence of traumatic brain injury and provision of adequate diagnostic and rehabilitation facilities.

    Although quite expensive at £59.95, this compilation of papers serves to emphasise the multi-faceted role of modern neurorehabilitation and largely succeeds in its aim of providing a comprehensive information resource.

    Edited by Huw Williams and Jonathan J Edwards. Published by Psychology Press Ltd, Hove, 2003, pp 325, £59.95 (Hardback). ISBN 1-84169-945-4