File
Authors
Keywords
cognitive function
functional outcome
psychiatric rehabilitation
remediation
schizophrenia
Abstract
The importance of treatment of cognitive impairments of people with schizophrenia has long been established. Among many pharmaceutical and non-pharmaceutical approaches, cognitive remediation offers one of the best promises for the rehabilitation of cognitive impairments of schizophrenia. The purpose of this paper is to introduce one such approach, the Neuropsychological Educational Approach to Remediation (NEAR). NEAR has been utilized as a leading treatment model for cognitive impairments of schizophrenia. Cognitive remediation including NEAR is administered within a framework of psychiatric rehabilitation program. Cognitive remediation is most effectively administered when the rehabilitation goals in the social and domain are clarified. Social functions associated with the cognitive impairments of schizophrenia are discussed in the specific categories of independent living skills, vocational skills and social problem-solving. Highlights of various models of cognitive remediation are presented to illustrate the unique features of NEAR. In the theoretical framework of NEAR, intrinsic motivation, personalization and contextualization are the central concepts, and the patients are regarded as learners aiming for independent living. In order to provide a clinical overview, specific treatment issues, staff training and patient characteristics are discussed. A summary of the NEAR outcome studies with a diverse psychiatric population is presented to demonstrate its effectiveness. Functional measures associated with cognitive impairments are presented to suggest directions for future studies.
Publisher
Tottori University Faculty of Medicine
Content Type
Journal Article
ISSN・ISBN
1346-8049
NCID
AA00892882
Journal Title
Yonago Acta medica
Current Journal Title
Yonago Acta medica
Volume
50
Issue
4
Start Page
69
End Page
80
Published Date
2007-12
Text Version
Publisher
Rights
Yonago Acta medica 編集委員会
Citation
Yonago Acta medica. 2007, 50(4), 69-80
Department
Faculty of Medicine/Graduate School of Medical Sciences/University Hospital
Language
English