Introduction to Cognitive Rehabilitation: Theory and Practice

Understanding How Semantic Structures of Individuals With Drug Addiction Transform As a Key to Effective Psychotherapy

La predisposizione di un programma terapeutico alternativo alla detenzione è uno degli obiettivi principali della presa in carico all'interno del carcere. Spesso gli operatori dei servizi incontrano notevoli difficoltà che spesso vengono attribuite alla scarsa motivazione alla cura da parte dei loro pazienti, mentre può essere sottovalutata la complessità cognitiva di questo compito. Lo scopo dello studio è di verificare la consistenza e l'influenza di eventuali deficit neuropsicologici sul funzionamento cognitivo al momento della definizione di un progetto terapeutico. Per questo è stato somministrato ad un campione di tossico/alcoldipendenti detenuti il Test ENB 2, al fine di valutare la memoria a breve e lungo termine, l'attenzione, le abilità esecutive, la fluenza di linguaggio e alcune abilità prassico-costruttive. Il 50% del campione presenta un funzionamento cognitivo globale deficitario. Il risultato appare in linea con quanto evidenziato dalla letteratura neuroscientifica precedente, che pone sempre più l'attenzione sulle modificazioni neurali correlate alle addiction. Le condizioni contingenti (stress, abuso di psicofarmaci in carcere) possano inoltre influire negativamente sulla performance. Da queste evidenze possono scaturire ulteriori ricerche di natura diacronica sugli stessi soggetti che di natura sincronica su altre popolazioni di tossico/alcoldipendenti non detenuti, nonché possibili sviluppi della riabilitazione neuropsicologica nel corso del trattamento

La valutazione del funzionamento cognitivo in soggetti tossicodipendenti detenuti. Uno studio esplorativo in contesto carcerario

Objective: The objective of this narrative review was to investigate the advances that have been made in research on the model of executive functioning for rehabilitation in addictions. Materials and Methods: This study presents a narrative review of studies that have focused on the neuropsychological model in the rehabilitation of addictions. For this, a total of 49 studies were analyzed, published in a period from 1982 to 2017. Results: The results showed that addictions constitute a brain damage agent, their main sequel is related to executive functioning and attentional capacity. Conclusions: Research on cognitive rehabilitation performed with patients with multiple brain pathologies, have shown their effectiveness in treatment, generating a line of study in addictions, which shows improvements in treatment retention rates and decrease in relapse rates.

Addictions Rehabilitation From an Executive Functioning Model

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Addictions Rehabilitation From an Executive Functioning Model