Slull reacquisition after acquired brain injury - villa martelli disability ...

124 M.F: Martelli et a[. /Skill reacquisition after acquired brain injury
member how to walk, so the sequences involved in
walking are chained together in a task analysis that
makes it automatic so that performance requires min-
imal thought and energy. The same conversion oc-
curs when such habits as attentional focusing, memory,
and multi-tasking are acquired and automated through
chaining of the component steps. Through learning,
internally incorporating the tasks that are involved in
getting dressed, or remembering what to take with us
when we leave the house, etc. are acquired as habits
through natural task analysis that sequences behaviors
as if we were learning automatic task inventories. The
same is true for self control habits ranging from ini-
tiation and awareness to inhibition, which involve the
very complex chaining of multiple tasks to produce the
highest level executive shlls habits.
Although HHR shares many features with other
holistic neurorehabilitation models, it also provides a
distinctive and unique approach. HHR is a parsimo-
nious model that is relatively simple to understand and
apply. It offers an uncomplicated and intuitively ap-
pealing model and methodology for devising and indi-
vidualizing specific retraining protocols. Protocol tem-
plates have been developed for a broad range of relevant
skills areas. Most importantly, HHR recognizes the
powerful importance of psychotherapy, or neuropsy-
chotherapy, synchronizing it with potent and compati-
ble learning methods. It integrates psychotherapy as an
inseparable part of the rehabilitation process. HHR em-
powers therapists and family members as agents armed
with highly potent neurorehabilitation-specific learn-
ing and psychotherapeutic strategies. Finally, and ul-
timately, HHR aims to expand "neuropsychotherapeu-
tic" rehabilitation beyond enhancing emotional adjust-
ment and functional compensation to include promo-
tion of neuroplastic based rehabilitation of cognitive,
behavioral and physical capabilities.
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