Theoretical frameworks of memory rehabilitation

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  • 高次脳機能リハビリテーションの流れ　　記憶障害のリハビリテーションのあり方

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wo theoretical frameworks could be postulated in organizing memory rehabilitation ; one in the process of goal formation and the other in the process of realizing actual interventions. In planning goals of rehabilitation for memory impaired individuals, therapists should focus on the patients' daily problems (disabilities) rather than on their impairments. Considering severity and characteristics of each patient's memory problems in everyday life, therapists should integrate various techniques including direct trainings, mnemonics and external memory aids to optimize patient's abilities. The other framework is valid throughout the process of goal-oriented rehabilitation interventions. Therapists should bear in mind that errorless learning techniques have been shown to be particularly effective for training amnesic subjects, which is quite different from try-and-error type learning in normal individuals. Prevention of errors during acquisition of information leads to better memory than does learning under errorful conditions. However, active participation of the patients is also another important factor. An advantage of a new version of errorless learning was demonstrated, which encourages patient's active participation. Twelve amnesic patients showed significantly better memory performance via the use of fragment-type perceptual identification than seen under standard errorless conditions. This finding highlights the value of encouraging patient's cognitive efforts to optimize their new learning.

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