Hostname: page-component-848d4c4894-cjp7w Total loading time: 0 Render date: 2024-06-14T00:18:12.088Z Has data issue: false hasContentIssue false

To Err is Human; to Self-Regulate After Brain Injury, Divine

Published online by Cambridge University Press:  25 November 2015

Tamara Ownsworth*
Affiliation:
School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Australia
*
Address for Correspondence: A/Prof Tamara Ownsworth, School of Applied Psychology, Griffith University, Mt Gravatt, 4122, Australia. Phone: +61 73735 3307; Fax: +61 73735 3388. E-mail: t.ownsworth@griffith.edu.au
Get access

Abstract

Traumatic brain injury (TBI) can reduce people's ability to monitor their own actions and identify and correct errors on everyday tasks. This usually occurs because of damage to neural pathways that support ‘metacognition’ or the higher-order capacity to reflect upon and regulate one's own behaviour. This paper initially reviews the neuro-cognitive mechanisms underlying error self-regulation. An overview of assessment approaches is provided which emphasises how approaches to measuring error self-regulation following TBI have been extended from the laboratory to people's real life environments. Over the last few decades, the evidence base supporting the efficacy of error-based learning or metacognitive approaches in rehabilitation has advanced considerably. An overview of the theory underpinning rehabilitation approaches and evidence supporting the efficacy of error-based learning is provided. Finally, the paper briefly describes the protocol for a randomised controlled trial that aims to determine whether people with severe TBI benefit from making errors when they learn new complex tasks.

Type
Articles
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bush, G., Luu, P., & Posner, M. (2000). Cognitive and emotional influences in anterior cingulate cortex. Trends in Cognitive Neurosciences, 4, 215222.CrossRefGoogle ScholarPubMed
Chevignard, M.P., Taillefer, C., Picq, C., Poncet, F., Noulhiane, M., & Pradat-Diehl, P. (2008). Ecological assessment of the dysexecutive syndrome using execution of a cooking task. Neuropsychological Rehabilitation, 18, 461485.CrossRefGoogle ScholarPubMed
Cicerone, K.D., Langenbahn, D.M., Braden, C., Malec, J.F., Kalmar, K., Fraas, M., . . . Ashman, T. (2011). Evidence-based cognitive rehabilitation: Updated review of the literature from 2003 through 2008. Archives of Physical Medicine and Rehabilitation, 92, 519530.CrossRefGoogle ScholarPubMed
Cicerone, K.D., & Tupper, D.E. (1991). Neuropsychological rehabilitation: Treatment of errors in everyday functioning. In Tupper, D.E., & Cicerone, K.C. (Eds.), The neuropsychology of everyday life: Issue in development and rehabilitation (pp. 271292). Norwell, MA: Kluwer Academic.CrossRefGoogle Scholar
Dimoska-Di Marco, A., McDonald, S., Kelly, M., Tate, R., & Johnstone, S. (2011). A meta-analysis of response inhibition and Stroop interference control deficits in adults with traumatic brain injury (TBI). Journal of Clinical and Experimental Neuropsychology, 33, 471485.CrossRefGoogle ScholarPubMed
Evans, J., Wilson, B.A., Schuri, U., Andrade, J., Baddeley, A., Bruna, O., . . . Taussik, I. (2000). A comparison of ‘errorless’ and ‘trial-and-error’ learning methods for teaching individuals with acquired memory deficits. Neuropsychological Rehabilitation, 10, 67101.CrossRefGoogle Scholar
Ham, T., Bonnelle, V., Hellyer, P., Sagar, J., Robertson, I.H., Leech, R., & Sharp, D.J. (2014). The neural basis of impaired self-awareness after traumatic brain injury. Brain, 137, 586597.CrossRefGoogle ScholarPubMed
Hart, T., Giovanetti, T., Montgomery, M.W., & Schwartz, M.F. (1998). Awareness of errors in naturalistic action after traumatic brain injury. Journal of Head Trauma Rehabilitation, 13, 1626.CrossRefGoogle ScholarPubMed
Jansari, A.S., Devlin, A., Agnew, R., Akeeson, K., Murphy, L., & Leadbetter, T. (2014). Ecological assessment of executive functions: A new virtual reality platform. Brain Impairment, 15, 7187.CrossRefGoogle Scholar
Katz, N., Fleming, J., Keren, N., Lightbody, S., & Hartman-Maeir, A. (2002). Unawareness and/or denial of disability: Implications for occupational therapy intervention. Canadian Journal of Occupational Therapy, 69, 281292.CrossRefGoogle ScholarPubMed
Kerns, J.G., Cohen, J.D., MacDonald, A.W., Cho, R.Y., Stenger, V.A., & Carter, C.S. (2004). Anterior cingulate conflict monitoring and adjustments in control. Science, 303, 10231026.CrossRefGoogle ScholarPubMed
Knight, C., Alderman, N. & Burgess, P.W. (2002). Development of a simplified version of the multiple errands test for use in hospital settings. Neuropsychological Rehabilitation, 12, 231255.CrossRefGoogle Scholar
Larson, M.J., Clayson, P.E., & Farrer, T.J. (2012). Performance monitoring and cognitive control in individuals with mild traumatic brain injury. Journal of the International Neuropsychological Society, 18, 323333.CrossRefGoogle ScholarPubMed
Larson, M.J., Kaufman, D.A.S., Schmalfuss, I.M., & Perlstein, W.M. (2007). Performance monitoring, error processing, and evaluative control following severe TBI. Journal of the International Neuropsychological Society, 13, 961971.CrossRefGoogle ScholarPubMed
O’KeefeF., Dockree, P. F., Dockree, P., Moloney, P., Carton, S., & Robertson, I. (2007). Awareness of deficits in traumatic brain injury: a multidimensional approach to assessing metacognitive knowledge and on-line awareness. Journal of the International Neuropsychological Society, 13, 3849.Google Scholar
Ownsworth, T., Fleming, J., Strong, J., Radel, M., Chan, W., & Clare, L. (2007). Awareness typologies, long-term emotional adjustment and psychosocial outcomes following acquired brain injury. Neuropsychological Rehabilitation, 17, 129150.CrossRefGoogle ScholarPubMed
Ownsworth, T.L., Fleming, J., Shum, D., Kuipers, P., & Strong, J. (2008). Comparison of individual, group and combined intervention formats in a RCT for facilitating goal attainment and improving psychosocial function following acquired brain injury. Journal of Rehabilitation Medicine, 40, 8188.CrossRefGoogle Scholar
Ownsworth, T., Fleming, J., Tate, R., Shum, D., Griffin, J., Schmidt, J., . . . Chevignard, M. (2013). Comparison of error-based and errorless learning for people with severe traumatic brain injury: Study protocol for a randomized control trial. Trials, 14, 369.CrossRefGoogle ScholarPubMed
Renison, B., Ponsford, J., Testa, R., Richardson, B., & Brownfield, K. (2012). The ecological and construct validity of a newly developed measure of executive function: The virtual library task. Journal of the International Neuropsychological Society, 18, 440450.CrossRefGoogle ScholarPubMed
Robertson, I.H., Manly, T., Andrade, J., & Baddeley, B.T. (1997). Oops!: Performance correlates of everyday attentional failures in traumatic brain injured and normal subjects. Neuropsychologia, 35, 747758.CrossRefGoogle ScholarPubMed
Rochat, L., Beni, C., Annoni, J.-M., Vuadens, P., & Van der Linden, M. (2013). How inhibition relates to impulsivity after moderate to severe traumatic brain injury. Journal of the International Neuropsychological Society, 19, 890898.CrossRefGoogle ScholarPubMed
Schmidt, J., Fleming, J., Ownsworth, T., & Lannin, N. (2013). Video-feedback on functional task performance improves self-awareness after traumatic brain injury: A randomised controlled trial. Neurorehabilitation and Neural Repair, 27, 316324.CrossRefGoogle Scholar
Schmidt, J., Fleming, J., Ownsworth, T., & Lannin, N. (2015). Maintenance of treatment effects of video feedback within an occupation-based intervention for adults with TBI. NeuroRehabilitation, 17, 175186.CrossRefGoogle Scholar
Schmidt, J., Lannin, N., Fleming, J., & Ownsworth, T. (2011). A systematic review of feedback interventions for impaired self-awareness following brain injury. Journal of Rehabilitation Medicine, 43, 673680.CrossRefGoogle ScholarPubMed
Shallice, P.W., & Burgess, P.W. (1991). Deficits in strategy application following frontal lobe damage in man. Brain, 114, 727741.CrossRefGoogle ScholarPubMed
Tate, R.L., & Broe, G.A. (1999). Psychosocial adjustment after traumatic brain injury: What are the important variables? Psychological Medicine, 29, 713725.CrossRefGoogle ScholarPubMed
Tate, R., Kennedy, M., Ponsford, J., Douglas, J., Velikonja, D., Bayley, M, & Stergiou-Kita, M. (2014). INCOG Recommendations for management of cognition following traumatic brain injury, part III: Executive function and self-Awareness. Journal of Head Trauma Rehabilitation. 29, 338352.CrossRefGoogle ScholarPubMed
Toglia, J., & Kirk, U. (2000). Understanding awareness deficits following brain injury. NeuroRehabilitation, 15, 5770.CrossRefGoogle ScholarPubMed
Wilson, B.A., Alderman, N., Burgess, P., Emslie, H., & Evans, J.J. (1996). Behavioural assessment of the dysexecutive syndrome. Bury St Edmunds, UK: Thames Valley Test Company.Google Scholar