Abstract
The use of a modified Facial Affect Recognition (FAR) training to identify emotions was investigated with two case studies of adults with moderate to severe chronic (> five years) traumatic brain injury (TBI). The modified FAR training was administered via telepractice to target social communication skills. Therapy consisted of identifying emotions through static facial expressions, personally reflecting on those emotions, and identifying sarcasm and emotions within social stories and role-play. Pre- and post-therapy measures included static facial photos to identify emotion and the Prutting and Kirchner Pragmatic Protocol for social communication. Both participants with chronic TBI showed gains on identifying facial emotions on the static photos.
Highlights
In the United States, approximately 1.7 million individuals sustain traumatic brain injuries (TBIs) each year (Faul, Wald, Xu, & Coronado, 2010)
Of the executive function tasks, the FAS verbal fluency test significantly correlated with pragmatic deficits
The overall aims of the current research were: 1. To determine if a modified Facial Affect Recognition (FAR) training delivered via telepractice will influence facial affect recognition in participants with chronic (> 5 years) TBI based on pre- and post-evaluation using static pictures
Summary
In the United States, approximately 1.7 million individuals sustain traumatic brain injuries (TBIs) each year (Faul, Wald, Xu, & Coronado, 2010). While the literature is currently divided in terms of identifying ToM or executive function difficulties as the primary cause of pragmatic deficits in individuals with TBIs, the most likely explanation involves a combination of many underlying and inter-related cognitive abilities.
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