The permanent effects of traumatic brain injury (TBI) are not limited to
the person who suffers the injury. People who care for the individual,
particularly family members, suffer in various ways. Family members are
often confused as to the behavioral and neuropsychological changes that
they see in a brain-injured rela- tive. They can become frustrated and
angry when the individual does not return to premorbid levels of
functioning. They can become tired and worn down from repeated problems
in trying to manage the individual's difficulties while having only
fragmented information regarding them. Drs. Smith and Godfrey have
provided a useful service for family members by summarizing important
neuropsychological changes associated with TBI and providing practical
guidelines for coping with these problems. While the neuropsychological
problems they describe are not completely understood, the authors
provide a useful description of many of the neuro- behavioral problems
seen following TBI in young adults. They attempt to provide guidelines
for family members that have practical utility in understanding and
managing these patients. Theirs is a cognitive-behavioral approach that
can have utility for this group of individuals. I applaud their efforts
to provide something systematic and practical for family members.