Critical issues in cognitive remediation.

Describes cognitive remediation (CGR) as a rehabilitation intervention that gained momentum in the early 1970s when a group of investigators at New York University Medical Center began a series of systematic studies to examine the learning styles of brain-damaged patients and to determine if their cognitive deficits were amenable to treatment. Although CGR is widely applied to individuals with brain injury, insufficient large-scale research has been conducted supporting its efficacy. Several principles that underlie successful CGR are discussed. These include (1) the existence of a logical basis for the ordering of treatment, (2) generalization as the goal and outcome of CGR, (3) psychotherapy as a mediator of successful CGR, and (4) the need to modify existing methodologies to assess treatment efficacy. The use of single-case experimental designs is suggested as a means of expanding the literature on the utility of CGR. (PsycINFO Database Record (c) 2010 APA, all rights reserved)