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. 2020 Jun 2;9(6):1684. doi: 10.3390/jcm9061684

Table 1.

Overview of the treatments.

Phase Standard Treatment Standard PLUS Treatment
Preparatory (Week 1) Establishing a sustainable working alliance, information about the aims and procedures of the therapy. Formulation of individual therapy goals and introduction of a tiredness diary. Analogs to the standard treatment procedure week 1
Intervention (Week 1–18) Implementation of the standard therapy, with the aim of achieving individual therapy goals by the 18th session. Implementation of the standard PLUS Therapy, with the aim of achieving individual therapy goals by the 18th session.
Important topics:
  • -

    Improvement of functional level

  • -

    Achievement of the best possible degree of independence in everyday life

  • -

    Provision of information: education and information about the brain injury and its consequences a

  • -

    Dealing with a changed degree of tiredness

Important topics:
  • -

    Improvement of functional level

  • -

    Achievement of the best possible degree of independence in everyday life

  • -

    Provision of information: education and information about the brain injury and its consequences a

  • -

    Dealing with a changed degree of tiredness

  • -

    Training of emotional competence

  • -

    Adjustment to the changed possibilities

Therapeutic interventions:
  • -

    Restitution b of cognitive functions.

  • -

    Compensation b for any functional deficits (e.g., the use for external memory aids)

  • -

    Coping b with the consequence of injury (e.g., memory problems, dealing with tiredness)

  • -

    Integrated techniques as operant conditioning techniques (e.g., cognitive self-teaching techniques, self-management) c

Therapeutic interventions:
  • -

    Restitution b of cognitive functions.

  • -

    Compensation b for any functional deficits (e.g., the use for external memory aids)

  • -

    Coping b with the primary (e.g., memory problems, dealing with tiredness) and secondary consequence of injury

  • -

    Integrated techniques as operant conditioning techniques (e.g., cognitive self-teaching techniques, self-management) c

PLUS: Psychotherapeutic techniques (e.g., emotional-focus therapy and clarification d, activating resources e, generating, positive expectancies, normalization)
The principle of mindfulness based on “Mindfulness-Based Cognitive Therapy” f
Maintenance (Week 18–20) Not intended as an actual therapy session. Overall review, consolidation of what has been achieved, and reiterating the individual strategies involved. Discussion potentially difficult situations and planning of coping methods. Analogs to the standard treatment procedure week 18–20.

Notes. Additional components of the Standard PLUS condition are presented in italics. a Lukens and McFarlane, 2005; b Gauggel et al., 2003; c Fuster, 1997; d Greenberg, 2002; e Flückiger et al. 2009.; f Segal, Williams and Teasdale, 2002.