slide deck from the 3rd meeting of Headway North Wales

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12. Provide information,
share formulation,
engage in therapy
Discuss goals,
current activity
and steps
Make predictions Plan activity
Make reflections
Discrepancy = “self
under threat”
Build confidence and identity
“safe uncertainty”
Develop safety
Shared understanding
Reduce threat
Pre-injury or desired
self
Achieve safety
Self in current context
Do activity
and observe
Updated, adaptive, realistic
self-representation
A “Y-Shaped” model of
suggested change processes
through rehabilitation
(Gracey et al, 2009)

13. 13
Key elements:
• Safety
• Education
• Awareness and acceptance
• Strategies, both general and specific
• Generalisation
The Rehabilitation Process

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25. Figure 2. Group differences in scores before
and after cCBT or the active control treatment

27. Can home based
progressive Computerised Training
The participant will perform a range of tasks
(relevant instructions are provided).
Task example: participant is given an example
‘alien’ to observe. After this, an array of aliens
are presented around the target image. The
participant is required to indicate whether or
not there is an identical alien to their target
image elsewhere on the screen.
Tasks will become progressively challenging as
the participant improves; it will be more difficult
to spot similarities and differences between
‘aliens’, for example.
The participant will perform tasks for a certain
amount of time (minutes) before moving on to
the next task.

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