Joseph F Rath

New York University School of Medicine, Rehabilitation Medicine, Faculty Member

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Joseph F. Rath, PhD, is associate director for psychology research at Rusk Rehabilitation, NYU Langone Health, and Project Director of the NIDILRR-funded Rusk Advanced Rehabilitation Research Training (ARRT) Postdoctoral Fellowship. He is a Past-President of the American Psychological Association's (APA) Division 22 (Rehabilitation Psychology), a past Chair of APA's Committee on Disability Issues in Psychology, and a member of the editorial board of the journal Rehabilitation Psychology. A recipient of the Harold Yuker Award for Research Excellence and the Roger Barker Distinguished Research Contributions Award from APA's Division 22, Dr. Rath's research interests include acquired brain injury, problem solving and emotional self-regulation approaches to neuropsychological rehabilitation, and training and diversity issues in rehabilitation psychology.

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Clinical applications of problem-solving research in neuropsychological rehabilitation: Addressing the subjective experience of cognitive deficits in outpatients with acquired brain injury

by David Litke and Joseph F Rath

Rehabilitation Psychology, 2011

Objective: The goal of this paper is to illustrate how the lessons learned in over 20 years of ra... more Objective: The goal of this paper is to illustrate how the lessons learned in over 20 years of randomized clinical trials have advanced cognitive rehabilitation beyond traditional approaches to problem solving by more explicitly integrating subjective self-appraisal factors in routine clinical practice. Results: The concept of problem orientation, as proposed by cognitive-behavioral psychologists, provides a much-needed framework for conceptualizing interventions to address the impact of subjective experience on cognitive functioning, within the context of cognitive remediation. By explicitly focusing on the beliefs, assumptions, and expectations that individuals with acquired brain injury have about their own cognitive functioning, the concept of problem orientation allows rehabilitation psychologists to add an element to interventions, not systematically addressed in standard approaches to cognitive remediation. Targeting objective deficits in cognitive remediation is necessary, but not sufficient: For optimal benefit, remedial interventions must address objective cognitive deficits and the patient's subjective experience of such deficits in tandem. Conclusion: Contemporary evidence-based treatment recommendations now typically include incorporating interventions to address motivational, attitudinal, and affective factors in cognitive remediation. Further research is needed to directly compare the effectiveness of cognitive rehabilitative interventions that systematically address subjective factors with those that do not.

Joseph F Rath

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