A m a . IlIino is 62 90 6 NANCY E. MARCHAND-MARTELLA
DEBRA BRAUNLING-MCMORROWThis study developed and evaluated a program for teaching a problemsolving strategy to closed head-injured adults. Four general areas were targeted for training: Community Awareness and Transportation; Medication, Alcohol, and Drugs; Stating One's Rights; and Emergencies, Injuries, and Safety. The program featured cue cards, response-specific feedback, modeling, self-monitoring, positive reinforcement, response practice, self-correction, and individualized performance criterion levels. It was evaluated via pre-and posttraining generalization assessments that involved phone calls, interviews, and staged interactions in the natural environment. The experimental group (N = 3) received baseline, training, and pre/posttraining assessments, whereas the contrast group (N = 3) received only pre/posttraining assessments. The posttraining results revealed that the experimental subjects' problem-solving skills had generalized somewhat, whereas the contrast group showed little change from pre-to postassessment. The program appears t o offer some promise as a method of teaching a problem-solving strategy.
INTRODUCTIONBecause of the rapid advancement of medical technology, an increasing number of persons who survive severe brain injury can expect to have a normal life span (Haberman, 1982;Hackler & Tobis, 1983;Levin, Benton, & Grossman, 1982). Yet, these individuals often require extensive services for an extended period of time, inasmuch as they usually have some degree of permanent impairment of their cognitive processes (Hagen, 1982). These impairments can result in deficits in (1) memory, concentration and learning; (2) psychosocial adjustment; (3) oral and written communications; and (4) problem solving (Blanton & Gouvier, 1986;Daniel, Webster, & Scott, 1986;Torkelson, Jellinek, Malec, & Harvey, 1983).One deficit that has received little attention thus far is lack of problem-solving skills. This is unfortunate because residual deficits in problem solving can create significant obstacles for head-injured individuals. Consider that they often remain disorganized in decision making, are unable to retain, analyze, and compare the conditions of a problem, react impulsively, and demonstrate a lack of insight and an inability to make corrections and evaluate solutions (Goldstein & Ruthven, 1983).Problem solving has been defined and described in a variety of ways. For example, D'Zurilla and Goldfried (1971) defined it as "the process or technique by which one attempts to 'discover' a solution to a problem" (p. 109). Accordingly, they emphasized teaching individuals t o select the best solution after generating several alternatives. Problem solving has also been defined as learning to geqerate a solution on the basis of the information provided (Ross & Ross, 1978). Thus, the content of the solution is emphasized in training problem-solving skills.The present study focused on the latter training approach because brain-injured individuals often exhibit def...