Ethical issues in using deception to facilitate rehabilitation for a patient with severe traumatic brain injury.
OBJECTIVE: To explore ethical issues in using deception to improve participation in a patient with severe traumatic brain injury who had not responded to traditional behavioral and pharmacologic approaches.
DESIGN: Case study.
PARTICIPANT: A male in inpatient neurorehabilitation with history of severe traumatic brain injury and significant behavioral disruption that limited his therapy participation.
METHODS: Behavior modification program using principles of operant conditioning that required deception.
RESULTS: Participation in therapies significantly improved and disruptive behaviors decreased.
CONCLUSION: When used cautiously and with careful consideration of the ethical implications, deception may be permissible as part of an intervention strategy with this population but only as a last resort.
Medical Subject Headings
Adult; Aggression; Anger; Brain Injuries; Cognition Disorders; Conditioning, Operant; Deception; Ethics, Clinical; Gait Disorders, Neurologic; Humans; Male
The Journal of head trauma rehabilitation
Digital Object Identifier (DOI)
Matthes, Jessica and Caples, Heather, "Ethical issues in using deception to facilitate rehabilitation for a patient with severe traumatic brain injury." (2013). Clinical Neuropsychology. 7.