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Neurorehabilitation and Neural Repair
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Psychoremediation of Communication Skills for Cognitively Impaired Persons with Multiple Sclerosis

Frederick W. Foley

Ferkauf Graduate School of Psychology and the Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461, Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

William M. Dince

Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

Jeffrey R. Bedell

Ferkauf Graduate School of Psychology and the Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461

Nicholas G. LaRocca

Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

Rosalind Kalb

Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

Lauren S. Caruso

Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

Charles R. Smith

Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

Zachary M. Shnek

Ferkauf Graduate School of Psychology and the Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York 10461, Medical Rehabilitation Research and Training Center for Multiple Sclerosis, St. Agnes Hospital-New York Medical College, 303 North Street, White Plains, New York 10605

Cognitive impairments and emotional distress significantly interfere with the ability of persons with multiple sclerosis (MS) to communicate effectively with family members, friends, employers, and health care providers. This paper describes a step-by-step cognitive-behavioral approach to the treatment of communication skills deficits in cognitively impaired persons with MS. Cognitive problems encountered in MS are discussed in terms of their impact on fundamental elements of communication, including accurate listening, capacity for empathy, making requests of others, making compromises, and giving others feedback about the impact of their behavior. Rehabilitation of these aspects of communication is discussed.

Key Words: Multiple sclerosis • Cognition • Rehabilitation.

Neurorehabilitation and Neural Repair, Vol. 8, No. 4, 165-176 (1994)
DOI: 10.1177/136140969400800401
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