counseling with physical disabilities
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eral states, their successes and failures, and cost/benefit analyseswith regards to brain injury rehabilitation.
The fmal chapter is an editorial summary of the efforts of thePresident's Council on Employment of the Handicapped, and theNational Head Injury Foundation, It is a fitting chapter "intendedto represent a blueprint for facilitating changes in public policyand the practice of rehabilitation and community integration ofpersons who have sustained a brain trauma injury,
Community-Based Employment Following Traumatic Brain In-jury is edited by three notable researchers from the Research andTraining Center at the University of Wisconsin-Stout, The intentof the book is straightforward, and complimented with ,"heady"articles by established contributors. The editors are to be com-mended on the choice of subject matter, and the format of thematerials used. This book should be included in the resourcelibraries of professionals, educators, rehabilitation counselingprograms, and head injury survivors and their families alike. Itoffers viable alternatives for community employment, and tran-sition to work following the trauma of brain injury,
J. Gordon SwensenDivision of Rehabilitation ServicesSalt Lake City, Utah
Counseling Persons WithPhysical Disabilities: Theo-retical and Clinical Perspec-tives
Laura E. Marshak & Milton Seligman
Austin, TX: Pro-ed1993,234pp., $27.00ISBN 0-890789-580-0
Marhsak and Seligman offer a detailed resource forprofessionals who counsel people with physicaldisabilities. Leading into a discussion of existingstereotypes, professionals are encouraged to ex-
plore their own feelings about counseling people with physicaldisabilities. Because people have conscious and unconscious reac-tions to disability, an accurate perception is often difficult tomaintain within the therapeutic relationship. Often, counselorshave a tendency to underestimate abilities and emotional health,and exaggerate negative characteristics. Counselors working withpeople with disabilities should strive to see the person as a wholeindividual and avoid using the disability as the primary definingcharacteristic to which all other factors are measured, Relatedly,the authors use appropriate language, referring to people with
disabilities rather than disabled people; an important issue inbreaking stereotyped thinking about the effects of disability uponthe individual.
Research is provided concerning issues of psychological ad-justment and impact of disability on life satisfaction. Varioustheoretical approaches are considered in terms of conceptualiz-ing adjustment problems, and issues of grief and mourningrelated to congenital and acquired disabilities are discussed,providing a variety of therapeutic strategies to create an engagingenvironment for re-entry into the community. Successful inte-gration into relationships and work activities are examined withan emphasis on sexuality in regard to disability as well asvocational counseling issues. Issues of dependency, motivationand loneliness are thoroughly examined as well,
Marshak and Seligman rely on well known rehabilitationexperts such as Vash and Wright, as well as drawing from expertsin the field of family systems and group theory. These twotherapeutic modalities are explored in general terms, and thenexpanded to reflect the unique needs of people with physicaldisabilities.
This text is an excellent adjunct to rehabilitation curriculum,and is also a valuable resource for professionals who want tobroaden their knowledge base and create a more inclusive thera-peutic atmosphere. People with disabilities deserve a level of skillrepresentative of the counseling profession as a whole. To this end,the book provides an informative and theoretically sound founda-tion for meeting the needs of people with physical disabilities,
DeeAnna P. MerzThe McKinley Group, Inc.Atlanta, GA
Challenges for A ServiceSystem in Transition: En-suring Quality CommunityExperiences for Personswith Developmental Dis-abilities
M.H. Hayden & B.H. Abery(Eds)., Baltimore: Paul H. Brookes, 1994,512 pages, $35.00, soft cover.
A s indicated in the preface, this edited volume repre-sents "the second wave of community living re-search" in response to President Kennedy's chal-lenge to improve not only the service delivery sys-
January/Febntary/March 1995 Joumal of Rehabilitation 67