Article

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.

Langue : ANGLAIS