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Logical Reasoning Cognitive therapy www.rehacom.com

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Page 1: Logical Reasoning - HASOMED

Logical Reasoning

Cognitive therapy

www.rehacom.com

Page 2: Logical Reasoning - HASOMED

Cognitive therapy

by Hasomed GmbH

This manual contains information about using the RehaComtherapy system.

Our therapy system RehaCom delivers tested methodologiesand procedures to train brain performance.RehaCom helps patients after stroke or brain trauma with theimprovement on such important abilities like memory, attention,concentration, planning, etc.

Since 1986 we develop the therapy system progressive. It is ouraim to give you a tool which supports your work by technicalcompetence and simple handling, to support you at clinic andpractice.

User assistance information:

Please find help on RehaCom website of your country. In case ofany questions contact us via e-mail or phone (see contactinformation below).

Germany / Europe / Worldw ide:

HASOMED GmbH

Paul-Ecke-Str. 1

D-39114 Magdeburg

Tel: +49 (391) 610 7645

w w w .rehacom.com

[email protected]

USA:

Pearson Clinical Assessment

19500 Bulverde Road, Suite 201

San Antonio, TX 78259-3701

Phone: 1-888-783-6363

w w w .pearsonclinical.com/RehaCom

[email protected]

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Contents

Dear user,please read the entire instruction manual before trying to operate RehaCom.It's unsafe to start using RehaCom without reading this manual.This manual includes lots of advice, supporting information and hints in order to reachthe best therapy results for the patients.

Table of contents

Training description 1Part 1

................................................................................................................................... 11 Training task

................................................................................................................................... 22 Performance feedback

................................................................................................................................... 33 Levels of difficulty

................................................................................................................................... 44 Training parameters

................................................................................................................................... 75 Data analysis

Theoritical concept 8Part 2

................................................................................................................................... 81 Foundations

................................................................................................................................... 102 Training aim

................................................................................................................................... 113 Target groups

................................................................................................................................... 134 Bibliography

Index 15

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1 Training description

1.1 Training task

The module Logical Reasoning uses problem solving exercises where the patientmust complete a series of images. The analysis of the problem situation and of itselements is primary. By increasing the difficulty of the logical series and overlappingseveral logic structures, the patient should learn to recognize the concepts underlyingeach task and use these concepts to solve the problem.

In the training, a series of pictures with simple graphic figures is shown. The patientmust find the relationship between the individual pictures in the series and, through induction, derive a rule (figure reasoning) that clarifies what the next picture in theseries is (von Cramon & Matthes-von Cramon, 1993). When the patient hasestablished what the rule is, he or she must then select the relevant picture from amatrix of pictures. The matrix of pictures can be used by the patient to check that he/she has derived the correct rule.

The picture series appear in the upper part of the screen (see Fig. 1). They consistof a minimum of 7 pictures and a maximum of 14. If the number of pictures is greaterthan 7, the logical series is distributed over two rows which are spaced out aboveeach other. A tear-off edge clarifies that the entire logical series must be solvedusing the two single series. The picture series is solved when the correct picture isplaced in the empty field. This field is the one beside the large red arrow. The correctpicture is selected from a matrix of pictures in the lower part of the screen.

Fig. 1: Training screen at level 12; incorrect image selected

Patients who have motor difficulties in their hands or visual motor disturbances

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should work with the RehaCom keyboard. To select the picture in the matrix, thepatient can use the arrow keys to move the selection from picture to picture. Oncethe yellow shadow appears on the correct picture, the patient confirms the selectionby pressing the OK button. The picture is inserted into the free field at the end of theseries.

The arrow can also be moved quite easily with the mouse. Both the mouse buttonand the OK button of the RehaCom keyboard can be used to confirm a selection. Itis recommended that patients who suffer from impaired motor control can use onehand on the mouse to move the arrow while the other hand presses the OK button toconfirm an image. A touch screen is the simplest way to operate the module. Thepatient touches the desired picture with a finger. While touching the screen, a frameappears which can be moved by dragging the finger from picture to picture.Selection is confirmed when the patient lifts his or her finger from the screen.

After each decision, the patient is notified whether the selected picture is correct orincorrect. An analysis of an error is then offered which shows the patient what waswrong.

A performance bar is on the left-hand side of the screen. The column increases withevery correct reaction. If the green marker is exceeded during the training process,the level of difficulty increases for the next task. If the red marker is not reached, thenthe level of difficulty will decrease for the next task. If the performance bar fills tosome point between the green and red marker, then the same level of difficulty isrepeated during the next task.

At the beginning of task, a patient can be offered advice on how to complete theseries. Every patient will develop his or her own solution strategy. The Therapy isrequired to support the patients with the tasks. It is recommended that even high-performing patients should start on a lower level. This gives the patient a chance tolearn how the pictures in the series change (shape, color, size) when the task is nottoo difficult.

1.2 Performance feedback

Feedback is provided for each task once a picture from the matrix is selected. When a correct answer is selected, the shadow of the selected image turns greenand the field near the top left corner of the screen turns green and shows the word“Correct.”When an error is made, the patient's choice is marked with a shadow that turns red,and the correct element has a shadow that turns yellow. If error analysis is enabled inthe parameter menu, the fields at the top of the screen will turn red to show whatfeature of the patient's choice does not fit the pattern in the series (shape, color,size). Also, if acoustic feedback in enabled in the parameter menu, acousticfeedback is also given in case of errors.

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The current level of difficulty appears above the performance bar.

1.3 Levels of difficulty

An adaptive setting of the different levels of difficulty is guaranteed.

The tasks are generated using a pool of 192 pictures, with 16 different shapes, 4different colors, and 3 different sizes.

The level of difficulty is modified by altering the length and complexity of the series(see Tab. 1).

In training there is always alternate abstraction levels available which can bepracticed and all difficulty levels which have been practiced up to now can also be mixed and used for further training.

As in the case of all RehaCom modules, the performance requirements at lowerlevels of difficulty are purposefully low. This provides an easier start for patients witha lower performance ability.

A more efficient patient will complete these lower levels of difficulty more quickly andreach performance ranges better suited to his or her level.

If the first half of the tasks for a given level are correctly solved within the reactiontime of 5 seconds, then the level is stopped and a higher level is startedimmediately.

It is not recommended to begin immediately with a higher level of difficulty.

The structure of the levels of difficulty (see Tab. 1) is validated within the frameworkof a study.Level

Description

1 Same pictures, small variations, use of the keyboard is learned.2 Variation in the shape of the pictures in a simple 1212 pattern (e.g., circle,

square, circle, square).Color and Size stay constant.

3 Mix4 Variation of the color in a simple 1212 pattern (e.g., red, yellow, red, yellow).

Shape and size stay constant.

5 Mix6 Variation of the size in a simple 1212 pattern (e.g., big, small, big, small).

Shape and color stay constant.

7 Mix8 Variation of the shape or the color or the size in a 123123 pattern

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(e.g., cross, circle, square, cross, circle, square or red, yellow, blue, red,yellow, blue)

9 Mix10 Variation in the shape or the color or the size in a complicated 112233

pattern(e.g., cross, cross, circle, circle, square, square, cross, cross...), 123212321,or 122122322122. Still only one feature of the pictures varies.

11 Mix12 Complicated patterns like in Level 10; two features change in parallel (shape/

color or color/size or shape/size ). The third feature stays constant.

13 Mix14 Two features change in different, simple patterns 12123.

The third feature stays constant.

15 Mix16 Two features change in different, complicated patterns.

The third feature stays constant.

17 Mix18 Two features change in parallel with each other with the same pattern.

The third feature changes as well, following a different pattern.

19 Mix20 All three features vary in their own simple pattern.

(e.g. shape 1212, color 123123, size 12341234).

21 Mix22 All three features change in a pattern independent of the other features and in

a somewhat complicated pattern.

23 Mix

1.4 Training parameters

Specific settings for the training module can be adjusted (see Fig. 2). This sectiondescribes each setting and explains how to adjust them.

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Fig. 2: Parameter menu

Duration of session:A training time of 25–35 minutes is recommended.

Level up:After the patient has worked through all the tasks for a level, a percentage iscomputed for the number of the correct decisions in relation to the total number oftasks.Regardless the type of error, each incorrect response is only registered as a singleerror. If this percentage value is higher than the one set for level up, the moduleincreases the level of difficulty for the next task.At the beginning, it is recommended that the threshold for increasing the level ofdifficulty be reduced for patients with a lower performance level. This way, the patientcan reach a higher level more easily and his or her motivation for training increases.However, once the patient's performance stabilizes, the parameter should beincreased again.

Level down:If the percentage correct is lower than the one set for level down, the moduledecreases the level of difficulty for the next task. At the beginning, it is recommendedthat the threshold for increasing the level of difficulty be reduced for patients with alower performance level. The module then allows a greater number of mistakesbefore the level of difficulty decreases.

Items per Level:This parameter determines how many series a patient must solve at each level ofdifficulty.

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Maximum solution time:For the set time, the patient can think about the options and make a decision aboutthe next picture in the series. After this, the patient is presented with the next task. If atask remains unresolved when time runs out, this task is evaluated as incorrect(Time error). By default, this parameter is set to 5 minutes (300 seconds). This timeis sufficient in order to solve the task without time pressure. With high performingpatients, a stress factor can be introduced by shortening the solution time (e.g., 30seconds). High performing patients can benefit from the higher requirements andthus their motivation is increased.

Input mode (Operation mode):The options for the input mode (keys, mouse, touch screen) have already beendiscussed in the section Training task.

Acoustic feedback:The parameter for acoustic feedback can be enabled so that a typical tone issounded if the patient chooses an incorrect picture to complete the series. The errortone can cause disturbances if several patients are training in one room. Theacoustic feedback should then be disabled or headphones used.

Error analysis:If the Error analysis is enabled, the chosen picture has a green shadow when acorrect decision was made. For incorrect decisions, the patient is informed which ofthe three features (shape, color, size) was wrong in the chosen picture. With highperforming patients or in the case of specific solution strategies, this option can bedisabled. A red "Incorrect" field at the top of the screen then appears for a secondwithout designating the mistake (shape, color, size). The error analysis should ingeneral be turned on.

Preview:If the preview mode is enabled, the currently selected picture will appear at the endof the series. For particular patients, this will greatly simplify the tasks.

The following default values are automatically set for a new training:

Difficulty level 1Duration of session 25 minutesLevel up 90 %Level down 60 %Items per level 30Max. solution time 300s (5 minutes)Input mode MouseAcoustic Feedback EnabledError analysis EnabledPreview Disabled

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Tab. 2: Default parameter

1.5 Data analysis

All training sessions are placed in a chart within the Results tab. A training session isselected by double clicking on the bar in the chart. Once selected, the results of thesession are presented in the Table and Chart tab.

Explanation of columns in the results table or under More Details on theresults page

Level Current level of difficultyPicture series Number of picture series per level of difficultyCorrect Number of correctly solved picture seriesCorrect % Correctly solved picture series in %Mistakes total Number of incorrectly solved picture series Mistakes time Number of errors due to exceeding the given timeMedian reac. time Median of all reaction times in sMistakes shape Number of shape errorsMistakes color Number of colour errorsMistakes size Number of size errorsQuartil 1 reac. time Reaction time quartile 1 in sQuartil 3 reac. time Reaction time quartile 3 in sTrain. time task Effective training time in h:mm:ssBreaks Number of interruptions by the patient Tab. 3: Results

The parameter settings used during the training are displayed directly below thetable. The graphical presentation of the results (e.g., percent correct, omissions) isalso displayed on the Table and Chart tab.

Because of this detailed analysis of the training, it is possible to indicate deficits tothe patient and to draw conclusions for further training.

Specific information about the current session or about all sessions can be printedout.

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2 Theoritical concept

2.1 Foundations

Logical reasoning and problem solving are some of the most complex humanabilities. They are classified as the executive functions, which are used whenever aperson is confronted with new, complex situations and questions for which noprevious approach is available (Matthes-von Cramon, 1999). Logical thinking refers to a process by which people develop and evaluate logicalarguments (Anderson, 1988). Sohlberg and Mateer (1989) have distinguished threecategories of higher thought processes. Also, concept formation is the ability to analyze relationships between objects andtheir qualities. Schaefer (1985; von Cramon & Matthes-von Cramon, 1993) definesproblem solving thinking as precise logical and analytical thinking in which a giveninitial state is to be changed into another, desired state (end or expected state). Thediscrepancy between initial and target state can be reduced by differentapproaches, depending on the problem (Anderson, 1988).

Problem solving processes represent integrated cognitive functions, which requirebasic abilities like attention, memory, an intact visual perception and languageprocessing (Sohlberg & Mateer, 1989). The success of an action is strongly dependent on cognitive processes that controlbehavior. The preconditions for successful self-control are consciously payingattention as well as the continuously retaining and actively using information. Onemust continually focus on the primary purpose of an action and any relatedsecondary goals in order to execute the individual steps toward that purpose. Theability to take learned information and to precisely utilize it to control behavior isdesignated as working memory. A functional working memory is a crucialprerequisite for problem solving thinking.

In the models of information processing of Rowe (1985) and Sternberg (1985) (cf.von Cramon & Matthes-von Cramon, 1993) the following components of problemsolving processes are stated:

problem identification and analysis,generation of (alternative) hypotheses, selection of suitable solution strategies,modification of strategies according to internal or external feedback, andevaluation of the effectiveness of the chosen solution module.

These components are referred to as meta-cognitive processes, which becomecontrol functions within the information processing activity.

Sternberg (1985, cf.von Cramon & Matthes-von Cramon, 1993) distinguishes theseas meta-components from lower order components which are required for carryingout of different strategies during problem solving. Such performance components

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are

the encoding of stimuli,the matching and combination of information, andthe analogy of the application of previous knowledge to new situations.

Problem solving, logical reasoning, and planning abilities are functions controlled bythe frontal brain. A conclusive pure model introduction of mechanisms which areinvolved in these integrated functions for neural-anatomical correlates and the modeof operation does not exist up to now (Sohlberg & Mateer, 1989).

Among other things, frontal structures are instrumental in the following functions:

Selection of primary purpose,Selection of information,Planning and initiating actions,Control and self-regulation of own actions,Learning from responses,Anticipation from active consequences, andEnding intended actions.

Among the cognitive components related to problem solving and reasoning,inductive reasoning is of the greatest practical importance. Inductive reasoningrefers to the ability to derive general rules, models, concepts, or regularities fromparticular experiences and apply them to new events (Waldmann & Weinert, 1990).Typical tasks for these processes of hypothesis formation and hypothesisexamination are:

Analogies,Completion of a series,Matrix tasks,Classification and concept tasks,Word location tasks,Metaphors and proverbs, andEstimation procedures.

Problem solving is considered creative if the solutions are original, expedient, useful,accurate, and valuable for a given task and the process for solving the problemshows that the patient adapts to circumstances rather than follows a rigid pattern.This is in contrast to convergent thinking, where solving problems does not requirecreative thinking to derive a solution.

A special case in problem solving thinking is planning of actions. The termplanning means to explore and coordinate in advance all variables affecting theobjective. Mental planning sequences are planned actions with flexible and

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reversible components. The individual actions are studied regarding theirconsequences and put together as a series of actions which are once more testedfor possible consequences (von Cramon & Matthes-von Cramon, 1993).

Problems in the patient's ability to plan actions, skills in problem solving, or lack ofunderstanding about the illness can reduce the effectiveness of therapeutic memorystrategies because the use of therapeutic strategies outside the clinical setting isoften inconsistent.

2.2 Training aim

The aim of the training is to improve the patient’s ability to think logically and to solveproblems. The module Logical Reasoning trains the patient using a specific formof logical reasoning - the completion of a series - which is trained by means of induction.

Which therapeutic procedures are appropriate should be based on acomprehensive neuropsychological assessment. The assessment must includemeasures of visual perception/exploration, visual-spatial functions, and languageprocessing because deficits of these basic functions can affect a patient's logicalreasoning ability.

Treatment of such functional deficits should take priority (Sohlberg & Mateer, 1989).Motivation and behavior problems, however, which are associated with deficits inexecutive function must be given special consideration.

To improve a patient’s problem solving abilities, especially the development ofstrategies, the patient should be encouraged to develop and establish appropriatestrategies. During therapeutic support of the meta-cognative process, the followingtechniques should be supported:

Identify and consider solution-relevant information Develop precise hypotheses and approaches to the solutionPlan and analyze the approach to the solution in parts.Recognize mistakes and steps that are not effectiveCorrect errors and develop alternative approaches to the solution

When the patient’s approach to solving a complex task is flawed, it can be helpful toget the patient to discuss the approach that was used to try to solve the problem, andthen determine what kind of support that patient needs. This meta-cognitiveapproach enables the patient to reconsider the relevant information and how itshould be organized.

The module enables therapists to explore solutions with the patient to improvecomplex problem solving.

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Before beginning training with Logical Reasoning, patients with attention or visualperception deficits must first be trained with the RehaCom modules Attention &Concentration (AUFM) and Figural Memory (BILD).

2.3 Target groups

The training module Logical Reasoning has been developed for all patients whosuffer from impairments to executive functions, particularly in the area of problemsolving.

Patients who suffer from various types of brain damage often have disturbances inlogical thinking and in required basic functions.

In particular, after uni- or bilateral frontal injuries, the brain suffers cognitive,emotional, and behavioral disturbances, which based on their functions is knownas Dysexecutive Syndrome (Baddeley & Wilson, 1988; Stuss & Benson, 1984;Duncan, 1986; Shallice & Burgess, 1991; von Cramon & Matthes-von Cramon,1992; Stuss, 1992). These may include:

attention disorders (selection, focusing),vigilance disorders,increased distraction/interference vulnerability,memory disturbances,decreased learning ability,disorders in aim-oriented action,disturbances to the logical problem solving ability,decreased abstraction,inability to distinguish important from unimportant (information selection),decreased ability to initiate actions and organize them in sequences,tendency to perseverateincorrect notion of temporal sequences,impulsiveness or loss of initiative,difficulty understanding and using feedback,inability to locate and correct errors,dissociation between knowledge and action,incorrect anticipation of consequences of action (foresighted thinking),incorrect self-regulation and self-perception,inadequate social behavior, andlack of insight into the illness, anosognosia.

Such disturbances can occur after numerous different types of injuries to the brain

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(e.g., primary and secondary degenerative diseases of the brain, hypoxia,infections,), in vascular cerebral injuries (e.g., infarcts, hemorrhages), traumatic braininjuries and tumors with lesions on one or both sides.

Patients often have problems organizing their everyday life because of deficits intheir abilities or as a result of dysexecutive syndrome. Because the syndrome itselfis a combination of impairments to attention, memory, behavior, and motor skills, itconstitutes a particular challenge to therapists in the field of neuropsychology. This iscomplicated by the fact that patients' basic cognitive functions (attention, visualspatial performance, memory, speech, and motor skills) are often more or lessimpaired and these deficits lead to more complex types of impairments.

Patients who suffer from a deficit in executive functions after damage to the frontallobe will often exhibit difficulty in analyzing the conditions of a problem and inrecognizing important relationships. For these patients, the precise sequence ofoperations seems broken up and haphazard. They ignore the stage of preliminaryinvestigation of a problem and replace it with purely intellectual operations throughunrelated, impulsive actions. Patients with brain damage often have difficulties informing superordinate categories. They are not able to think abstractly, that is, freefrom a concrete stimulus and often find themselves being overtly pensive when itcomes to a task.

In addition to its use in the area of neuropsychological rehabilitation for cognitivetherapies in education, the Logical Reasoning training module can also be used inthe field of geriatrics.

The application of the module is dependent on the kind and scale of the deficits andon the level of intelligence. Logical Reasoning can be used with children 12 yearsand older and the patient should be supported by a therapist when the module isused for clinical purposes.

For this module to be used effectively, the patient must have an intact visual workingmemory and have the attention capacity to be able to handle the module'sdemanding tasks. Patients who suffer from a serious form of amnesia and withserious deficits of short-term and working memory should receive a different type oftherapeutic treatment or should use less complex modules.

Puhr (1997) examined the effectiveness of cognitive training of several functions witha RehaCom training battery on a random sample of stroke patients. Depending onthe disorders of the patients in the sample, particular training modules wereselected. The current status of the ability of logical reasoning was determined withthe Coloured Progressive Matrices. A transfer effect of first and third order (trainingeffect and effect on the field activities of daily living) could be proved by training.Cognitive deficits were decreased.

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2.4 Bibliography

Anderson, J. R. (1988). Kognitive Psychologie. Chapter 8 and 10: Problemlösenand Schlußfolgerndes Denken. Heidelberg: Spektrum der WissenschaftVerlagsgesellschaft mbH & Co.

Baddeley, A. D., & Hitch, G. (1974). Working memory. In G. H. Bower (Ed.), ThePsychology of Learning and Motivation (Vol. 8, pp. 47–89). New York, NY:Academic Press.

Baddeley, A., & Wilson, B. (1988). Frontal amnesia and the dysexecutive syndrome. Brain and Cognition, 7, 212–230.

Duncan, J. (1986). Disorganisation of behaviour after frontal lobe damage.Cognitive Neuropsychology, 3(3), 271–290.

Eslinger, P. J., & Damasio, A. R. (1985). Severe disturbance of higher cognitionafter bilateral frontal lobe ablation: Patient EVR. Neurology, 35, 1731–1741.

Gershberg, F. B., & Shimamura, A. P. (1995). Impaired use of organizationalstrategies in free recall following frontal lobe damage. Neuropsychologia, 13(10),1305–1333.

Horn, W. (1962). Leistungsprüfsystem . Göttingen, Germany: Hogrefe.

Kail, R., & Pellegrino, J. W. (1988). Menschliche Intelligenz. Heidelberg, Germany:Spektrum der Wissenschaft Verlagsgesellschaft mbH & Co.

Karnath, H.-O. (1991). Zur Funktion des präfrontalen Cortex bei mentalenPlanungsprozessen. Zeitschrift für Neuropsychologie, 2(1), 14–28.

Matthes-von Cramon, G. (1999): Exekutivfunktionen. In P. Frommelt & H. Grötzbach(Eds.), Neurorehabilitation. Grundlagen, Praxis, Dokumentation. Berlin, Germany:Blackwell Wissenschafts-Verlag.

Morris, R. G. (1993). Neural correlates of planning ability: Frontal lobe activationduring the Tower of London test. Neuropsychologia, 31(12), 1367–1378.

Mesulam, M. M. (1986). Frontal cortex and behaviour. Annals of Neurology, 19(4),320–324.

Puhr, U. (1997). Effektivität der RehaCom-Programme in derneuropsychologischen Rehabilitation bei Schlaganfall-Patienten. Thesis at theUniversity of Vienna.

Rowe, H. A. (1985). Problem solving and intelligence. Hillsdale, NJ: Lawrence

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Erlbaum.

Schaefer, R. E. (1985). Denken. Informationsverarbeitung, mathematische Modelleund Computersimulation. Springer Verlag.

Shallice, T., & Burgess, P. W. (1991). Deficits in strategy application following frontallobe damage in man. Brain, 114, 727–41.

Sohlberg, M. M., & Mateer, C. A. (1989). Assessment and treatment of deficits inreasoning and problem solving. Introduction to cognitive rehabilitation: Theory andpractice (pp. 264–299). New York, NY: Guilford Press.

Sternberg, R. J. (1985a). Beyond IQ: A triarchic theory of human intelligence.Cambridge University Press, New York.

Stuss, D. T. (1992). Biological and psychological development of executivefunctions. Brain and Cognition, 20, 8–23.

Stuss, D. T., & Benson, D. F. (1984). Neuropsychological studies of the frontallobes. Psychological Bulletin, 95(1), 3–28.

von Cramon, D. Y., & Matthes-von Cramon, G. (1991). Problem-solving deficits inbrain-injured patients: A therapeutic approach. Neuropsychological Rehabilitation,1(1), 45–64.

von Cramon, D. Y., & Matthes-von Cramon, G. (1992). Reflections on the treatmentof brain-injured patients suffering from problem-solving disorders. Neuropsychological Rehabilitation, 2(3), 207–229.

von Cramon, D. Y., & Matthes-von Cramon, G. (1993). Problemlösendes Denken. InD. Y. von Cramon, N. Mai, & W. Ziegler (Eds.), Neuropsychologische Diagnostik(pp. 123–152). Weinheim, Germany: VCH.

Waldmann, M., & Weinert, F. E. (1990). Intelligenz und Denken. Perspektiven derHochbegabtenforschung. Göttingen, Germany: Hogrefe.

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Index

- A -abstraction levels 3

acoustic feedback 2, 4

actual state 8

adaptive training 2

algorhythm 1

algorithmen 3

anosognosia 11

anticipation 8, 11

attention 8, 10

- B -basic abilities 8, 10

bibliography 13

- C -color 1, 2, 3

colour 7

completion of a series 1

completion of sequencial actions 11

concept formation 8

conclusive thinking 8, 10

continue to the next level 4

convergent thought 8

creativity 8

current level of difficulty 4

- D -data analysis 7

decreased abstract thought capability 11

decreased learning ability 11

deductive thinking 8

diagnostic instruments 8

dissociation 11

distraction 11

disturbances 11

divergent thought 8

duration of training 4

dysexecutives syndrome 11

- E -effiency 8

error analysis 2, 4

executive functions 8, 11

- F -feedback 1, 8

foundations 8

frontal lobe 8, 11

- H -hypotheses 10

hypothesis 8

- I -impulsiveness 11

inductive thinking 8

initial state 8

integrative functions 8

intelligence 8

intelligence tests 8

introspektion 10

items/level 4

- L -level 3

level down 4

level of difficulty 1, 2, 7

level up 4

levels of difficulty 3

logical analyitical thought 8

logical thinking 11

logical thought 1

loss of initiative 11

- M -maximum solution time 4

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Manual release date: 05.07.2018

median 7

memory 8, 10

metacognitive processes 8

mix 3

motif 1, 3

mouse 1, 4

- N -neuropsychologiscal diagnostic 8

neuropsychologiscal rehabilitation 11

number of items 7

number of mistakes 7

- O -operation mode 4

operators 8

organisation 10

- P -pause 7

performance column 1

performance feedback 2

perseverationstendency 11

picture matrix / matrix of pictures 1

planning of actions 8, 11

precise thinking 8

preview 4

problem solving 1, 10

problem solving strategies 8

problemanalyse 8

problemsolving 8

- Q -quarter 7

- R -reaction time 3

RehaCom Keyboard 1, 4

RehaCom-System 10, 11

repeat the previous level 4

rigidity 11

- S -selection 1

selection of information 8

self perception 11

self regulation 8, 11

shape 1, 2, 3, 7

short-term memory 10

size 1, 2, 3, 7

solution of problems 11

solution steps 10

solution strategy 8

strategies 10

syllogism 8

- T -target groups 11

theoritical foundations 8

therapy 8

time 7

tips 10

total number of mistakes 7

touch screen 1, 4

training aim 10

training parameters 4

training task 1

training tasks 1

training time 7

trainings consultation 7

trainings parameter 4

- V -visual perception 8, 10

voice processing 8, 10

- W -working memory 10, 11