Coping with traumatic brain injury: Representative case studies

Christina M. Kwasnica, Allen Walter Heinemann*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


This case report compares the use of social supports and vulnerability to substance abuse for two rehabilitation clients after traumatic brain injury (TBI). Using a psychosocial assessment, the Motivational Structure Questionnaire, Adaptive Skills Battery, and Ways of Coping Checklist within a representative case method, we studied two individuals in depth to understand differences in postinjury drinking behaviors. We also examined differences in availability and use of social supports and how support was related to coping efforts. Finally, we illustrated goal-setting and the relationship between long-term planning and follow-through on goals. Social supports, adaptive problem-solving behaviors, and positive reappraisal of situations seem to be important elements in postinjury abstinence. Clinically, this research supports the need for fostering use of both social supports and substance use prevention and treatment services when working with both inpatient and outpatient TBI clients.

Original languageEnglish (US)
Pages (from-to)384-389
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Issue number4
StatePublished - Jan 1 1994

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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