Posts in this category are not easily categorised! They will cover any aspect of rehabilitation and a range of topics peripheral to rehabilitation, matters that should be discussed and considered but may not be – yet.
First published: November 6, 2025 Last updated: November 6, 2025 In January 1781, The London Medical Journal published a 19-page review of a book written by Dr Tiffot, a member of the Société Royale de Londres, entitled Traité des Nerfs et de leurs Maladies. (Treatise on the nerves and their maladies). Since then, malady has […]
First published: September 25, 2025 Last updated: 25 September 2025 The medical model and biomedical healthcare are two of many terms used to describe the traditional and culturally dominant approach to illness and health. It underpins the World Health Organisation (WHO) definition of health, introduced in 1948: a “state of complete physical, mental, and social
Biopsychosocial healthcare Read More »
First published: August 31, 2025 Last updated: 31 August 2025 In 2025, in two cases of disputed clinical decisions made for people lacking capacity, the clinical decisions were overturned by judges in the Court of Protection. On 15 May 2025, Alex Ruck Keen commented on the first case, [2025] EWCOP 17 (T3), in a post
Holistic best interests in court. Read More »
First published: May 5, 2025 Last edited: May 5, 2025 My first post on rehabilitation thinking discussed the crucial role of expertise when considering three aspects of rehabilitation: the process, the professional, and the person. I finished by introducing a fourth viewpoint, holistic rehabilitation thinking. This post expands on holistic thinking. I start by exploring
Holistic rehabilitation thinking – 2 Read More »
First published: May 5, 2025 Last edited: May 5, 2025 In 2002, I wrote that “… rehabilitation is a way of thinking and not a way of doing.” The editorial did not develop the rehabilitation thinking hypothesis much. I have been asked to give a talk on “What is really important in rehabilitation?”. This is
Rehabilitation thinking – 1 Read More »
First published: March 27, 2025 Last edited: March 27, 2025 The patient had previously been active intellectually, creatively, physically, and socially; after his ischaemic brain damage a year ago, he was left requiring 24-hour care, with aphasia limiting communication. While discussing his future, his daughter mentioned the magnitude of his losses and how it would
Social participation and rehabilitation. Read More »
An expert in patients with a prolonged disorder of consciousness (PDOC) will give evidence to a court
Being a Prolonged Disorder of Consciousness (PDOC) expert Read More »
Rehabilitation is associated with many R words: restoration, reablement, recuperation, reactivation, recovery, reintegration, and other variations on the theme. Is this a helpful disaggregation of the rehabilitation process, or does it confuse and obfuscate? This post explores this question. This is essential because many people draw distinctions between these and other terms, such as intermediate
Recuperation, recovery, and rehabilitation. Read More »
I am asked to provide second opinions when the local team has difficulty, usually when the patient and family disagree with the rehabilitation team, or there are disputes about funding more rehabilitation. I enjoy the challenge and typically find a way forward. This post is my reflection on how I approach challenging and complex cases.
Resolving complex clinical cases. Read More »
Virtual reality is frequently used to describe rehabilitation treatment and occasionally assessments. But what does the term mean, or, more accurately, what does the user mean by it? Was ‘Return of the [space] Invaders’, released in 1984, virtual reality? It certainly engrossed thousands of people, including me! Knowing what the term means is crucial when
Virtual Reality rehabilitation Read More »
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