There is a better way to think about change. It focuses on second-order effects. Instead of asking “What do I want?”, it asks “What conditions reliably produce the kind of change I want, even when motivation fluctuates?”

This GCS is handy in an emergency. However, when those scores are translated into a permanent label: mild, moderate, or severe, we encounter difficulties.
Because the truth is: if you have seen one brain injury, you have seen one brain injury. No two are the same.

Rehabilitation outcomes are influenced not only by the type and quality of interventions provided but also by the nature of the clinical relationship between the rehabilitation professional and the client. Two conceptual approaches are often discussed in this context: client-centred care and the client-as-partner model.