Enhancing generalization to daily activities and psychological well-being in multimodal cognitive rehabilitation

Neuropsychological rehabilitation has always had a pragmatic end: to restore meaningful participation in life. In my clinical and research work with older adults who have acquired brain injury (ABI), I repeatedly observe a gap between improvements on neuropsychological tests and changes in everyday functioning. If rehabilitation is to be judged by its capacity to improve quality of life, we must plan for generalization rather than hope for it or regret it(an error may generalize to another contexts or behaviors).