Theoretical Foundations for the Use of The Lighthouse Strategy in the Rehabilitation of Patients with Neglect Syndrome

Authors

DOI:

https://doi.org/10.15826/Lurian.2024.5.3.1

Keywords:

left-sided spatial neglect; visual neglect syndrome; neuropsychological rehabilitation; visual imagery technique The Lighthouse Strategy; P. Ya. Galperin’s theory; restorative learning; functional and holistic approaches to rehabilitation

Abstract

The article discusses the main approaches to rehabilitation of patients with visual neglect syndrome, “bottom-up” and “top-down,” and the methods and techniques used in the main domestic and foreign rehabilitation programs. One of the most effective and easy to organize techniques is The Lighthouse Strategy, which involves the use of auxiliary mental and visual images for a more complete scanning of the space around. Training in the use of this technique takes place in an inpatient setting during the rehabilitation of patients, and subsequent learning and automation takes place in the home environment with the active involvement of their family. The effectiveness of this technique is defined differently within functional and holistic approaches in neuropsychological rehabilitation. In the article, the theoretical foundations for the use of The Lighthouse Strategy in domestic rehabilitation are considered in the framework of the P. Ya. Galperin’s theory and restorative learning of A. R. Luria and L. S. Tsvetkova.

Author Details

Maria S. Kovyazina, Lomonosov Moscow State University, Federal Scientific Centre of Psychological and Multidisciplinary Research, Research Centre of Neurology

Doctor in Psychology, Professor

Professor, Department of Neuro- and Pathopsychology, Faculty of Psychology (Lomonosov Moscow State University);

Head of the Laboratory, Laboratory of Counselling Psychology and Psychotherapy (Federal Scientific Centre of Psychological and Multidisciplinary Research);

Senior Researcher (Research Centre of Neurology)

Moscow, Russia

Nataliya A. Varako, Lomonosov Moscow State University, Federal Scientific Centre of Psychological and Multidisciplinary Research, Research Centre of Neurology

PhD in Psychology, Senior Researcher, Department of Methodology of Psychology, Faculty of Psychology (Lomonosov Moscow State University);

Senior Researcher, Laboratory of Counselling Psychology and Psychotherapy (Federal Scientific Center of Psychological and Multidisciplinary Research);

Senior Researcher (Research Centre of Neurology)

Moscow, Russia

Georgiy K. Stepanov, Lomonosov Moscow State University, Federal Scientific Centre of Psychological and Multidisciplinary Research

Postgraduate Student, Faculty of Psychology (Lomonosov Moscow State University);

Researcher, Laboratory of Counseling Psychology and Psychotherapy (Federal Scientific Center of Psychological and Multidisciplinary Research)

Moscow, Russia  

Victoria A. Propustina, Federal Scientific Centre of Psychological and Multidisciplinary Research

Researcher, Laboratory of Counseling Psychology and Psychotherapy

Moscow, Russia

Daria D. Yurina, Lomonosov Moscow State University, Federal Scientific Centre of Psychological and Multidisciplinary Research

Postgraduate Student, Faculty of Psychology (Lomonosov Moscow State University);

Researcher, Laboratory of Counseling Psychology and Psychotherapy (Federal Scientific Center of Psychological and Multidisciplinary Research)

Moscow, Russia

Anatoliy A. Skvortsov, Lomonosov Moscow State University, Federal Scientific Centre of Psychological and Multidisciplinary Research

PhD in Psychology, Associate Professor, Department of Educational Psychology and Pedagogy, Faculty of Psychology (Lomonosov Moscow State University);

Researcher, Laboratory of Counseling Psychology and Psychotherapy (Federal Scientific Center of Psychological and Multidisciplinary Research)

Moscow, Russia

Svetlana A. Vasilyeva, Federal Scientific Centre of Psychological and Multidisciplinary Research, National Medical and Surgical Center named after N. I. Pirogov

Researcher, Laboratory of Counseling Psychology and Psychotherapy (Federal Scientific Center of Psychological and Multidisciplinary Research);

Medical Psychologist, Medical Rehabilitation Clinic (National Medical and Surgical Center named after N. I. Pirogov)

Moscow, Russia

Vadim D. Daminov, National Medical and Surgical Center named after N. I. Pirogov

Doctor in Medicine, Director, Medical Rehabilitation Clinic, Head of the Department, Department of Medical Rehabilitation and Rehabilitation Treatment

Moscow, Russia

Yuri P. Zinchenko, Lomonosov Moscow State University, Federal Scientific Centre of Psychological and Multidisciplinary Research

Doctor in Psychology, Professor, Academician of the Russian Academy of Education, President of the Russian Psychological Society, Chief Freelance Specialist in Medical Psychology of the Ministry of Health of the Russian Federation

Dean, Faculty of Psychology, Lomonosov Moscow State University;

Director, Federal Scientific Center of Psychological and Multidisciplinary Research

Moscow, Russia

Published

2024-12-17 — Updated on 2025-03-19

Issue

Section

Original Articles