ABPP Rehabilitation Psychology key terms
ABPP Rehabilitation Psychology · Get comfortable with the vocabulary.
- Disability paradox
- Related: Adjustment to disability, Rehabilitation psychology, Self-efficacy
The finding that many people with significant disability report quality of life comparable to or better than non-disabled peers, contradicting assumptions that impairment automatically reduces well-being. It cautions clinicians against projecting deficit-based expectations onto patients.
- Rehabilitation psychology
- Related: Disability paradox, Biopsychosocial model, Functional capacity evaluation
A specialty concerned with the psychological and interpersonal aspects of disability, chronic illness, and injury, and with helping people maximize function, independence, and participation across medical, vocational, and community settings.
- Biopsychosocial model
- Related: ICF framework, Rehabilitation psychology, Secondary gain
A framework holding that health and functioning result from interacting biological, psychological, and social factors rather than from disease alone. Rehabilitation treatment planning commonly uses it to target modifiable contributors to disability.
- ICF framework
- Related: Biopsychosocial model, Functional capacity evaluation, Environmental barriers
The World Health Organization's International Classification of Functioning, Disability and Health, which describes functioning through body functions and structures, activities, and participation, with environmental and personal contextual factors shaping outcomes.
- Adjustment to disability
- Related: Disability paradox, Acceptance and commitment therapy, Self-efficacy
The ongoing psychological process by which a person integrates an acquired or progressive impairment into identity and daily life, often involving grief, reappraisal, and rebuilding of valued roles rather than a single endpoint.
- Environmental barriers
- Related: ICF framework, Advocacy, Functional capacity evaluation
Physical, attitudinal, policy, or communication features of a person's surroundings that restrict activity or participation, such as inaccessible buildings or stigma. They are modifiable targets distinct from the person's impairment.
- Self-efficacy
- Related: Adjustment to disability, Motivational interviewing, Functional capacity evaluation
A person's belief in their capacity to execute behaviors needed to reach a goal. In rehabilitation it predicts persistence in therapy, adherence to home programs, and return to valued activities.
- Neuropsychological assessment
- Related: Premorbid functioning estimate, Performance validity testing, Functional capacity evaluation
A structured evaluation of cognitive domains such as attention, memory, language, visuospatial skill, and executive function using standardized tests, interpreted against norms and the person's premorbid and medical context.
- Premorbid functioning estimate
- Related: Neuropsychological assessment, Performance validity testing, Ecological validity
An inference about a person's cognitive and adaptive level before injury or illness, drawn from education, occupation, records, or hold measures, used to judge whether current scores represent genuine decline.
- Performance validity testing
- Related: Symptom validity testing, Premorbid functioning estimate, Secondary gain
Use of embedded or standalone measures to evaluate whether examinee effort and engagement are sufficient for scores to be interpreted as valid estimates of ability, guarding against invalid data from poor effort or exaggeration.
- Symptom validity testing
- Related: Performance validity testing, Secondary gain, Neuropsychological assessment
Methods for assessing the credibility of reported symptoms, such as inconsistency across sources, improbable symptom patterns, or validity scales on self-report inventories, distinct from tests of cognitive effort.
- Ecological validity
- Related: Functional capacity evaluation, Neuropsychological assessment, Premorbid functioning estimate
The degree to which test performance predicts real-world functioning such as work, driving, or independent living. Clinicians weigh it when translating scores into functional recommendations.
- Functional capacity evaluation
- Related: Ecological validity, Work hardening, ICF framework
A structured, often interdisciplinary assessment of a person's physical and cognitive ability to perform work demands, used to inform return-to-work planning, accommodations, and disability determinations.
- Secondary gain
- Related: Performance validity testing, Symptom validity testing, Biopsychosocial model
External benefits that may accompany illness or injury, such as financial compensation, attention, or release from obligations. It is a descriptive concept, not proof of malingering, and requires careful assessment.
- Cognitive remediation
- Related: Compensatory strategies, Neuropsychological assessment, Motivational interviewing
Structured training targeting attention, memory, or executive skills through drill-based practice, strategy instruction, and generalization planning, aiming to improve everyday functioning after acquired brain injury or illness.
- Compensatory strategies
- Related: Cognitive remediation, Environmental barriers, Acceptance and commitment therapy
External aids and internal techniques, such as checklists, reminders, or pacing, that work around persistent cognitive or physical limitations to support independence in daily activities.
- Motivational interviewing
- Related: Self-efficacy, Cognitive remediation, Acceptance and commitment therapy
A collaborative, person-centered counseling style that evokes and strengthens a person's own reasons for change by exploring ambivalence with empathy and without confrontation, often used to boost rehabilitation engagement.
- Acceptance and commitment therapy
- Related: Adjustment to disability, Motivational interviewing, Cognitive behavioral therapy
An approach teaching willingness to experience difficult thoughts and feelings while committing to actions aligned with personal values, useful for chronic pain and adjustment difficulties where symptom elimination is unrealistic.
- Cognitive behavioral therapy
- Related: Acceptance and commitment therapy, Motivational interviewing, Self-efficacy
A structured, goal-oriented treatment targeting unhelpful thought patterns and behaviors, adapted in rehabilitation for depression, anxiety, pain catastrophizing, and fear-avoidance of activity.
- Work hardening
- Related: Functional capacity evaluation, Compensatory strategies, Vocational rehabilitation
A multidisciplinary, work-conditioned program using simulated job tasks, conditioning, and education to build tolerance and readiness for return to employment after injury.
- Vocational rehabilitation
- Related: Work hardening, Environmental barriers, Advocacy
Services helping people with disabilities obtain, retain, or regain employment, including assessment, job matching, worksite accommodation, and coordination with employers and funding agencies.
- Consultation
- Related: Interprofessional team, Role release, Informed consent
An indirect service in which a psychologist advises another professional or team on assessment, behavior, or treatment questions, with the referring party retaining primary responsibility for the patient or program.
- Interprofessional team
- Related: Consultation, Role release, Advocacy
A group of professionals from different disciplines who coordinate goals and share information to deliver integrated care, requiring clear role negotiation and communication among members.
- Role release
- Related: Interprofessional team, Consultation, Informed consent
The deliberate sharing or transfer of specific tasks across disciplines, such as nursing staff carrying out a psychologist-designed behavioral plan, done with training and monitoring to preserve quality.
- Advocacy
- Related: Environmental barriers, Informed consent, Americans with Disabilities Act
Action taken on behalf of or alongside a person with a disability to secure rights, services, or accommodations, ranging from individual case advocacy to systemic efforts to change policy.
- Informed consent
- Related: Decision-making capacity, Confidentiality, Consultation
Agreement to assessment or treatment given voluntarily by a person with decision-making capacity after receiving understandable information about purpose, procedures, risks, benefits, and alternatives.
- Decision-making capacity
- Related: Informed consent, Confidentiality, Guardianship
A person's functional ability to understand relevant information, appreciate consequences, reason about options, and communicate a choice regarding a specific decision, assessed situationally rather than assumed from diagnosis.
- Confidentiality
- Related: Informed consent, Decision-making capacity, Role release
The ethical and legal duty to protect information disclosed in a professional relationship, limited by exceptions such as risk of harm, mandated reporting, or authorized releases, and complicated by team-based care.
- Guardianship
- Related: Decision-making capacity, Informed consent, Advocacy
A court-ordered arrangement in which a person or agency is appointed to make specified decisions for someone judged unable to do so, ideally using the least restrictive alternative available.
- Americans with Disabilities Act
- Related: Advocacy, Environmental barriers, Vocational rehabilitation
United States civil rights law prohibiting discrimination against people with disabilities in employment, public services, and accommodations, and requiring reasonable workplace accommodations absent undue hardship.
- Reasonable accommodation
- Related: Americans with Disabilities Act, Environmental barriers, Vocational rehabilitation
A modification to a job, environment, or policy, such as flexible scheduling or assistive technology, that enables a qualified person with a disability to perform essential functions without imposing undue hardship on the employer.
- Psychosocial adjustment to spinal cord injury
- Related: Adjustment to disability, Self-efficacy, Disability paradox
The evolving emotional, social, and identity-related response to spinal cord injury, including grief, altered roles, and depression risk, which shapes participation outcomes beyond the level of physical impairment.
- Catastrophizing
- Related: Cognitive behavioral therapy, Acceptance and commitment therapy, Self-efficacy
A cognitive pattern of magnifying the threat or seriousness of pain or symptoms, predicting greater disability and distress, and commonly targeted in cognitive behavioral treatment for chronic pain.
- Fear-avoidance model
- Related: Catastrophizing, Cognitive behavioral therapy, Work hardening
An account in which catastrophic interpretation of pain leads to fear, avoidance of activity, deconditioning, and worsening disability, guiding exposure-based rehabilitation interventions.
- Durable power of attorney for health care
- Related: Decision-making capacity, Guardianship, Informed consent
A legal document naming a surrogate to make medical decisions if a person loses capacity, supporting patient autonomy and often preferable to guardianship as a less restrictive option.
- Therapeutic alliance
- Related: Motivational interviewing, Self-efficacy, Consultation
The collaborative emotional bond and shared agreement on goals and tasks between clinician and patient, which predicts engagement and outcome across rehabilitation therapies.