Biosketch / Results /

Joseph F Rath, Ph.D.

Clinical Assistant Professor;
Departments of Psychology Service and Rehabilitation Medicine (Fac)

Contact Info

Address
400 East 34th Street
Rusk Research
New York, NY 10016

212-263-0453
Joseph.Rath@nyumc.org


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Education

— Fordham University, Graduate Education

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Research Summary

Co-Investigator. Five-year, NIH/NICHD-funded, randomized clinical trial (#2R01-HD032943; Leonard Diller, PI). Goal is to extend seminal emotional self-regulation and problem-solving treatment methods, developed at the Rusk Institute of Rehabilitation Medicine, to address the needs of neurorehabilitation outpatients with more compromised cognitive skills. Long-term objectives are to (a) contribute to the cumulative body of evidence regarding the effectiveness of cognitive rehabilitation and (b) disseminate an empirically validated treatment protocol with practical applications for enhancing the community integration of more impaired individuals with aquired brain injury due to a variety of etiologies.

Research Interests

Traumatic brain injury, neuropsychological assessment, and rehabilitation.

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All data from NYU Health Sciences Library Faculty Bibliography — -

Contact:
http://hsl.med.nyu.edu/faculty-bibliography-search#about

Rehabilitation psychology
Elliott, Timothy R; Rath, Joseph F
The Oxford handbook of counseling psychology : edited by Elizabeth M. Altmaier, Jo-Ida C. Hansen New York : Oxford University Press, c2012,
— id: 5809, year: 2012, vol: , page: 679, stat: Chapter,

Group Treatment in Acquired Brain Injury Rehabilitation
Bertisch, Hilary; Rath, Joseph F; Langenbahn, Donna M; Sherr, Rose Lynn; Diller, Leonard
2011 ;36(4):264-277, Journal for specialists in group work
— id: 138999, year: 2011, vol: 36, page: 264, stat: Journal Article,

Clinical applications of problem-solving research in neuropsychological rehabilitation: Addressing the subjective experience of cognitive deficits in outpatients with acquired brain injury
Rath, Joseph F; Hradil, Amy L; Litke, David R; Diller, Leonard
2011 Nov;56(4):320-328, Rehabilitation psychology
Objective: The goal of this paper is to illustrate how the lessons learned in over 20 years of randomized clinical trials have advanced cognitive rehabilitation beyond traditional approaches to problem solving by more explicitly integrating subjective self-appraisal factors in routine clinical practice. Results: The concept of problem orientation, as proposed by cognitive-behavioral psychologists, provides a much-needed framework for conceptualizing interventions to address the impact of subjective experience on cognitive functioning, within the context of cognitive remediation. By explicitly focusing on the beliefs, assumptions, and expectations that individuals with acquired brain injury have about their own cognitive functioning, the concept of problem orientation allows rehabilitation psychologists to add an element to interventions, not systematically addressed in standard approaches to cognitive remediation. Targeting objective deficits in cognitive remediation is necessary, but not sufficient: For optimal benefit, remedial interventions must address objective cognitive deficits and the patient's subjective experience of such deficits in tandem. Conclusion: Contemporary evidence-based treatment recommendations now typically include incorporating interventions to address motivational, attitudinal, and affective factors in cognitive remediation. Further research is needed to directly compare the effectiveness of cognitive rehabilitative interventions that systematically address subjective factors with those that do not. (PsycINFO Database Record (c) 2011 APA, all rights reserved)
— id: 141777, year: 2011, vol: 56, page: 320, stat: Journal Article,

Brief symptom inventory
Rath JF; Fox LM
Encyclopedia of clinical neuropsychology New York : Springer, 2010,
— id: 5505, year: 2010, vol: , page: 449, stat: Chapter,

Problem-solving training in adults with acquired brain injury
Diller, L; Sherr, R; Rath, J; Ltike, A; Langenbahn, DM
2008 OCT ;23(6):689-690, Archives of clinical neuropsychology
— id: 99000, year: 2008, vol: 23, page: 689, stat: Journal Article,

A new approach to remediating problem-solving deficits in outpatients with moderate-to-sever cognitive impairments
Langenbahn DM; Rath JF; Hradil A; Litke D; Tucker JA; Diller L
2008 ;89(10):e11-e11, Archives of physical medicine & rehabilitation
— id: 90477, year: 2008, vol: 89, page: e11, stat: Journal Article,

Traumatic brain injury and rehabilitation
Rath JF; Elliott TR
Encyclopedia of counseling Los Angeles CA : Sage, 2008,
— id: 4869, year: 2008, vol: , page: 421, stat: Chapter,

Treatment for emotional self-regulation and problem-solving deficits in adults with moderate to severe cognitive deficits
Sherr RL; Rath JF; Langenbahn DM; Litke DR; Hradil A; Cascio DP; Yi A
2008 ;14(S1):239-239, Journal of the International Neuropsychological Society
— id: 76350, year: 2008, vol: 14, page: 239, stat: Journal Article,

Gay Men Living with Chronic Illness or Disability: A Sociocultural, Minority Group Perspective on Mental Health
Hanjorgiris, William F; Rath, Joseph F; O'Neill, John H
2004 ;17(2):25-41, Journal of Gay & Lesbian Social Services: Issues in Practice, Policy & Research
(from the journal abstract) This paper examines the experiences of gay men living with disabilities or chronic illness from a social constructivist perspective. Emphasizing the sociocultural aspects of disability, such an approach recognizes that the questions asked and the answers given about disability are embedded in sociohistorical contexts, and that language both shapes and reveals underlying assumptions and behaviors related to disability. Using Kameny 's (1971) concept of sociological minority, it is proposed that gay men and persons with disabilities constitute minority groups with experiences in common with those of other recognized minority groups. Implications for mental health practitioners providing services to gay men with disabilities are addressed.
— id: 48067, year: 2004, vol: 17, page: 25, stat: Journal Article,

The construct of problem solving in higher level neuropsychological assessment and rehabilitation
Rath, Joseph F; Langenbahn, Donna M; Simon, Dvorah; Sherr, Rose Lynn; Fletcher, Jason; Diller, Leonard
2004 Sep;19(5):613-635, Archives of clinical neuropsychology
Three inter-related studies examine the construct of problem solving as it relates to the assessment of deficits in higher level outpatients with traumatic brain injury (TBI). Sixty-one persons with TBI and 58 uninjured participants completed measures of problem solving and conceptually related constructs, which included neuropsychological tests, self-report inventories, and roleplayed scenarios. In Study I, TBI and control groups performed with no significant differences on measures of memory, reasoning, and executive function, but medium to large between-group differences were found on timed attention tasks. The largest between-group differences were found on psychosocial and problem-solving self-report inventories. In Study II, significant-other (SO) ratings of patient functioning were consistent with patient self-report, and for both self-report and SO ratings of patient problem solving, there was a theoretically meaningful pattern of correlations with timed attention tasks. In Study III, a combination of self-report inventories that accurately distinguished between participants with and without TBI, even when cognitive tests scores were in the normal range, was determined. The findings reflect intrinsic differences in measurement approaches to the construct of problem solving and suggest the importance of using a multidimensional approach to assessment
— id: 46165, year: 2004, vol: 19, page: 613, stat: Journal Article,

Social problem solving and community integration in postacute rehabilitation outpatients with traumatic brain injury
Rath, Joseph F; Hennessy, James J; Diller, Leonard
2003 ;48(3):137-144 Aug, Rehabilitation psychology
Objective: To enhance understanding of the role that social problem solving (SPS) plays in community integration following traumatic brain injury (TBI). Study Design: Regression analysis. Participants: Forty-five adults with TBI participating in higher level outpatient cognitive rehabilitation and 15 uninjured adults. Main Outcome Measures: Measures of community integration, problem-solving ability, and SPS self-appraisal and performance. Results: Individuals with TBI demonstrated poorer problem-solving as measured by both neuropsychological and SPS methods; however, the largest effect' size was observed for SPS self-appraisal. Only SPS self-appraisal predicted a significant proportion of the variance in community integration. Conclusions: It is important to assess brain-injured persons' confidence in their ability to cope with problems. A focus on objective test scores alone may lead to underdetection of disabling problem-solving deficits. (journal abstract)
— id: 64750, year: 2003, vol: 48, page: 137, stat: Journal Article,

Group treatment of problem-solving deficits in outpatients with traumatic brain injury: A randomised outcome study
Rath, Joseph F; Simon, Dvorah; Langenbahn, Donna M; Sherr, Rose Lynn; Diller, Leonard
2003 ;13(4):461-488 Sep, Neuropsychological rehabilitation
Sixty higher-level outpatients with traumatic brain injury (TBI), all at least 1 year post-injury, were randomly assigned to either conventional group neuropsychological rehabilitation or an innovative group treatment focused on the treatment logical of problem-solving deficits. Incorporating strategies for addressing underlying emotional self-regulation and logical thinking/reasoning deficits, the innovative treatment is unique in its attention to both motivational, attitudinal, and affective processes and problem-solving skills in persons with TBI. Participants in the innovative group improved in problem solving as assessed using a variety of measures, including (1) executive function, (2) problem-solving self-appraisal, (3) self-appraised emotional self-regulation and clear thinking, and (4) objective observer ratings of roleplayed scenarios. These improvements were maintained at follow-up. Baseline performance on timed attention tasks was related to improvement; individuals who processed the most slowly benefited the most. These participants did not show improvements on timed attention tasks, but did improve on problem-solving measures. Such findings are consistent with successful compensatory strategy use--the person may still have deficits and symptoms, but now has... (journal abstract)
— id: 64751, year: 2003, vol: 13, page: 461, stat: Journal Article,

Problem solving group treatment for persons with acquired brain injury
Simon D; Sherr R; Langenbahn DM; Rath JF; Diller L
2003 ;82(10):S59-S60, American journal of physical medicine & rehabilitation
— id: 64762, year: 2003, vol: 82, page: S59, stat: Journal Article,

Problem solving in acquired brain damage : five-year study results
Simon D; Rath JF; Sherr RL; Langenbahn DM; Rabin L; Litke DR; Fletch J; Weinberg S; Diller L
2001 August;46(2):346-347, Rehabilitation psychology
— id: 110635, year: 2001, vol: 46, page: 346, stat: Journal Article,

Measurement of problem-solving deficits in adults with acquired brain damage
Rath JF; Simon D; Langenbahn DM; Sherr RL; Diller L
2000 Feb;15(1):724-733, Journal of head trauma rehabilitation
OBJECTIVE: To compare the relative utility of conventional neuropsychological and social problem-solving approaches to measuring functional problem solving deficits in individuals with acquired brain damage (ABD). DESIGN: In Study I, scores for individuals with ABD were compared to scores for control and normative samples. In Study II, pre- and posttest scores were compared for individuals with ABD who completed a program of outpatient cognitive rehabilitation. PARTICIPANTS: In Study I, individuals with ABD were compared to healthy controls. In Study II, pre- and posttreatment assessments were obtained for 34 individuals with ABD. MAIN OUTCOME MEASURES: Two approaches were used, conventional neuropsychological (WAIS-R/II Comprehension subtest and Wisconsin Card Sorting Test) and social problem solving (Problem Solving Inventory and Rusk Problem Solving Role Play Test). RESULTS: In Study I, the ABD group demonstrated significant deficits on both social problem solving measures; however, neither conventional neuropsychological measure detected significant deficits in the ABD group, relative to control and normative groups. In Study II, significant treatment gains were demonstrated on both social problem-solving measures, however neither conventional neuropsychological measure was sensitive to improvements in functional problem-solving ability. CONCLUSIONS: In higher-level cognitive rehabilitation settings, the evaluation of functional problem-solving deficits in individuals with ABD can be facilitated by augmenting neuropsychological test data with results from social problem-solving measures
— id: 8538, year: 2000, vol: 15, page: 724, stat: Journal Article,

Parental adjustment to brain tumors in children
Hill JM; Rath J
1999 ;61:119-119, Psychosomatic medicine
— id: 64763, year: 1999, vol: 61, page: 119, stat: Journal Article,

Social problem solving self-appraisal in adults with acquired brain damage
Rath, JF; Sherr, RL; Langenbahn, DM; Simon, D; Biderman, DJ; Diller, L
1999 AUG ;44(3):305-306, Rehabilitation psychology
— id: 74448, year: 1999, vol: 44, page: 305, stat: Journal Article,

Acquired brain damage: Development of the problem-solving questionnaire
Biderman, DJ; Rath, JF; Simon, D; Sherr, RL; Langenbahn, D; Diller, L
1998 ;43(2):172-172 SUM, Rehabilitation psychology
— id: 74449, year: 1998, vol: 43, page: 172, stat: Journal Article,

The effect of neuropsychological deficits in childhood cancer on parental functioning
Hill JM; Rath JF
1998 Jan;13(1):13-13, Archives of clinical neuropsychology
— id: 57724, year: 1998, vol: 13, page: 13, stat: Journal Article,

Acquired brain damage: Development of the problem solving role-play test
Sherr, RL; Rath, JF; Langenhahn, DM; Simon, D; Biderman, DJ; Diller, L
1998 ;43(2):184-184 SUM, Rehabilitation psychology
— id: 74450, year: 1998, vol: 43, page: 184, stat: Journal Article,

DEVELOPMENT AND INITIAL VALIDATION OF THE QUICK DISCRIMINATION INDEX (QDI)
PONTEROTTO, JG; BURKARD, A; RIEGER, BP; GRIEGER, I; DONOFRIO, A; DUBUISSON, A; HEENEHAN, M; MILLSTEIN, B; PARISI, M; RATH, JF; SAX, G
1995 DEC ;55(6):1016-1031, Educational & psychological measurement
A series of empirical studies was conducted to develop and validate the Quick Discrimination Index (QDI), a 30-item, Likert-type self-report inventory. The QDI measures attitudes toward racial diversity (multiculturalism) and women's equality and is appropriate for late adolescents and adults. The instrument has applicability across racial/ethnic groups. Exploratory factor analyses examining both orthogonal and oblique rotations indicate that the QDI is best conceptualized as a tridimensional measure of attitudes. Three oblique factors emerged: (a) general (cognitive) attitudes about racial diversity and multiculturalism, (b) affective attitudes regarding racial diversity related to one's personal life, and (c) general attitudes regarding women's equity issues. The QDI total score and subscale scores were found to be internally consistent, to be stable over a 15-week test-retest period, and to have promising indexes of face, content, construct, and criterion-related validity. A confirmatory factor analysis examining competing factor solutions supported the three-factor oblique extraction
— id: 74451, year: 1995, vol: 55, page: 1016, stat: Journal Article,