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Case Reports in Psychiatry
Volume 2012, Article ID 503023, 15 pages
http://dx.doi.org/10.1155/2012/503023
Case Report

Rehabilitation of Executive Functions in a Real-Life Setting: Goal Management Training Applied to a Person with Schizophrenia

1Cognitive Psychopathology Unit, Department of Psychology, Cognition and Behavior, University of Liège, 4000 Liège, Belgium
2Psychiatry Service I, Inserm 666 Unit, 67091 Strasbourg, France
3Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 1211 Geneva, Switzerland

Received 19 July 2012; Accepted 26 August 2012

Academic Editors: C. Lançon and F. Oyebode

Copyright © 2012 M.-N. Levaux et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim was to assess the efficacy of a modified version of Goal Management Training (GMT) in a person with schizophrenia who had difficulties in attaining the final goal for new and multitasking daily-life situations. GMT is designed to improve abilities in establishing goal-directed plans and carrying them out effectively. Beneficial effects of GMT were measured for several clinical questionnaires, laboratory tasks, and three real-life situations: meal preparation (trained, familiar); washing (nontrained, familiar); meeting preparation (nontrained, unfamiliar). The results revealed improvement in planning and on trained laboratory and meal preparation tasks and a generalization of GMT effects on nontrained laboratory and everyday tasks. Self-esteem also improved. Finally, a two-year followup indicated the durability of the beneficial effects.