Over the past several years, there has been an influx in patients being treated for polytraumatic injuries within the Veterans Health Administration (VHA), largely due to the wars in Afghanistan and Iraq, but also due to advances in life sustaining medical interventions. The polytrauma population includes veterans who have sustained a severe traumatic or non-traumatic brain injury, and a significant loss in cognitive and physical functioning, referred to as a disorder of consciousness. The purpose of the current study was to explore factors related to successful emergence from a disorder of consciousness, using a sample of veterans who were treated at one of the five VA polytrauma rehabilitation center (PRC) sites in an Emerging Consciousness (EC) Program. Participants (N = 70) included both combat and non-combat active duty military personnel and veterans who sustained either a severe traumatic brain injury or anoxic brain injury, and were considered to have a disorder of consciousness at the time of their admission to the EC program. Patient information was retrospectively collected from electronic medical records, and included demographic data, medical information, and scores on the Functional Independence Measure (FIM), Rappaport Coma Near Coma (CNC) Scale, and the JFK Coma Recovery Scale- Revised (CRS-R). In addition, Receiver Operator Characteristic Models (ROC) were utilized to explore “cut scores” for predicting emergence using the CNC and CRS-R. Results showed that age is a significant factor in changes in FIM scores over time, but it did not predict time to emerge or emergence itself. In addition, for the CNC, scores at intake tended to be a better predictor of emergence, while week three scores on the CRS-R were more accurate in determining whether someone would emerge or not. Exploratory analyses also showed a difference in discharge location after treatment based on a patient’s age. Finally, significant variance in initial scores on the CNC was seen for Caucasians, when compared to other ethnic groups. Limitations are explored, along with implications and recommendations for future research and clinical practice.

The intention behind this research was to reveal through two interpretive, inter-related studies the perceived needs of differently-labelled youth, collectively addressed in this thesis as ‘the New Generations’, exploring potentially viable ways of working with them in education. The first study focused on youth labelled Indigos, and the second study focused on exploring a possible way of working with the New Generations according to experienced teachers. Both studies drew on lived experience and opinions of educators who have acquired extensive experience respectively with the Indigo phenomenon and with the psychosynthetic educational model. The first study’s results revealed not only Indigos’ self-actualising and self-transcending characteristics and needs, but also indicated that holistic approaches to education appeared to have been successful with them. A further analysis of characteristics observed by special education experts indicated that differently-labelled youth also appear to be motivated by self-actualising and self-transcending tendencies, which highlighted the relevance of investigating holistic models for potential integration in mainstream education. Psychosynthesis was chosen for investigation in the second study, in that besides addressing self-actualising/transcending needs, it also integrates them within the psyche. The study explored how recent psychosynthesis-based educational projects might inform, and contribute to, holistic and mainstream education. Some innovative potential contributions to both holistic and mainstream education were found. Recent research on current tendencies, educational futures and global trends affecting a changing world would appear to emphasise the relevance of the contributions offered by the psychosynthesis model, hence to suggest the potential appropriateness of their fuller integration in mainstream education. However, an examination of study results and of the relevant literature on practices seems to indicate a tendency to transmit knowledge from past to future generations, irrespective of possibly changed needs, in both mainstream and holistic education. It is suggested that this potentially biased way of educating youth might need to be addressed on both fronts.