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Self-Reflective Meaning Making in Troubled Times: Change in Self-Identity After Traumatic Brain Injury.
Thomas, Emily J; Levack, William M M; Taylor, William J.
Afiliação
  • Thomas EJ; University of Otago, Wellington, New Zealand em@doctors.org.uk.
  • Levack WM; University of Otago, Wellington, New Zealand.
  • Taylor WJ; University of Otago, Wellington, New Zealand.
Qual Health Res ; 24(8): 1033-1047, 2014 Aug.
Article em En | MEDLINE | ID: mdl-25015780
Our aim with this article is to clarify the concept of change in self-identity following traumatic brain injury (TBI). We used concept analysis methodology-predominantly concept clarification. We identified 110 articles using a systematic literature search, and used critical appraisal, content analysis, and analytical questioning to explore attributes and boundaries. A reported change in self-identity is the ultimate expression of a variety of cognitive, psychological, and social sequelae of TBI. We present an integrative model of this process, identifying three potential levels of change: (a) component parts (egocentric self, sociocentric self, and "identity as shared with others"); (b) integral processes (self-awareness and expression via meaningful occupation and narratives); and (c) whole-system disruption. Change in self-identity after TBI is a highly individualistic process. The driver of this process is "self-reflective meaning making," giving a purpose and direction in life, providing motivation and goals for future behavior.
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Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2014 Tipo de documento: Article
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2014 Tipo de documento: Article