Coetzer Rudi
North Wales Brain Injury Service, Colwyn Bay, Wales, and Bangor University, Wales.
Neuropsychol Rehabil. 2008 Oct-Dec;18(5-6):766-83. doi: 10.1080/09602010701860266.
Many people experience identity change after brain injury. Impaired self-awareness after acquired brain injury is also common and can, along with other factors, affect the identity change a person may experience. Holistic rehabilitation programmes attempt to address both cognitive and emotional difficulties and specifically problems of self-awareness after brain injury. Does identity change require longer-term rehabilitation interventions? This paper describes a community-based neuro-rehabilitation service that has incorporated some principles from more traditional holistic programmes with a view to providing long-term, low-intensity brain injury rehabilitation. Specific reference is made to problems of identity and how these may be addressed during long-term psychotherapeutic follow-up. The potential relevance of the total duration of rehabilitation input rather than simply the number of sessions when working with adjustment and identity change after brain injury in community settings is discussed. The service model is compared to more traditional holistic rehabilitation programmes. A case study and early outcome data are presented to illustrate some of these points and to provide more information about the nature of the programme.
许多人在脑损伤后会经历身份认同的变化。后天性脑损伤后自我意识受损也很常见，并且会与其他因素一起，影响一个人可能经历的身份认同变化。整体康复计划试图解决认知和情感方面的困难，特别是脑损伤后的自我意识问题。身份认同的变化是否需要长期的康复干预？本文介绍了一项基于社区的神经康复服务，该服务融合了一些更传统的整体康复计划的原则，旨在提供长期、低强度的脑损伤康复。文中特别提到了身份认同问题以及在长期心理治疗随访中如何解决这些问题。讨论了在社区环境中处理脑损伤后的适应和身份认同变化时，康复投入的总时长而非仅仅疗程数量的潜在相关性。将该服务模式与更传统的整体康复计划进行了比较。还呈现了一个案例研究和早期结果数据，以阐明其中一些要点，并提供有关该计划性质的更多信息。
