Muenchberger Heidi, Kendall Elizabeth, Neal Ronita
Research Centre for Clinical and Community Practice Innovation, Griffith University, Brisbane, Australia.
Brain Inj. 2008 Nov;22(12):979-92. doi: 10.1080/02699050802530532.
The study aimed to understand turning points and processes that define the experience of identity change for individuals with brain injury.
The current study applied an interpretive qualitative research design using a phenomenological approach. Qualitative 'life-story' interviewing was undertaken to explore the natural course of identity following TBI and a critical incident technique was applied to systematically examine key milestones.
A purposive sample of six individuals with brain injury who represented a successive range of post-injury time frames (1-2 years, 2-5 years, 5-10 years, 10-15 years, 15-20 years and 25+ years) participated in the interviews.
Qualitative analysis indicated that identity transition was characterized by a dynamic and convoluted process of contraction, expansion and tentative balance.
The influence of subjective processes on the development of identity highlights the inadequacy of fragmented approaches when exploring the individual experience. Findings from this study have important implications for the delivery of person-focused rehabilitation and remind one to consider with caution the usual indicators of adjustment that are often applied to brain injury rehabilitation.
本研究旨在了解那些界定脑损伤个体身份转变经历的转折点和过程。
本研究采用解释性定性研究设计，运用现象学方法。通过定性的“生活故事”访谈来探索创伤性脑损伤（TBI）后身份认同的自然历程，并应用关键事件技术系统地审视关键节点。
从脑损伤患者中选取了一个有目的的样本，包括六名代表不同伤后时间范围（1 - 2年、2 - 5年、5 - 10年、10 - 15年、15 - 20年和25年以上）的个体参与访谈。
定性分析表明，身份转变的特征是一个收缩、扩展和初步平衡的动态且复杂的过程。
主观过程对身份发展的影响凸显了在探索个体经历时，碎片化方法的不足之处。本研究结果对以患者为中心的康复治疗具有重要意义，并提醒人们谨慎考虑通常应用于脑损伤康复的调整指标。
