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我是多重的:后天性脑损伤后的自我重建。

I am many: the reconstruction of self following acquired brain injury.

机构信息

Department of Psychology in Saskatoon, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

出版信息

Qual Health Res. 2011 Jan;21(1):62-74. doi: 10.1177/1049732310377454. Epub 2010 Jul 29.

Abstract

In this article we examine the construction of self following acquired brain injury from an experience-centered perspective. Life history and semistructured interview transcripts collected from four brain injury survivors were analyzed using thematic, syntactic, and deep structure analysis. Though notions of the "lost" or "shattered" self have dominated discussions of personhood in the acquired brain injury literature, we argue that this perspective is a crude representation of the postinjury experience of self, and that aspects of stability, recovery, transcendence, and moral growth are also involved in this process. We highlight the intersubjective nature of the self, and present the processes of delegitimation, invalidation, negotiation, and resistance as crucial aspects of the postinjury construction of personhood. We explore the implications of this complex process of construction of self for grief and bereavement theories, clinical practice, and professional discourse in the area of acquired brain injury.

摘要

本文从以经验为中心的角度考察了后天性脑损伤后的自我建构。对四位脑损伤幸存者的生活史和半结构化访谈记录进行了主题、句法和深层结构分析。尽管“失去”或“破碎”的自我的概念主导了后天性脑损伤文献中关于人格的讨论,但我们认为,这种观点是对损伤后自我体验的一种粗略表述,而且在这个过程中还涉及到稳定性、恢复、超越和道德成长等方面。我们强调自我的主体间性,并提出合法化、无效化、协商和抵制的过程是损伤后人格建构的关键方面。我们探讨了这个复杂的自我建构过程对后天性脑损伤领域的悲伤和丧亲理论、临床实践和专业话语的影响。

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