Department of Clinical Neuropsychology, Division of Neurology, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Top Stroke Rehabil. 2011 Jan-Feb;18(1):30-4. doi: 10.1310/tsr1801-30.
Kaufman's observation that the patients' reactions to their impairments and disabilities need to be addressed in stroke rehabilitation has been shown to be an accurate and perceptive statement. In this article, 3 levels of stroke rehabilitation are outlined, and the importance of focusing on the third level (the level of subjective experience) is emphasized. Identification of the patients' subjective experience allows one to understand what is most frustrating to them. After addressing those frustrations, patients are more eager to engage the rehabilitation process. Within the context of this rehabilitation process, helping patients clarify what their subjective or phenomenological state is as it relates to their stroke is crucial in having them not only engage the rehabilitation process, but ultimately find meaning in life in the face of their stroke. This can be a difficult task because patients often do not have the words to clarify what their inner psychological experiences are following a stroke. Helping to provide guidelines for this can result in a meaningful experience for both the patient and the therapists involved in their care.
考夫曼（Kaufman）观察到，在中风康复中需要解决患者对其损伤和残疾的反应，这一观点被证明是准确而有洞察力的。在本文中，概述了中风康复的 3 个层次，强调了关注第 3 个层次（主观体验层次）的重要性。识别患者的主观体验可以让人了解什么是最令他们沮丧的。解决这些困扰后，患者更愿意参与康复过程。在这个康复过程中，帮助患者澄清他们在中风后的主观或现象学状态对于让他们不仅参与康复过程，而且最终在面对中风时找到生活的意义至关重要。这可能是一项艰巨的任务，因为患者在中风后通常无法用言语澄清他们内心的心理体验。帮助提供这方面的指导方针可以为患者和参与他们护理的治疗师带来有意义的体验。
